Behavioral CVD Prevention Using Informatics

Boston Medical Center105 enrolled

Overview

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?

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

105

Conditions

Health Behavior

Interventions

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.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Willing to wear an accelerometer * 18-65 years old * Public housing resident with no plans to move in next 6 months * Body mass index ≥25 * Open to making changes to diet \& physical activity habits Exclusion Criteria: * Currently enrolled in a comprehensive weight loss program or a research study whose primary outcome is weight loss * Primary language spoken is a language other than Spanish or English * Not willing to participate in study protocols, including wearing the accelerometer, not willing to have study staff send text messages

Outcomes

Primary Outcomes

Weight-objective measurement

Weight in pounds will be measured objectively with a digital scale

Time frame: 12 weeks

Secondary Outcomes

Diet, fruits and vegetables, self-reported via questionnaire

Servings of fruits and vegetables will be measured via the Primescreen dietary screener instrument

Time frame: 12 weeks

Diet, sugar sweetened beverages, self-reported via questionnaire

Fluid ounces of sugar sweetened beverages will be measured via the BEV-Q questionnaire

Time frame: 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

Time frame: 12 weeks

Physical activity, objectively measured

Minutes of light to moderate physical activity will be measured via accelerometers (Actigraphs)

Time frame: 12 weeks

Physical activity, self-reported

Minutes of light to moderate physical activity will be measured via a questionnaire (IPAQ)

Time frame: 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

Time frame: 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

Time frame: 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

Time frame: 12 weeks

Social support, self-reported via questionnaire

Perceptions of social support from a variety of sources will be measured via a brief questionnaire

Time frame: 12 weeks

Feasibility, number of counseling sessions completed

Number of counseling sessions completed in-person and over the phone will be tallied and reported

Time frame: 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

Time frame: 12 weeks

Behavioral CVD Prevention Using Informatics

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes