Trial Outcomes & Findings for Improving Chronic Illness Management With the Apsaalooke Nation: The Baa Nnilah Project (NCT NCT03036189)

NCT ID: NCT03036189

Last Updated: 2023-06-28

Results Overview

The SF-12 is a set of 12 questions regarding function in physical and mental health domains. We changed question 2 to encapsulate moderate activities more applicable to our study population. Activities deleted were bowling and playing golf and activities added were carrying a small child, walking for exercise, or round dancing/push dancing (Native American traditional dances). Participants responded to questions about their physical and mental health, especially regarding the degree of limitation experienced, using varying response categories (i.e., 3, 5, or 6-point Likert scale, or yes/no format). A Physical Component Summary (PCS) score and a Mental Component Summary (MCS) score were computed and normalized based on an algorithm developed by Farivar, Cunningham, and Hays (2007), which used an oblique factor solution for item weights. PCS and MCS scores range from 0 to 100, with higher scores indicating better physical and mental health functioning, respectively.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

211 participants

Primary outcome timeframe

Intervention group: baseline (T1), up to 1 month (T2), up to 8 months (T3), up to 13 months (T4). WLC group pre-baseline (T1), baseline (T2), up to 1 month (T3), up to 9 months (T4), up to 13 months (T5)

Results posted on

2023-06-28

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention Arm
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Wait-list Control Arm
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Overall Study
STARTED
104
107
Overall Study
COMPLETED
69
74
Overall Study
NOT COMPLETED
35
33

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

missing data

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Arm
n=104 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Wait-list Control Arm
n=107 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Total
n=211 Participants
Total of all reporting groups
Age, Continuous
51.71 years
STANDARD_DEVIATION 13.47 • n=101 Participants • missing data
52.46 years
STANDARD_DEVIATION 14.36 • n=104 Participants • missing data
52.09 years
STANDARD_DEVIATION 13.47 • n=205 Participants • missing data
Sex: Female, Male
Female
69 Participants
n=104 Participants
83 Participants
n=107 Participants
152 Participants
n=211 Participants
Sex: Female, Male
Male
35 Participants
n=104 Participants
24 Participants
n=107 Participants
59 Participants
n=211 Participants
Race (NIH/OMB)
American Indian or Alaska Native
104 Participants
n=104 Participants
107 Participants
n=107 Participants
211 Participants
n=211 Participants
Race (NIH/OMB)
Asian
0 Participants
n=104 Participants
0 Participants
n=107 Participants
0 Participants
n=211 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=104 Participants
0 Participants
n=107 Participants
0 Participants
n=211 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=104 Participants
0 Participants
n=107 Participants
0 Participants
n=211 Participants
Race (NIH/OMB)
White
0 Participants
n=104 Participants
0 Participants
n=107 Participants
0 Participants
n=211 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=104 Participants
0 Participants
n=107 Participants
0 Participants
n=211 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=104 Participants
0 Participants
n=107 Participants
0 Participants
n=211 Participants

PRIMARY outcome

Timeframe: Intervention group: baseline (T1), up to 1 month (T2), up to 8 months (T3), up to 13 months (T4). WLC group pre-baseline (T1), baseline (T2), up to 1 month (T3), up to 9 months (T4), up to 13 months (T5)

Population: The number of valid data points varied across individuals, as well as by time and by variable within each individual, because participants could 1) miss a data collection but complete subsequent data collection(s) and/or 2) choose not to complete a physical test or a survey question.

