Empowering Cardiovascular Health in Custodial Grandparents

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21+
SponsorOregon Health and Science University

About this trial

In this study, the investigators will tailor an existing intervention (Rural Caregiver Heart Health Education (RICHH)) protocol and test its feasibility, acceptability, and initial effect with grandparent caregivers.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Provides full-time care to at least one grandchild (< 18 years old) for at least 6 months, with no biological parent residing in the household or providing substantial care to the children

Lives in Oregon

Has English proficiency sufficient for informed consent and completion of study measures

Provides signed informed consent

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • Modified RICHH

    Behavioral

    The RICHH intervention is an educational-behavioral and counseling intervention that promotes caregivers' knowledge, skills and motivation to engage in CVD risk reduction. The intervention is delivered individually to caregivers in their homes using video-conferencing technology on mini-iPads. The program consists of 12 weekly sessions \[30-45 minutes\] that will be held at the caregivers' preferred times. RICHH consists of 6 interactive modules (i.e., self-management for heart health, depressive symptom management, heart healthy eating, physical activity, co-morbid condition management, and adherence to medication and smoking cessation). The modified RICHH intervention utilizes focus group outcomes to employ modifications needed to target custodial grandparents from varied backgrounds (e.g., high ACEs, SDoH groups).

  • Standard of Care (SOC)

    Behavioral

    Referral to primary care provider

Treatment groups

70 Participants
are divided into 2 treatment groups
Group A: Modified RICHH InterventionExperimental treatment 1 intervention
Group B: Standard of CareActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Number of participants who complete the intervention and follow-up

Feasibility is measured by the count of participants who complete the intervention and follow-up components of the study

Time frame
4 months after baseline and 6 months after baseline
2

Percentage of participants who indicate acceptability of study intervention

Acceptability will be assessed in the domains of affective attitude, burden, opportunity costs, perceived effectiveness, and self-efficacy

Time frame
4 months after baseline
3

Physical activity

Measured using ActiGraph GT9X Link devices. The ActiGraph algorithms generate accurate and reliable data on total energy expenditure (kcal/day). Participants will wear the devices over 7-day periods at each data collection point. For each participant, the average proportion of time per day in moderate-to-vigorous physical activity (MVPA), out of total time wearing the monitors, will be calculated.

Time frame
At baseline, 4 months after baseline, and 6 months after baseline
4

Food intake

Measured using the self-report Viocare Food Frequency Questionnaire. Data from Viocare will be used to generate Healthy Eating Index scores, which range from 0 to 100. Higher scores indicate better dietary quality.

Time frame
At baseline, 4 months after baseline, and 6 months after baseline

Secondary outcomes

1

Blood pressure

Measured by the average of three consecutive resting blood pressure measurements (both systolic and diastolic pressures).

Time frame
At baseline, 4 months after baseline, and 6 months after baseline
2

Lipids

Measured using non-fasting total cholesterol obtained via finger stick

Time frame
At baseline, 4 months after baseline, and 6 months after baseline
3

Hemoglobin A1c (HbA1c)

Measured using non-fasting HbA1c obtained via finger stick

Time frame
At baseline, 4 months after baseline, and 6 months after baseline
4

Nicotine exposure

Assessed via self-report of cigarette use/inhaled nicotine use, or secondhand smoke exposure. AHA Life's Essential 8 algorithm will generate a score (0-100), with lower scores indicating greater risk.

Time frame
At baseline, 4 months after baseline, and 6 months after baseline

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Oregon Health and Science University

Lead sponsor

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator

This trial is not recruiting at the moment. You can still explore other options: