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| Name | Class |
|---|---|
| Texas A&M University | OTHER |
| University of North Carolina, Greensboro | OTHER |
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The investigators will randomize 20 rural libraries to implement either a group-based walking (standard approach) or a group-based walking combined with a civic engagement program (combined approach). Each rural library will enroll between 15-20 participants. The investigators will compare the change in physical activity between participants in each group.
The goals of this study are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Walking only (Step It Up!) | Active Comparator | A group-based, weekly walking program (Step It Up) where participants walk for up to 45 minutes. |
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| Combined (Step It Up! plus Change Club) | Experimental | A group-based, weekly walking program (Step It Up) where participants walk for up to 45 minutes. Participants also spend 30 minutes each week in a civic engagement program (the Change Club) improving walkability in the community |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Walking only (Step It Up!) | Other | Participants will meet weekly for 60 minutes and walk together as a group. Participants will progressively build up to walking for 45 minutes at a brisk pace. Walks will start with a check-in and end with stretching as a group. |
| Measure | Description | Time Frame |
|---|---|---|
| Physical activity | Participants will be asked to wear an accelerometer for >10 hours/day for seven days at the wrist to measure physical activity. An accelerometer is a small device worn at the wrist that records acceleration, the change in velocity of a participant over time. | Change from baseline physical activity at 6 months, 12 months, and 24 months. |
| Cardio respiratory fitness | Participants will be asked to complete a six-minute walk test to measure cardiorespiratory fitness. The distance walked in 6 minutes will be recorded. | Change from baseline cardio respiratory fitness at 6 months, 12 months, and 24 months. |
| Collective Efficacy | Participants will be asked to complete a survey regarding collective-efficacy, the Collective Efficacy Scale (Sampson and colleagues, 1997), which measures how well communities work together to make things happen. | Change from baseline collective efficacy at 6 months, 12 months, and 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Height | Researchers will measure the height of participants in inches. | Baseline |
| Hip circumference | Researchers will measure the hip circumference of participants in inches. |
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Inclusion Criteria:
Exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Cynthia K Perry, PhD | Oregon Health & Science University School of Nursing | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oregon Health & Science University | Portland | Oregon | 97239 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Lenstra N. The role of public librarians in supporting physical activity: challenging the "Jacks of All Trades but Masters of None" librarian syndrome. Advances in Library Administration and Organization. 2018;39:185-205. | ||
| 33301392 | Background | Perry CK, Campbell LP, Currier J, Farris PE, Wenzel ES, Medysky ME, Zell A, McDonell M, Shannon J, Winters-Stone K. An Evidence-Based Walking Program in Oregon Communities: Step It Up! Survivors. Prev Chronic Dis. 2020 Dec 10;17:E156. doi: 10.5888/pcd17.200231. | |
| 29390863 |
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The proposed research will involve the collection of qualitative and quantitative data. The investigators will not share the qualitative data due to the potential to compromise participant identity and related ethical concerns. Quantitative data from the participants will include demographic, anthropometric, physiologic, and behavioral data. Identifiers will be removed from the final datasets prior to release for sharing. However, given the small populations of the targeted communities, data will only be made available through a data sharing agreement to prevent the possibility of identity disclosure. This agreement will ensure that the data are used for research purposes only, that it will be kept secure, and that it will be destroyed or returned following analysis completion.
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Data will become available once all manuscripts have been published.
Data will be made available through a data sharing agreement.
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| Combined (Step It Up! plus Civic Engagement) | Other | Participants in the combined groups will meet weekly for 90 minutes with group members. They will participate in a group walk for 60 minutes followed by 30 minutes of civic engagement aimed at improving walkability in the community |
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| Change from baseline hip circumference at 6 months, 12 months, and 24 months. |
| Resting heart rate | Researchers will measure resting heart rate of participants by using heart rate monitor. | Change from baseline resting heart rate at 6 months, 12 months, and 24 months. |
| Weight | Researchers will measure the weight of participants in pounds. | Change from baseline weight at 6 months, 12 months, and 24 months. |
| Blood pressure | Researchers will measure the both diastolic and systolic blood pressure of participants using a sphygmomanometer. | Change from baseline blood pressure at 6 months, 12 months, and 24 months. |
| Background |
| Seguin RA, Sriram U, Connor LM, Silver AE, Niu B, Bartholomew AN. A Civic Engagement Approach to Encourage Healthy Eating and Active Living in Rural Towns: The HEART Club Pilot Project. Am J Health Promot. 2018 Sep;32(7):1591-1601. doi: 10.1177/0890117117748122. Epub 2018 Feb 1. |
| 37784086 | Derived | Perry CK, Seguin-Fowler R, Maddock JE, Lenstra N, Dieckmann NF, Currier J, Andreyeva E, Winkle J, Trost SG. Rural libraries implementing walking groups or walking groups plus civic engagement for walkability in rural communities: a comparative effectiveness trial study protocol. BMC Public Health. 2023 Oct 2;23(1):1895. doi: 10.1186/s12889-023-16788-0. |