Adopting a Physically Active Lifestyle Through Organized Walk Events Among Joslin Clinic Patients

NCT ID: NCT01888133

Last Updated: 2014-04-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-04-30

Study Completion Date

2014-04-30

Brief Summary

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Can participation in group physical activity, such as a community-based organized group walk, help adult diabetes patients develop a physically active lifestyle? Can such engagement ultimately lead to an improvement in hemoglobin A1c? To address this question, the investigators have designed this pilot study with the aim to investigate the effect of community-based group walks among Joslin adults with diabetes on the development of a physically active lifestyle and glycemic level. The investigators hypothesize that participation in group walking events helps Joslin adults with diabetes engage in physical activity and improves glycemic control.

Detailed Description

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Conditions

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Diabetes Physical Activity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Blinding Strategy

NONE

Study Groups

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Group Walk First

Participants attend a weekly walking group session from weeks 1-6 and are not required to attend from weeks 7-12.

Group Type EXPERIMENTAL

Group Walk

Intervention Type BEHAVIORAL

weekly walking club session on Saturday mornings at Boston Common, lasting 30 min - 1 hour and engage in daily physical activity (aiming for 10,000 steps/day or increase number of steps by 500 every 2 weeks)

Individual Walk

Intervention Type BEHAVIORAL

engage in daily physical activity (aiming for 10,000 steps/day or increase number of steps by 500 every 2 weeks)

Individual Walk First

Participants are not required to attend a weekly group walking sessions from weeks 1-6 and attend a weekly walking group session from weeks 7-12.

Group Type EXPERIMENTAL

Group Walk

Intervention Type BEHAVIORAL

weekly walking club session on Saturday mornings at Boston Common, lasting 30 min - 1 hour and engage in daily physical activity (aiming for 10,000 steps/day or increase number of steps by 500 every 2 weeks)

Individual Walk

Intervention Type BEHAVIORAL

engage in daily physical activity (aiming for 10,000 steps/day or increase number of steps by 500 every 2 weeks)

Interventions

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Group Walk

weekly walking club session on Saturday mornings at Boston Common, lasting 30 min - 1 hour and engage in daily physical activity (aiming for 10,000 steps/day or increase number of steps by 500 every 2 weeks)

Intervention Type BEHAVIORAL

Individual Walk

engage in daily physical activity (aiming for 10,000 steps/day or increase number of steps by 500 every 2 weeks)

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Joslin Clinic patients
* 18 years or older
* A1C between 7.5% - 12.0%
* Received physician clearance indicating safe to participate in the walk club events
* Reside within Boston and Greater Boston Area
* Ability to communicate in English and/or Chinese
* Agree to participate in the intervention walk club for 6 consecutive weeks

Exclusion Criteria

* Pregnant or breast feeding
* Unstable angina or myocardial infarction within 1 month prior to screening
* Unstable gait, severe neuropathy, or deformed foot.
* Enrolled in another investigational study within 1 month prior to screening for this study
* On medications such as prednisone that will affect blood glucose
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Joslin Diabetes Center

OTHER

Sponsor Role lead

Responsible Party

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William Hsu

Director, Asian Clinic at Joslin Diabetes Center

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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William Hsu, MD

Role: PRINCIPAL_INVESTIGATOR

Joslin Diabetes Center

Locations

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Joslin Diabetes Center

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Tudor-Locke C, Bell RC, Myers AM, Harris SB, Ecclestone NA, Lauzon N, Rodger NW. Controlled outcome evaluation of the First Step Program: a daily physical activity intervention for individuals with type II diabetes. Int J Obes Relat Metab Disord. 2004 Jan;28(1):113-9. doi: 10.1038/sj.ijo.0802485.

Reference Type BACKGROUND
PMID: 14569279 (View on PubMed)

Ford ES, Herman WH. Leisure-time physical activity patterns in the U.S. diabetic population. Findings from the 1990 National Health Interview Survey--Health Promotion and Disease Prevention Supplement. Diabetes Care. 1995 Jan;18(1):27-33. doi: 10.2337/diacare.18.1.27.

