Preventing Chronic Disease: ActuaYa

University of Miami50 enrolled

Overview

The purpose of the study is to help older Hispanic women to increase physical activity, reach a healthy body weight, increase self-esteem and mood and increase knowledge about chronic diseases such as hypertension, diabetes, and HIV.

Study Type

INTERVENTIONAL

Allocation

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Healthy Aging

Interventions

Go4Life-Physical Activity/Exercise Program "Workout to Go" 5OTHER

The Go4Life-Physical Activity/Exercise Program "Workout to Go" 5 Program is an exercise regimen provided to participants. Participants will be provided a booklet with exercise routines that requires minimal equipment and can be performed anywhere for approximately 30 minutes per session. Recommendation on staying active by increasing daily steps through walking will also be recommended as part of the regimen.

ActuaYa Educational SessionsBEHAVIORAL

The ActuaYa Educational Sessions will be delivered by a facilitator in 3 separate sessions with each session lasting 2.5 hours for a total of 7.5 hours administered for the study duration. Each session will be conducted in separate groups of 6-10 participants. Session 1 will discuss the impact of chronic disease in the older Hispanic community. Session 2 will discuss the communication and negotiation with the family and partner. Session 3 will discuss saying goodbye and having a plan for a healthy lifestyle.

Eligibility

Sex: FEMALEMin age: 50 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria 1. Must self-identify as a Hispanic woman 2. Must be aged 50 years or older 3. Must not already be engaging in exercise for \>150 minutes per week 4. Must be able to ambulate without the use of assistive devices 5. Must have an intelligent phone iOS or Android 6. Must be willing and able to participate in the informed consent process. Exclusion Criteria 1. Participants that do not meet the above-mentioned criteria. 2. In the opinion of the investigator, have any clinical condition that would make the participant unsuitable to participate. 3. Participants who are currently participating in another investigational study. 4. Participants that need a medical clearance for exercise based on the American College of Sports Medicine exercise participation algorithm.

Locations (1)

University of Miami

Miami, Florida, United States

Outcomes

Primary Outcomes

Change in mean Hemoglobin A1C (HbA1c) levels

HbA1c will be measured from finger stick blood sample.

Time frame: Baseline, 6 months

Change in Blood Pressure

Changes in blood pressure will be measured using a manual sphygmomanometer by a registered nurse.

Time frame: Baseline, 6 months

Change in Body Mass Index (BMI)

BMI will be measured by weight and height using the formula: 703 multiplied by the weight in lbs divided by the square of height in inches.

Time frame: Baseline, 6 months

Change in self-efficacy for condom use

Measured using the HIV self-efficacy for condom use survey. Scores range from 7-28. A higher score indicates a higher level of self-efficacy for condom use.

Time frame: Baseline, 6 months

Change in nutritional habits

Change in nutritional habits will be evaluated via the Healthy Eating Index (HEI) using the self-reported data from the nutrition survey. The HEI scores range from 0 to 100 with a higher score indicating healthier eating habits with food intake aligning with key dietary recommendations from the Dietary Guidelines for Americans.

Time frame: Baseline, 6 months

Change in active lifestyle as assessed by daily steps

Change in active lifestyle will be assessed by the amount of daily steps taken as assessed using a study provided wrist pedometer.

Time frame: Baseline, 6 months

Change in active lifestyle as assessed by a self-report log

Change in active lifestyle will be assessed by the number of days per week the participant completed the recommended 30-minutes exercise via a self-report log.

Data from ClinicalTrials.gov

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Secondary Outcomes

Change in knowledge regarding obesity

Change in knowledge regarding obesity will be measured using the obesity knowledge and risk perception questionnaire. For obesity knowledge, the scores range from 6-12. A higher score indicates a lower level of obesity-related knowledge.

Time frame: Baseline, 6 months

Change in risk perception regarding obesity

Change in risk perception regarding obesity will be measured using the obesity knowledge and risk perception questionnaire. For obesity risk perception, the scores range from 3-9. A higher score indicates a lower level of obesity risk perception.

Time frame: Baseline, 6 months

Change in knowledge regarding diabetes

Change in diabetes knowledge will be measured using the Diabetes Knowledge Questionnaire (DKQ-24). It is a 24 item questionnaire wherein a score of 17 or more correct responses indicate sufficient diabetes knowledge and a score of 6 or less correct responses indicate insufficient diabetes knowledge.

Time frame: Baseline, 6 months

Change in HIV knowledge

Change in HIV knowledge will be measured via the HIV Knowledge Scale. The score ranges from 0-12 with a higher score indicating a higher level of HIV-related knowledge.

Time frame: Baseline, 6 months

Change in HIV risk perception

Change in HIV risk perception will be measured via the HIV Risk Perception Scale. The total score ranges from 4-14 with a higher score indicating a higher level of HIV-related knowledge.

Time frame: Baseline, 6 months

Change in self-esteem

Change in self-esteem will be measured by the Rosenberg Self-Esteem Scale via interview. The total score ranges from 0 to 30 with a score of 14 and less indicating low self-esteem.

Time frame: Baseline, 6 months

Change in depressive symptoms as assessed by the CES-D20

Change in depressive symptoms will be measured using the Center for Epidemiologic Studies Depression Scale (CES-D20). The CES-D20 has a total score ranging from 0 to 60 with a higher score indicating greater depressive symptoms.

Time frame: Baseline, 6 months

Change in depressive symptoms as assessed by the GDS

Change in depressive symptoms will be measured using the Geriatric Depression Scale (GDS). The GDS has a total score ranging from 0-15 with a higher score indicating higher depressive symptoms. A score of 6 to 9 indicates suggestive depressive symptoms and a score of 10 to 15 indicates depressive symptoms.

Time frame: Baseline, 6 months

Change in health care related habits

Change in healthcare related habits is measured via the Health Care-Related Factors Questionnaire. The total score ranges from 26 to 43 with a higher score indicating lesser health care related habits.

Time frame: Baseline, 6 months

Change in technology use

Change in technology use will be measured using a questionnaire assessing ability to use technology (pedometer, smartphones, apps, internet). The total score ranges from 13-26 with a higher score indicating a lower ability to use technology.

Time frame: Baseline, 6 months

Change in knowledge regarding hypertension

Change in knowledge regarding hypertension is measured using the Hypertension Survey. The Hypertension Survey is a 10-item survey with a totals score ranging from 0-10 with a higher score indicating increased knowledge regarding hypertension.

Time frame: Baseline, 6 months