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| ID | Type | Description | Link |
|---|---|---|---|
| 7U01MD019289-02 | 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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The investigators will test if the 50,000 for Life (50K4Life) is effective at improving walking engagement in school employees in 30 public schools by delivering a two-phased adaptive intervention to improve walking engagement in school workers in 30 public schools. In Phase 1, all study schools will be randomly assigned to a 50K4Life only, or 50K4Life + SMS Text Messaging group.
In Phase 2, non-responder schools will be randomly assigned to one of two 6-month adaptive treatments: a) an individual-level intervention that includes remote education modules (REM) and one-to-one monthly phone-based coaching, or, b) a school-level intervention that includes group educational sessions, school environmental modifications (floor distance markings, signage in corridors and breakrooms, promotional items), and work time/weekend group walks/hikes. The schools that 50% or more participants who achieve 50,000 steps in one week will continue with the Phase 1 condition. Intervention strategies will be coordinated by health educators and managed using the Pathverse app. Data collection will occur at baseline, 8 weeks (Phase 2 randomization decision point), 8 months (immediate post intervention), 12 months (4 months post-intervention), and 18 months (10 months post-intervention) for a total of 18 months of study participation.
Mexican Americans who live in the U.S.-Mexico border region suffer disproportionately from preventable cardiometabolic diseases. Regular brisk walking is an effective measure in regulating metabolic processes and preventing disease. Employer-based wellness programs are promising strategies to address this public health problem because of the opportunity to take advantage of workplace environments to improve opportunities for walking engagement while also addressing barriers associated with inactivity. Employer-based walking programs have not been widely tested on the U.S.-Mexico border. A clustered Sequential Multiple Assignment Randomized Trial (SMART) will be conducted to determine the effectiveness of an employer-based walking challenge intervention- 50,000 for Life (50K4Life)- in improving brisk walking engagement (at least 7,000 steps/day) among school district employees. The proposed intervention strategies are based on the walking interventions conducted by the Principal Investigator(s) in El Paso and behavioral, environmental and worksite interventions by the Co-Investigators. The trial will include 30 randomly selected public schools with predominantly Mexican American employees from El Paso County area school districts. The intervention strategies in 50K4Life will be in two phases: 1) 50K4Life vs. 50K4Life + SMS text messaging and 2) Individual vs. School level adaptation for campuses with a low response to the initial intervention phase. The investigators hypothesize that walking challenges with multilevel capacity building and adaptations based on intervention response will lead to improved adherence to PA guidelines. This proposed socioecological model-based study leverages resources through Hispanic Serving Institutions (HSI) from Texas and expertise in employer-based workplace interventions from the University of Georgia (UGA) based on the partner's accumulative work to address the disparity in PA and advance health equity in the Mexican American population. As part of the intervention evaluation, the PIs will conduct a process evaluation and cost-effectiveness to provide insight into cost and scalability. This study will provide needed information on optimizing the implementation of evidence-based behavioral interventions to improve walking engagement among Mexican Americans living in the U.S.-Mexico border region.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase 1. 50K4LIfe Only | Experimental | Walking Challenge only |
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| Phase 1. 50K4Life + SMS Text Messages | Experimental | Walking Challenge + SMS Messages |
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| Phase 2. 50K4LIfe + Individual | Experimental | Walking Challenge + Individual level interventions. |
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| Phase 2. 50K4LIfe + School | Experimental | Walking Challenge + School-level interventions |
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| Phase 2. 50K4Life + SMS Text Messages + Individual | Experimental | Walking Challenge + SMS Messages + Individual level interventions |
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| Phase 2. 50K4Life + SMS Text Messages + Schools |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 50K4LIfe | Behavioral | This intervention will consist of the Walking Challenge only. |
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| Measure | Description | Time Frame |
|---|---|---|
| Daily Step Count | The Pathverse app synced with an activity tracker will be used to collect daily step counts. The goal is for teams (schools) to have 50% of their staff with an average weekly steps > 50,000. | Daily, Weekly up to 18 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Cardiorespiratory Fitness (CVF) | The heart rate/minute at the end of the YMCA 3-minute submaximal bench-stepping test will be used to assess the level of CVF associated with increased PA. | Baseline, 8 weeks, 8 months, 12, months 18 months up to 18 months. |
| Weight |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jennifer J Salinas, Ph.D.,LMSW | Contact | 915-747-7292 | jsalinas7@utep.edu | |
| Kaycee Carmagnani, MSW | Contact | 915-747-8349 | kkcarmagnani2@utep.edu |
| Name | Affiliation | Role |
|---|---|---|
| Jennifer J Salinas, Ph.D., LMSW | University of Texas, El Paso | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Texas at El Paso | Recruiting | El Paso | Texas | 79968 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21731409 | Background | Parra-Medina D, Hilfinger Messias DK. Promotion of Physical Activity Among Mexican-Origin Women in Texas and South Carolina: An Examination of Social, Cultural, Economic, and Environmental Factors. Quest. 2011 Feb;63(1):100-117. doi: 10.1080/00336297.2011.10483668. | |
| 21406280 | Background | Tucker JM, Welk GJ, Beyler NK. Physical activity in U.S.: adults compliance with the Physical Activity Guidelines for Americans. Am J Prev Med. 2011 Apr;40(4):454-61. doi: 10.1016/j.amepre.2010.12.016. |
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D012574 | Schools |
| ID | Term |
|---|---|
| D000072182 | Non-Medical Public and Private Facilities |
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This study will draw upon Sequential, Multiple Assignment, Randomized Trials (SMART) design to reduce barriers for both individuals and worksites to improve responsiveness to individual performance. The investigators are using the Consolidated Framework for Implementation Research (CFIR) across all project activities to establish proof-of-concept and improve the quality of behavioral intervention delivery to disparate populations on the U.S.-Mexico border and other similar regions.
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Walking Challenge + SMS Messages + School-level interventions |
|
| Phase 2. Walking Challenge only | Experimental | Participants meeting the step goal in Phase 1(WC only) will continue into Phase 2 without change. |
|
| Phase 2. Walking Challenge + SMS Text Messages | Experimental | Participants meeting their step goal in Phase 1 (WC + SMS Text Messages) will continue into Phase 2 without change. |
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| SMS Text Messaging | Behavioral | In this intervention, participants will received notifications onto the Pathverse app |
|
| Individual | Behavioral | In this Phase 2 individual-level intervention, participants will receive remote education modules and one-to-one monthly phone-based coaching. |
|
| School | Behavioral | In this Phase 2 school-level intervention, participants will receive group educational sessions, school environmental modifications (floor distance markings, signage in corridors and breakrooms, promotional items), and participate in work time/weekend group walks/hikes. |
|
Weight (to the nearest 0.1 kg) will be collected using a portable scale |
| Baseline, 8 weeks, 8 months, 12 months, 18 months up to 18 months. |
| Height | Height (measured to the nearest 0.1 cm) will be obtained using a stadiometer. | Baseline |
| Body Mass Index | Body Mass Index (BMI) will be calculated as weight (kg)/height squared (m2). | Baseline, 8 weeks, 8 months, 12 months, 18 months up to 18 months. |
| Waist Circumference | Waist circumference will be measured at the midway between the iliac crests and the lower ribs. | Baseline, 8 weeks, 8 months, 12 months, 18 months up to 18 months. |
| University of Texas at El Paso | Recruiting | El Paso | Texas | 79968 | United States |
|
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