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| ID | Type | Description | Link |
|---|---|---|---|
| 1R01MD015165-01A1 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Minority Health and Health Disparities (NIMHD) | NIH |
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This research study will investigate the independent effects of an environmental intervention (E only), an individual-level eHealth phone program intervention (I only), or both (E+I) on changes in moderate intensity physical activity. A cluster randomized design will be implemented whereby all residents of one of 12 of Boston's public housing developments (PHDs) will be randomized to one of the four study groups (E only, I only, E+I, or control). The activities with this multilevel design include:
The investigators hypothesize that the participants living in the PHDs in any of the three intervention groups (E only, I only, and E+I combined) will increase minutes of moderate intensity physical activity more than participants in control group developments at 24-month follow up. It is further expected that delivery of an intervention package targeting environmental and social cues to become active, combined with an individual level intervention, will improve overall physical activity levels to recommended guidelines at the development level. The findings will inform future health promotion efforts among residents in public housing developments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Environmental group intervention (E only) | Experimental | Changing the environment surrounding the PHDs making it more amenable to walking and advocating for changes to the built environment |
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| Individual-level eHealth phone program intervention (I only) | Experimental | An automated telephone-based physical activity program. |
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| Combined group (E and I interventions) | Experimental | Changing the environment surrounding the PHDs making it more amenable to walking and advocating for changes to the built environment and an automated telephone-based physical activity program. |
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| Control group (no interventions) | No Intervention | No interventions for residents to increase activity levels. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| eHealth phone program | Other | The automated eHealth phone program uses text to speech technology to deliver educational content to increase awareness, confidence, and motivation for physical activity. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in minutes of light, moderate, and vigorous intensity physical activity per day at 12 months | Assessed by (1) evaluating the proportion of accelerometers distributed and returned, (2) downloading the data from the devices, (3) processing the data (e.g., removing outliers), and (4) examining the proportion that have valid data (i.e., minimum 3 days of wear). | baseline, 12 months |
| Change in minutes of light, moderate, and vigorous intensity physical activity per day at 24 months | Assessed by (1) evaluating the proportion of accelerometers distributed and returned, (2) downloading the data from the devices, (3) processing the data (e.g., removing outliers), and (4) examining the proportion that have valid data (i.e., minimum 3 days of wear). | baseline, 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluate the mediator effects of motivation | This outcome will be assessed by analyzing participants' responses to relevant questions in an Investigator developed questionnaire. | baseline, 12 months, 24 months |
| Evaluate the mediator effects of self-efficacy |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lisa M Quintiliani, PhD | Tufts Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tufts Medical Center | Boston | Massachusetts | 02111 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37653386 | Derived | Quintiliani LM, Dedier J, Amezquita M, Sierra-Ruiz M, Romero D, Murillo J, Mahar S, Goodman M, Kane JB, Cummings D, Woolley TG, Spinola I, Crouter SE. Community Walks: a cluster randomized controlled trial of a multilevel physical activity intervention for low income public housing residents. BMC Public Health. 2023 Aug 31;23(1):1676. doi: 10.1186/s12889-023-16574-y. |
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| ID | Term |
|---|---|
| D057185 | Sedentary Behavior |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| Environment program | Other | The environment surrounding the PHDs will be changed to make it more amenable to walking by creating walking trails and walking maps and using Healthy Living Advocates (HLA)-led walking groups within the community. Also advocating for changes to the built environment. |
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This outcome will be assessed by analyzing participants' responses to relevant questions in an Investigator developed questionnaire. |
| baseline, 12 months, 24 months |
| Evaluate the mediator effects of neighborhood walkability | This outcome will be assessed by analyzing participants' responses to relevant questions in an Investigator developed questionnaire. | baseline, 12 months, 24 months |
| Evaluate the mediator effects of support from HLAs | This outcome will be assessed by analyzing participants' responses to relevant questions in an Investigator developed questionnaire. | baseline, 12 months, 24 months |
| Evaluate the mediator effects fidelity to the interventions | This outcome will be assessed by analyzing participants' responses to relevant questions in an Investigator developed questionnaire. | baseline, 12 months, 24 months |