Health TrialsbyHealthPanel

Evidence-based Intervention to Improve Walking Engagement in El Paso, Texas

ConditionsActivity TrackersPhysical Activity
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Texas, El Paso

About this trial

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.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

A school is eligible if it is located within one of the four target school districts

adult 18 years or older

full-time school-based school district employee

not pregnant and able to walk without physical limitations or assistive device

Disqualifiers

Works at more than one school

Does not work on a district school campus

schools that previously participated in walking challenges

Trial design

Design model

Sequential

Treatments tested in this trial

  • 50K4LIfe

    Behavioral

    This intervention will consist of the Walking Challenge only.

  • 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.

Treatment groups

406 Participants
are divided into 8 treatment groups

8

Treatment groups

See each treatment group below.

Group A: Phase 1. 50K4LIfe OnlyExperimental treatment 1 intervention
Group B: Phase 1. 50K4Life + SMS Text MessagesExperimental treatment 2 interventions
Group C: Phase 2. 50K4LIfe + IndividualExperimental treatment 2 interventions
Group D: Phase 2. 50K4LIfe + SchoolExperimental treatment 2 interventions
Group E: Phase 2. 50K4Life + SMS Text Messages + IndividualExperimental treatment 3 interventions
Group F: Phase 2. 50K4Life + SMS Text Messages + SchoolsExperimental treatment 3 interventions
Group G: Phase 2. Walking Challenge onlyExperimental treatment 1 intervention
Group H: Phase 2. Walking Challenge + SMS Text MessagesExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

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.

Time frame
Daily, Weekly up to 18 months.

Secondary outcomes

1

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.

Time frame
Baseline, 8 weeks, 8 months, 12, months 18 months up to 18 months.
2

Weight

Weight (to the nearest 0.1 kg) will be collected using a portable scale

Time frame
Baseline, 8 weeks, 8 months, 12 months, 18 months up to 18 months.
3

Height

Height (measured to the nearest 0.1 cm) will be obtained using a stadiometer.

Time frame
Baseline
4

Body Mass Index

Body Mass Index (BMI) will be calculated as weight (kg)/height squared (m2).

Time frame
Baseline, 8 weeks, 8 months, 12 months, 18 months up to 18 months.

Other outcomes

Sponsors and contacts

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

University of Texas, El Paso

Lead sponsor

National Institute on Minority Health and Health Disparities (NIMHD)

Collaborator

Source ClinicalTrials.gov
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