Reference Type BACKGROUND
PMID: 7698044 (View on PubMed)

Hays LM, Clark DO. Correlates of physical activity in a sample of older adults with type 2 diabetes. Diabetes Care. 1999 May;22(5):706-12. doi: 10.2337/diacare.22.5.706.

Reference Type BACKGROUND
PMID: 10332670 (View on PubMed)

Tudor-Locke CE, Bell RC, Meyers AM. Revisiting the role of physical activity and exercise in the treatment of type 2 diabetes. Can J Appl Physiol. 2000 Dec;25(6):466-92. doi: 10.1139/h00-031.

Reference Type BACKGROUND
PMID: 11098158 (View on PubMed)

Manson JE, Hu FB, Rich-Edwards JW, Colditz GA, Stampfer MJ, Willett WC, Speizer FE, Hennekens CH. A prospective study of walking as compared with vigorous exercise in the prevention of coronary heart disease in women. N Engl J Med. 1999 Aug 26;341(9):650-8. doi: 10.1056/NEJM199908263410904.

Reference Type BACKGROUND
PMID: 10460816 (View on PubMed)

Kang M, Marshall SJ, Barreira TV, Lee JO. Effect of pedometer-based physical activity interventions: a meta-analysis. Res Q Exerc Sport. 2009 Sep;80(3):648-55. doi: 10.1080/02701367.2009.10599604. No abstract available.

Reference Type BACKGROUND
PMID: 19791652 (View on PubMed)

Merom D, Rissel C, Phongsavan P, Smith BJ, Van Kemenade C, Brown WJ, Bauman AE. Promoting walking with pedometers in the community: the step-by-step trial. Am J Prev Med. 2007 Apr;32(4):290-7. doi: 10.1016/j.amepre.2006.12.007. Epub 2007 Feb 15.

Reference Type BACKGROUND
PMID: 17303369 (View on PubMed)

Kahn EB, Ramsey LT, Brownson RC, Heath GW, Howze EH, Powell KE, Stone EJ, Rajab MW, Corso P. The effectiveness of interventions to increase physical activity. A systematic review. Am J Prev Med. 2002 May;22(4 Suppl):73-107. doi: 10.1016/s0749-3797(02)00434-8.

Reference Type BACKGROUND
PMID: 11985936 (View on PubMed)

American Diabetes Association. Executive summary: Standards of medical care in diabetes--2012. Diabetes Care. 2012 Jan;35 Suppl 1(Suppl 1):S4-S10. doi: 10.2337/dc12-s004. No abstract available.

Reference Type BACKGROUND
PMID: 22187471 (View on PubMed)

Januszewski AS, Karschimkus C, Davis KE, O'Neal D, Ward G, Jenkins AJ. Plasma 1,5 anhydroglucitol levels, a measure of short-term glycaemia: assay assessment and lower levels in diabetic vs. non-diabetic subjects. Diabetes Res Clin Pract. 2012 Jan;95(1):e17-9. doi: 10.1016/j.diabres.2011.09.032. Epub 2011 Oct 22.

Reference Type BACKGROUND
PMID: 22024285 (View on PubMed)

Barrett-Connor E. Nutrition epidemiology: how do we know what they ate? Am J Clin Nutr. 1991 Jul;54(1 Suppl):182S-187S. doi: 10.1093/ajcn/54.1.182S.

Reference Type BACKGROUND
PMID: 2053559 (View on PubMed)

Lowe B, Kroenke K, Grafe K. Detecting and monitoring depression with a two-item questionnaire (PHQ-2). J Psychosom Res. 2005 Feb;58(2):163-71. doi: 10.1016/j.jpsychores.2004.09.006.

Reference Type BACKGROUND
PMID: 15820844 (View on PubMed)

Tudor-Locke C, Bassett DR Jr. How many steps/day are enough? Preliminary pedometer indices for public health. Sports Med. 2004;34(1):1-8. doi: 10.2165/00007256-200434010-00001.

Reference Type BACKGROUND
PMID: 14715035 (View on PubMed)

Other Identifiers

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CHS 2012-12

Identifier Type: -

Identifier Source: org_study_id

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