The SF-12 is a set of 12 questions regarding function in physical and mental health domains. We changed question 2 to encapsulate moderate activities more applicable to our study population. Activities deleted were bowling and playing golf and activities added were carrying a small child, walking for exercise, or round dancing/push dancing (Native American traditional dances). Participants responded to questions about their physical and mental health, especially regarding the degree of limitation experienced, using varying response categories (i.e., 3, 5, or 6-point Likert scale, or yes/no format). A Physical Component Summary (PCS) score and a Mental Component Summary (MCS) score were computed and normalized based on an algorithm developed by Farivar, Cunningham, and Hays (2007), which used an oblique factor solution for item weights. PCS and MCS scores range from 0 to 100, with higher scores indicating better physical and mental health functioning, respectively.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=93 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Wait-list Control Arm
n=94 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
SF-12 - Physical Health
T1
43.85 score on a scale
Standard Deviation 11.18
43.64 score on a scale
Standard Deviation 9.97
SF-12 - Physical Health
T2
45.65 score on a scale
Standard Deviation 10.86
45.18 score on a scale
Standard Deviation 9.42
SF-12 - Physical Health
T3
45.56 score on a scale
Standard Deviation 11.04
44.50 score on a scale
Standard Deviation 10.03
SF-12 - Physical Health
T4
45.33 score on a scale
Standard Deviation 10.53
45.26 score on a scale
Standard Deviation 9.63
SF-12 - Physical Health
T5
47.13 score on a scale
Standard Deviation 9.51

PRIMARY outcome

Timeframe: Intervention group: baseline (T1), up to 1 month (T2), up to 8 months (T3), up to 13 months (T4). WLC group pre-baseline (T1), baseline (T2), up to 1 month (T3), up to 9 months (T4), up to 13 months (T5)

Population: The number of valid data points varied across individuals, as well as by time and by variable within each individual, because participants could 1) miss a data collection but complete subsequent data collection(s) and/or 2) choose not to complete a physical test or a survey question.

The SF-12 is a set of 12 questions regarding function in physical and mental health domains. We changed question 2 to encapsulate moderate activities more applicable to our study population. Activities deleted were bowling and playing golf and activities added were carrying a small child, walking for exercise, or round dancing/push dancing (Native American traditional dances). Participants responded to questions about their physical and mental health, especially regarding the degree of limitation experienced, using varying response categories (i.e., 3, 5, or 6-point Likert scale, or yes/no format). A Physical Component Summary (PCS) score and a Mental Component Summary (MCS) score were computed and normalized based on an algorithm developed by Farivar, Cunningham, and Hays (2007), which used an oblique factor solution for item weights. PCS and MCS scores range from 0 to 100, with higher scores indicating better physical and mental health functioning, respectively.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=93 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Wait-list Control Arm
n=94 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
SF-12 - Mental Health
T1
43.85 units on a scale
Standard Deviation 11.18
43.64 units on a scale
Standard Deviation 9.97
SF-12 - Mental Health
T2
45.65 units on a scale
Standard Deviation 10.86
45.18 units on a scale
Standard Deviation 9.44
SF-12 - Mental Health
T3
45.56 units on a scale
Standard Deviation 11.04
44.50 units on a scale
Standard Deviation 10.03
SF-12 - Mental Health
T4
45.33 units on a scale
Standard Deviation 10.52
45.26 units on a scale
Standard Deviation 9.63
SF-12 - Mental Health
T5
49.30 units on a scale
Standard Deviation 10.10

SECONDARY outcome

Timeframe: Intervention group: baseline (T1), up to 1 month (T2), up to 8 months (T3), up to 13 months (T4). WLC group pre-baseline (T1), baseline (T2), up to 1 month (T3), up to 9 months (T4), up to 13 months (T5)

Population: The number of valid data points varied across individuals, as well as by time and by variable within each individual, because participants could 1) miss a data collection but complete subsequent data collection(s) and/or 2) choose not to complete a physical test or a survey question.

