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| ID | Type | Description | Link |
|---|---|---|---|
| 14SDG20050015 | Other Grant/Funding Number | American Heart Association |
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| Name | Class |
|---|---|
| American Heart Association | OTHER |
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Overweight/obesity is strongly linked to mortality from multiple chronic diseases, including cardiovascular disease, diabetes, and obesity-related cancers.The successful management of overweight/obesity requires management of nutrition and physical activity over time. For racial/ethnic minority and low-income populations, who face both higher prevalence of obesity and chronic diseases compared to others, interventions promoting behavioral change are a national health priority. From the available range of behavioral change intervention strategies, there is a growing knowledge base that documents the efficacy of peer support interventions for improving self-care, quality of life, and behavioral change. In this study, the investigators will examine the following research question: What is the preliminary efficacy and degree of implementation and acceptability of an intervention approach in which peer counselors provide evidenced-based counseling about nutrition and physical activity behaviors for weight management to public housing residents using a computer-assisted program called CuesWeight?
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Feedback report plus peer counseling | Experimental | Feedback report plus peer counseling Participants receive 12 sessions of behavioral counseling and a brief printed feedback report |
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| Feedback report | Active Comparator | Feedback report Participants receive a brief printed feedback report |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Counseling | Behavioral | Up to 12 sessions of behavioral counseling using motivational interviewing techniques focused on diet and physical activity behaviors over a 12 week period. Counselors will be guided in their sessions by a computer program called CuesWeight. Participants also receive text messages to enable participants to track their behaviors; this information is relayed to the counselors to inform the counseling sessions. |
| Measure | Description | Time Frame |
|---|---|---|
| Weight-objective measurement | Weight in pounds will be measured objectively with a digital scale | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Diet, fruits and vegetables, self-reported via questionnaire | Servings of fruits and vegetables will be measured via the Primescreen dietary screener instrument | 12 weeks |
| Diet, sugar sweetened beverages, self-reported via questionnaire |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lisa M Quintiliani, PhD | Boston Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Boston Medical Center | Boston | Massachusetts | 02118 | United States |
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| ID | Term |
|---|---|
| D015438 | Health Behavior |
| D015431 | Weight Loss |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D001836 | Body Weight Changes |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D003376 | Counseling |
| ID | Term |
|---|---|
| D008605 | Mental Health Services |
| D004191 | Behavioral Disciplines and Activities |
| D003153 | Community Health Services |
| D006296 | Health Services |
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| feedback report | Behavioral | All participants receive a brief printed feedback report displaying their current levels of nutrition and physical activity behaviors and tips for meeting recommended guidelines. |
|
Fluid ounces of sugar sweetened beverages will be measured via the BEV-Q questionnaire
| 12 weeks |
| Diet, fast food, self-reported via questionnaire | Number of visits to fast food restaurants will be measured via a 1-item question asking participants how often they go to fast food restaurants | 12 weeks |
| Physical activity, objectively measured | Minutes of light to moderate physical activity will be measured via accelerometers (Actigraphs) | 12 weeks |
| Physical activity, self-reported | Minutes of light to moderate physical activity will be measured via a questionnaire (IPAQ) | 12 weeks |
| Internal motivation, self-reported via questionnaire | Perceptions of internal motivation to change diet and physical activity will be measured by a brief questionnaire | 12 weeks |
| Self-efficacy for eating a healthful diet, self-reported via questionnaire | Perceptions of self-efficacy (or confidence) to change diet behaviors in a variety of situations will be measured by a brief questionnaire | 12 weeks |
| Self-efficacy for doing physical activity, self-reported via questionnaire | Perceptions of self-efficacy (or confidence) to change physical activity behaviors in a variety of situations will be measured by a brief questionnaire | 12 weeks |
| Social support, self-reported via questionnaire | Perceptions of social support from a variety of sources will be measured via a brief questionnaire | 12 weeks |
| Feasibility, number of counseling sessions completed | Number of counseling sessions completed in-person and over the phone will be tallied and reported | 12 weeks |
| Feasibility, acceptability of intervention | Perceptions of acceptability of both the brief feedback report and the counseling sessions will be asked in open- and closed-ended questions | 12 weeks |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D005159 | Health Care Facilities Workforce and Services |