Caminemos! Trial to Increase Walking Among Sedentary Older Latinos

NCT ID: NCT00183014

Last Updated: 2012-05-18

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 600 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2005-09-30
• Study Completion Date: 2009-08-31

Brief Summary

The purpose of this study is to examine the efficacy of a multifaceted behavioral intervention aimed at raising walking levels among sedentary older Latinos.

Detailed Description

Regular physical activity contributes to the health and quality of life of older adults, but unfortunately only 20% of men and 25% of women aged 65 years and greater meet the minimal national guidelines for physical activity. Older Latinos have higher rates of diseases that are most likely to benefit from physical activity, but have disproportionately high rates of sedentary lifestyle. To address this major public health problem, this study will implement and evaluate a multifaceted intervention to raise and sustain walking levels among older Latinos.

A total of 600 sedentary older Latinos will be recruited from community-based senior centers in the greater Los Angeles region. The specific aims of the study are to test the effect of the intervention on:

1. the change in steps per week measured by digital pedometer from baseline to 1, 12, and 24-month follow-up;

2. self-reported physical activity level and intervening constructs (including expectations regarding aging and self-efficacy expectations for physical activity);

3. psychosocial health constructs, physical performance measures, and clinical health outcomes.

The core of the intervention consists of a series of 4 weekly 1-hour group discussion sessions that utilize attribution retraining techniques from the field of motivational psychology in combination with behavioral strategies based in social cognitive theory. Discussion sessions will be conducted at senior centers and led by a bilingual health educator; each session will be followed by a 1-hour exercise class aimed at increasing strength, flexibility and endurance. During the discussion sessions, the health educator will administer a structured culturally-tailored curriculum in which participants are taught to raise their expectations for physical activity with aging and not to attribute being sedentary to "old age." The 4 weekly sessions will be followed by monthly sessions for 11 months, and sessions every 2 months for the following 12 months (total intervention duration = 24 months). Participants will be randomized to 1 of 2 arms:

1. intervention arm: receiving the discussion session and the exercise class;

2. control arm: receiving just the exercise class with the same frequency and duration as the intervention group.

Conditions

Aging; Sedentary Lifestyle

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

1

discussion session and exercise class

Group Type: EXPERIMENTAL

The Lifetime Fitness Program

Intervention Type: BEHAVIORAL

A series of 4 weekly 1-hour group discussion sessions that utilize attribution retraining techniques from the field of motivational psychology in combination with behavioral strategies based in social cognitive theory; weekly for 4 weeks, monthly for 11 months, then every two months for 12 months (total duration = 24 months

Exercise class

Intervention Type: BEHAVIORAL

1-hour exercise class aimed at increasing strength, flexibility and endurance; weekly for 4 weeks, monthly for 11 months, then every two months for 12 months (total duration = 24 months

2

exercise class only

Group Type: ACTIVE_COMPARATOR

Exercise class

Intervention Type: BEHAVIORAL

1-hour exercise class aimed at increasing strength, flexibility and endurance; weekly for 4 weeks, monthly for 11 months, then every two months for 12 months (total duration = 24 months

Interventions

The Lifetime Fitness Program

A series of 4 weekly 1-hour group discussion sessions that utilize attribution retraining techniques from the field of motivational psychology in combination with behavioral strategies based in social cognitive theory; weekly for 4 weeks, monthly for 11 months, then every two months for 12 months (total duration = 24 months

Intervention Type: BEHAVIORAL

Exercise class

1-hour exercise class aimed at increasing strength, flexibility and endurance; weekly for 4 weeks, monthly for 11 months, then every two months for 12 months (total duration = 24 months

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Aged 60 years or older
• Self-identifying as Latino/Hispanic
• Not currently participating in 20 minutes or more of physical activity 3 times a week
• Willingness to take brief physical activity screening test and if do not pass, provide the name of a physician who has seen the patient in the recent past

Exclusion Criteria

• Plans to move from the area in the next 24 months
• Unable to participate in 1-hour group discussion
• Unable to walk
• Physician stating that patient is not medically able to participate
• Family member already participating
• Substantial cognitive impairment (determined by a screening test)

• Minimum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

National Institute on Aging (NIA)

NIH

Sponsor Role: lead

Responsible Party

UCLA Division of Geriatrics

Principal Investigators

Catherine Sarkisian, MD, MSPH

Role: PRINCIPAL_INVESTIGATOR

UCLA Division of Geriatrics

Locations

UCLA Division of Geriatrics

Los Angeles, California, United States

Countries

United States

References

Piedra LM, Andrade FCD, Hernandez R, Trejo L, Prohaska TR, Sarkisian CA. Let's walk! Age reattribution and physical activity among older Hispanic/Latino adults: results from the inverted exclamation markCaminemos! Randomized trial. BMC Public Health. 2018 Aug 3;18(1):964. doi: 10.1186/s12889-018-5850-6.

Reference Type: DERIVED

PMID: 30075709 (View on PubMed)

Other Identifiers

5R01AG024460-02

Identifier Type: NIH

Identifier Source: secondary_id

View Link

AG0049

Identifier Type: -

Identifier Source: org_study_id