The PHQ-9 is a widely used instrument to measure symptoms of depression. This set of 9 questions asked participants to respond to statements pertaining to their mental health in the preceding 2 weeks. The score range for the instrument is 0-27, with higher scores correlating with higher levels of symptoms of depression. Additionally, there is 1 question, not scored, rating difficulty of problems.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=103 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Wait-list Control Arm
n=107 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Patient Health Questionnaire-9
T1
5.29 units on a scale
Standard Deviation 5.88
7.22 units on a scale
Standard Deviation 7.47
Patient Health Questionnaire-9
T2
5.43 units on a scale
Standard Deviation 6.03
6.24 units on a scale
Standard Deviation 6.20
Patient Health Questionnaire-9
T3
4.30 units on a scale
Standard Deviation 4.87
5.50 units on a scale
Standard Deviation 5.98
Patient Health Questionnaire-9
T4
5.38 units on a scale
Standard Deviation 6.06
4.92 units on a scale
Standard Deviation 5.70
Patient Health Questionnaire-9
T5
4.45 units on a scale
Standard Deviation 5.45

SECONDARY outcome

Timeframe: Intervention group: baseline (T1), up to 1 month (T2), up to 8 months (T3), up to 13 months (T4). WLC group pre-baseline (T1), baseline (T2), up to 1 month (T3), up to 9 months (T4), up to 13 months (T5)

Population: The number of valid data points varied across individuals, as well as by time and by variable within each individual, because participants could 1) miss a data collection but complete subsequent data collection(s) and/or 2) choose not to complete a physical test or a survey question.

Patient Reported Outcome Measurement Information System (PROMIS) measure. This 8-item form was used to assess the participant's satisfaction with and ability to participant in social roles and activities, using a 5-point Likert scale. NIH PROMIS measures use a T-score metric in which 50 is the mean of a relevant reference population and 10 is the standard deviation (SD) of that population. On the T-score metric a score of 40 is one SD lower than the mean of the reference population. A score of 60 is one SD higher than the mean of the reference population. Higher scores equal more of the concept being measured.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=102 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Wait-list Control Arm
n=106 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
PROMIS Satisfaction With Social Roles and Activities
T1
53.62 units on a scale
Standard Deviation 10.11
54.03 units on a scale
Standard Deviation 9.62
PROMIS Satisfaction With Social Roles and Activities
T2
53.26 units on a scale
Standard Deviation 10.76
53.65 units on a scale
Standard Deviation 9.64
PROMIS Satisfaction With Social Roles and Activities
T3
53.61 units on a scale
Standard Deviation 10.01
54.05 units on a scale
Standard Deviation 9.27
PROMIS Satisfaction With Social Roles and Activities
T4
53.00 units on a scale
Standard Deviation 9.89
55.10 units on a scale
Standard Deviation 9.36
PROMIS Satisfaction With Social Roles and Activities
T5
55.00 units on a scale
Standard Deviation 9.17

SECONDARY outcome

Timeframe: Intervention group: baseline (T1), up to 1 month (T2), up to 8 months (T3), up to 13 months (T4). WLC group pre-baseline (T1), baseline (T2), up to 1 month (T3), up to 9 months (T4), up to 13 months (T5)

Population: The number of valid data points varied across individuals, as well as by time and by variable within each individual, because participants could 1) miss a data collection but complete subsequent data collection(s) and/or 2) choose not to complete a physical test or a survey question.

Patient Reported Outcome Measurement Information System (PROMIS) measure. This 8 item form was used to assess the participant's confidence in their ability to manage symptoms of chronic illness and prevent them from interfering from activities of daily living, using a 5-point Likert scale. NIH PROMIS measures use a T-score metric in which 50 is the mean of a relevant reference population and 10 is the standard deviation (SD) of that population. On the T-score metric a score of 40 is one SD lower than the mean of the reference population. A score of 60 is one SD higher than the mean of the reference population. Higher scores equal more of the concept being measured.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=103 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Wait-list Control Arm
n=106 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
PROMIS Self-Efficacy for Managing Symptoms
T1
49.33 units on a scale
Standard Deviation 9.64
48.15 units on a scale
Standard Deviation 9.37
PROMIS Self-Efficacy for Managing Symptoms
T2
48.48 units on a scale
Standard Deviation 9.36
47.12 units on a scale
Standard Deviation 8.34
PROMIS Self-Efficacy for Managing Symptoms
T3
50.45 units on a scale
Standard Deviation 8.96
48.93 units on a scale
Standard Deviation 9.67
PROMIS Self-Efficacy for Managing Symptoms
T4
49.55 units on a scale
Standard Deviation 9.86
50.61 units on a scale
Standard Deviation 9.90
PROMIS Self-Efficacy for Managing Symptoms
T5
50.63 units on a scale
Standard Deviation 9.94

