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| ID | Type | Description | Link |
|---|---|---|---|
| 1R01CA238335-01A1 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institutes of Health (NIH) | NIH |
| National Cancer Institute (NCI) | NIH |
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This research will test the efficacy of a weight management intervention through a three-group randomized trial: mHealth only, mHealth+Community Health Worker (CHW) support, versus control group, among residents of Boston's public housing developments. The mHealth group consists of a 1-year text messaging program to promote diet and physical activity behavior changes and the CHW support consists of monthly phone counseling delivered by a CHW to support the text messaging program. Our hypothesis is that the mHealth+CHW group will be more effective in bringing about weight loss compared to mHealth alone or the assessment only control group. The findings are expected to inform future health promotion efforts among residents in public housing developments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| mHealth Group | Experimental | 12 month text messaging program about diet and physical activity behavioral goals |
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| mHealth+Community Health Worker (CHW) support | Experimental | same as mHealth group + monthly behavioral phone counseling by a CHW |
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| Control group | No Intervention | Assessments only |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| mHealth | Behavioral | Participants will receive 2-3 text messages daily. The messages will include information to promote healthy eating and physical activity. |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in Weight at 12-month follow up | Weight will be objectively measured by study staff using standard procedures using an accurate electronic scale designed for portable use measured to the nearest 1/10th reading. | Baseline, 12-month follow up |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Weight at 6-month follow up | Weight will be objectively measured by study staff using standard procedures using an accurate electronic scale designed for portable use measured to the nearest 1/10th reading. | Baseline, 6-month follow up |
| Diet behavior |
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Inclusion Criteria:
Exclusion Criteria:
Currently enrolled in a comprehensive weight loss program or a research study about weight that is incompatible with study participation
Currently on a medically prescribed diet or fast that is incompatible with study participation
Currently has a diagnosis of bipolar disorder, mania, manic-depressive disorder, schizophrenia, or psychosis and is not on any medications to treat the condition
Precontemplation stage of change for making healthy eating or physical activity changes
Pregnancy
Medical contraindications to physical activity. Self-reported presence of any of the following:
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| Name | Affiliation | Role |
|---|---|---|
| Lisa Quintiliani, PhD | Tufts Medical Center | Principal Investigator |
| Ziming Xuan, ScD | BU School of Public Health, Community Health Services | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Boston Medical Center | Boston | Massachusetts | 02118 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35724842 | Derived | Solar C, Nansubuga A, Murillo J, Ranker L, Borrelli B, Bowen DJ, Xuan Z, Kane J, Werntz S, Crouter SE, Quintiliani LM. Mobile health plus community health worker support for weight management among public housing residents (Path to Health): A randomized controlled trial protocol. Contemp Clin Trials. 2022 Aug;119:106836. doi: 10.1016/j.cct.2022.106836. Epub 2022 Jun 18. |
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| ID | Term |
|---|---|
| D001836 | Body Weight Changes |
| D009765 | Obesity |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D050177 | Overweight |
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| ID | Term |
|---|---|
| D017216 | Telemedicine |
| ID | Term |
|---|---|
| D003695 | Delivery of Health Care |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |
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| CHW support | Behavioral | The CHW will provide behavioral counseling to participants guided by a study website related to their healthy eating and physical activity goals. |
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Diet (for example: fruits & vegetables, whole grains, lean meats, and sugary beverages) will be measured via unannounced 24-hour recalls, one per person per assessment period. Other diet behaviors (for example: breakfast consumption) will be measured via questions on standardized surveys. |
| Baseline, 6-month follow up, 12-month follow up |
| Physical activity behavior | Physical activity will be objectively measured via Actigraph 3tx accelerometers worn by participants for 7 days (minimum of 4 days) to assess time spent in light-to-moderate-to-vigorous physical activity. | Baseline, 6-month follow up, 12-month follow up |
| Psycho-social variables | Psycho-social variables (for example: Self-efficacy, motivation, outcome expectations, depressive symptoms, sleep, social support) will be evaluated for change over the intervention period and whether they moderate the intervention effect on weight. | Baseline, 6-month follow up, 12-month follow up |
| D044343 |
| Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001519 | Behavior |