SECONDARY outcome

Timeframe: Intervention group: baseline (T1), up to 1 month (T2), up to 8 months (T3), up to 13 months (T4). WLC group pre-baseline (T1), baseline (T2), up to 1 month (T3), up to 9 months (T4), up to 13 months (T5)

Population: The number of valid data points varied across individuals, as well as by time and by variable within each individual, because participants could 1) miss a data collection but complete subsequent data collection(s) and/or 2) choose not to complete a physical test or a survey question.

Patient Reported Outcome Measurement Information System (PROMIS) measure. This 8-item form was used to assess the participant's perception of availability of trusted individuals in their life to provide emotional support, using a 5-point Likert scale. NIH PROMIS measures use a T-score metric in which 50 is the mean of a relevant reference population and 10 is the standard deviation (SD) of that population. On the T-score metric a score of 40 is one SD lower than the mean of the reference population. A score of 60 is one SD higher than the mean of the reference population. Higher scores equal more of the concept being measured.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=103 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Wait-list Control Arm
n=107 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
PROMIS Emotional Support
T1
52.71 units on a scale
Standard Deviation 9.65
51.65 units on a scale
Standard Deviation 11.09
PROMIS Emotional Support
T2
53.31 units on a scale
Standard Deviation 8.90
53.36 units on a scale
Standard Deviation 9.28
PROMIS Emotional Support
T3
53.29 units on a scale
Standard Deviation 9.09
52.32 units on a scale
Standard Deviation 10.03
PROMIS Emotional Support
T4
53.16 units on a scale
Standard Deviation 8.62
54.96 units on a scale
Standard Deviation 8.35
PROMIS Emotional Support
T5
53.35 units on a scale
Standard Deviation 9.05

SECONDARY outcome

Timeframe: Intervention group: baseline (T1), up to 1 month (T2), up to 8 months (T3), up to 13 months (T4). WLC group pre-baseline (T1), baseline (T2), up to 1 month (T3), up to 9 months (T4), up to 13 months (T5)

Population: The number of valid data points varied across individuals, as well as by time and by variable within each individual, because participants could 1) miss a data collection but complete subsequent data collection(s) and/or 2) choose not to complete a physical test or a survey question.

Patient Reported Outcome Measurement Information System (PROMIS) measure. This 8-item form was used to assess the participant's recent sense of well-being and agreement with positive outlook and experience of life, using a 5-point Likert scale. NIH PROMIS measures use a T-score metric in which 50 is the mean of a relevant reference population and 10 is the standard deviation (SD) of that population. On the T-score metric a score of 40 is one SD lower than the mean of the reference population. A score of 60 is one SD higher than the mean of the reference population. Higher scores equal more of the concept being measured.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=102 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Wait-list Control Arm
n=106 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
PROMIS Positive Affect and Well-being
T1
56.32 units on a scale
Standard Deviation 7.92
56.37 units on a scale
Standard Deviation 8.98
PROMIS Positive Affect and Well-being
T2
57.84 units on a scale
Standard Deviation 8.18
57.37 units on a scale
Standard Deviation 8.42
PROMIS Positive Affect and Well-being
T3
57.64 units on a scale
Standard Deviation 7.65
57.15 units on a scale
Standard Deviation 8.37
PROMIS Positive Affect and Well-being
T4
58.50 units on a scale
Standard Deviation 8.34
58.64 units on a scale
Standard Deviation 7.54
PROMIS Positive Affect and Well-being
T5
58.35 units on a scale
Standard Deviation 6.93

SECONDARY outcome

Timeframe: Intervention group: baseline (T1), up to 1 month (T2), up to 8 months (T3), up to 13 months (T4). WLC group pre-baseline (T1), baseline (T2), up to 1 month (T3), up to 9 months (T4), up to 13 months (T5)

Population: The number of valid data points varied across individuals, as well as by time and by variable within each individual, because participants could 1) miss a data collection but complete subsequent data collection(s) and/or 2) choose not to complete a physical test or a survey question.

Patient Reported Outcome Measurement Information System (PROMIS) measure. This 8 item form was used to assess the function of upper/lower extremities, core, and ability to perform activities of daily living, using a 5-point Likert scale. NIH PROMIS measures use a T-score metric in which 50 is the mean of a relevant reference population and 10 is the standard deviation (SD) of that population. On the T-score metric a score of 40 is one SD lower than the mean of the reference population. A score of 60 is one SD higher than the mean of the reference population. Higher scores equal more of the concept being measured.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=103 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Wait-list Control Arm
n=107 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
PROMIS Physical Function
T1
44.94 units on a scale
Standard Deviation 8.81
45.49 units on a scale
Standard Deviation 8.74
PROMIS Physical Function
T2
45.83 units on a scale
Standard Deviation 9.08
45.55 units on a scale
Standard Deviation 8.52
PROMIS Physical Function
T3
45.00 units on a scale
Standard Deviation 10.17
45.23 units on a scale
Standard Deviation 9.28
PROMIS Physical Function
T4
45.91 units on a scale
Standard Deviation 10.48
44.81 units on a scale
Standard Deviation 9.86
PROMIS Physical Function
T5
45.82 units on a scale
Standard Deviation 8.88

SECONDARY outcome

Timeframe: Intervention group: baseline (T1), up to 1 month (T2), up to 8 months (T3), up to 13 months (T4). WLC group pre-baseline (T1), baseline (T2), up to 1 month (T3), up to 9 months (T4), up to 13 months (T5)

Population: The number of valid data points varied across individuals, as well as by time and by variable within each individual, because participants could 1) miss a data collection but complete subsequent data collection(s) and/or 2) choose not to complete a physical test or a survey question.

Patient Reported Outcome Measurement Information System (PROMIS) measure. This 8 item form was used to assess the participant's current confidence to manage emotional distress and stressful situations core, using a 5-point Likert scale. NIH PROMIS measures use a T-score metric in which 50 is the mean of a relevant reference population and 10 is the standard deviation (SD) of that population. On the T-score metric a score of 40 is one SD lower than the mean of the reference population. A score of 60 is one SD higher than the mean of the reference population. Higher scores equal more of the concept being measured.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=103 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Wait-list Control Arm
n=107 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
PROMIS Self-efficacy for Managing Emotions
T1
48.18 units on a scale
Standard Deviation 9.13
48.28 units on a scale
Standard Deviation 9.84
PROMIS Self-efficacy for Managing Emotions
T2
50.00 units on a scale
Standard Deviation 9.30
49.18 units on a scale
Standard Deviation 9.93
PROMIS Self-efficacy for Managing Emotions
T3
50.15 units on a scale
Standard Deviation 8.78
49.90 units on a scale
Standard Deviation 8.77
PROMIS Self-efficacy for Managing Emotions
T4
51.85 units on a scale
Standard Deviation 9.37
51.70 units on a scale
Standard Deviation 8.79
PROMIS Self-efficacy for Managing Emotions
T5
51.01 units on a scale
Standard Deviation 8.45

SECONDARY outcome

Timeframe: Intervention group: baseline (T1), up to 1 month (T2), up to 8 months (T3), up to 13 months (T4). WLC group pre-baseline (T1), baseline (T2), up to 1 month (T3), up to 9 months (T4), up to 13 months (T5)

Population: The number of valid data points varied across individuals, as well as by time and by variable within each individual, because participants could 1) miss a data collection but complete subsequent data collection(s) and/or 2) choose not to complete a physical test or a survey question.

Patient Reported Outcome Measurement Information System (PROMIS) measure. This 4 item form was used to assess the participant's current confidence in being able to access support in processing emotions and health problems, and obtain assistance with transportation and problem solving, using a 5-point Likert scale. NIH PROMIS measures use a T-score metric in which 50 is the mean of a relevant reference population and 10 is the standard deviation (SD) of that population. On the T-score metric a score of 40 is one SD lower than the mean of the reference population. A score of 60 is one SD higher than the mean of the reference population. Higher scores equal more of the concept being measured.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=103 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Wait-list Control Arm
n=106 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
PROMIS Self-efficacy for Managing Social Interactions
T1
46.57 units on a scale
Standard Deviation 8.57
47.44 units on a scale
Standard Deviation 9.74
PROMIS Self-efficacy for Managing Social Interactions
T2
47.13 units on a scale
Standard Deviation 8.54
47.86 units on a scale
Standard Deviation 8.99
PROMIS Self-efficacy for Managing Social Interactions
T3
48.57 units on a scale
Standard Deviation 9.10
47.18 units on a scale
Standard Deviation 9.74
PROMIS Self-efficacy for Managing Social Interactions
T4
47.29 units on a scale
Standard Deviation 8.94
49.20 units on a scale
Standard Deviation 8.58
PROMIS Self-efficacy for Managing Social Interactions
T5
49.17 units on a scale
Standard Deviation 8.60

SECONDARY outcome

Timeframe: Intervention group: baseline (T1), up to 1 month (T2), up to 8 months (T3), up to 13 months (T4). WLC group pre-baseline (T1), baseline (T2), up to 1 month (T3), up to 9 months (T4), up to 13 months (T5)

Population: The number of valid data points varied across individuals, as well as by time and by variable within each individual, because participants could 1) miss a data collection but complete subsequent data collection(s) and/or 2) choose not to complete a physical test or a survey question.

PAM assesses self-management related health knowledge, skills, and confidence. Developed by Insignia Health as a 22-item measure and shortened to 13 questions, with the short form validated to assess patient knowledge, skill and confidence for self-management of health conditions. We used the 13-item measure. Insignia Health's proprietary survey scoring algorithm produces a PAM Score along an empirical, interval-level scale from 0-100 with higher scores indicating higher patient activation.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=104 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Wait-list Control Arm
n=107 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Patient Activation Measure
T2
67.53 units on a scale
Standard Deviation 21.22
70.61 units on a scale
Standard Deviation 19.66
Patient Activation Measure
T1
69.31 units on a scale
Standard Deviation 17.73
65.50 units on a scale
Standard Deviation 16.41
Patient Activation Measure
T3
68.47 units on a scale
Standard Deviation 20.88
71.67 units on a scale
Standard Deviation 17.97
Patient Activation Measure
T4
67.05 units on a scale
Standard Deviation 17.91
71.57 units on a scale
Standard Deviation 18.59

SECONDARY outcome

Timeframe: Intervention group: baseline (T1), up to 1 month (T2), up to 8 months (T3), up to 13 months (T4). WLC group pre-baseline (T1), baseline (T2), up to 1 month (T3), up to 9 months (T4), up to 13 months (T5)

Population: The number of valid data points varied across individuals, as well as by time and by variable within each individual, because participants could 1) miss a data collection but complete subsequent data collection(s) and/or 2) choose not to complete a physical test or a survey question.

The TUG test is physical test that assists in screening and measurement of balance deficits in older adults, which correlates with increased fall risk, and has been validated across populations. In this physical test, participants sit in a chair with feet flat on the ground and back against the chair. A timer is started as they leave the chair, and continues as they pace 3 meters, execute a 180 degree turn and just as they touch the chair again, the timer is stopped. Due to an error in communication between a consultant who assisted with this measure and the research team, the distance that individuals walked during this test was modified from 3 m to 10 m, therefore prior validation data may not apply.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=99 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Wait-list Control Arm
n=105 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Modified Timed Up and Go
T1
20.83 seconds
Standard Deviation 5.43
20.39 seconds
Standard Deviation 5.30
Modified Timed Up and Go
T2
19.26 seconds
Standard Deviation 5.08
19.34 seconds
Standard Deviation 4.31
Modified Timed Up and Go
T3
17.18 seconds
Standard Deviation 5.51
18.70 seconds
Standard Deviation 7.30
Modified Timed Up and Go
T4
18.42 seconds
Standard Deviation 4.27
18.26 seconds
Standard Deviation 3.79
Modified Timed Up and Go
T5
19.06 seconds
Standard Deviation 4.58

SECONDARY outcome

Timeframe: Intervention group: baseline (T1), up to 1 month (T2), up to 8 months (T3), up to 13 months (T4). WLC group pre-baseline (T1), baseline (T2), up to 1 month (T3), up to 9 months (T4), up to 13 months (T5)

Population: The number of valid data points varied across individuals, as well as by time and by variable within each individual, because participants could 1) miss a data collection but complete subsequent data collection(s) and/or 2) choose not to complete a physical test or a survey question.

The original Balance Error Scoring System (BESS) involved firm and padded surface balance testing in 3 positions, to assess static balance and was validated across study populations. The mBESS only utilizes firm surface data and demonstrated better intertester reliability and validity. During this physical test, a staff member counts how many times participants help themselves to regain balance in 20 seconds. The mBESS involved 3 positions, depicted below. Participants stood with hands on hips and eyes closed, balancing for 20 s in 3 standing positions: a double-leg stance, a single-leg stance, and tandem stance. Test observers counted up to 10 errors per stance, including opening eyes, taking hands off hips, stepping, putting a hand out to a chair or wall, or making other large corrections, which led to a stance score ranging from 0 to 10 with a maximum total of 30. Participants who could not complete a position for balance reasons, were given a score of 10.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=90 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Wait-list Control Arm
n=106 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Modified Balance Error Scoring System
T1
13.41 total number of errors over three trials
Standard Deviation 6.33
13.81 total number of errors over three trials
Standard Deviation 6.60
Modified Balance Error Scoring System
T2
14.17 total number of errors over three trials
Standard Deviation 7.22
12.68 total number of errors over three trials
Standard Deviation 6.59
Modified Balance Error Scoring System
T3
15.30 total number of errors over three trials
Standard Deviation 10.26
11.91 total number of errors over three trials
Standard Deviation 10.57
Modified Balance Error Scoring System
T4
20.96 total number of errors over three trials
Standard Deviation 8.87
21.03 total number of errors over three trials
Standard Deviation 9.44
Modified Balance Error Scoring System
T5
13.38 total number of errors over three trials
Standard Deviation 6.94

SECONDARY outcome

Timeframe: Intervention group: baseline (T1), up to 1 month (T2), up to 8 months (T3), up to 13 months (T4). WLC group pre-baseline (T1), baseline (T2), up to 1 month (T3), up to 9 months (T4), up to 13 months (T5)

Population: The number of valid data points varied across individuals, as well as by time and by variable within each individual, because participants could 1) miss a data collection but complete subsequent data collection(s) and/or 2) choose not to complete a physical test or a survey question.

Serves as a corollary for physical function and cardiovascular performance.Participants walked at a comfortable pace for six minutes and their distance was recorded in feet.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=97 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
Wait-list Control Arm
n=98 Participants
There are no devices or drugs used in this trial. The treatment is the same for the intervention arm and the wait-list control arm. The treatment is group trial of 7 meetings designed to improve chronic illness self-management. The name of the treatment is baa nnilah. baa nnilah: 7 meetings in the community led by a trained community facilitator
6-minute Walk
T2
1336.75 feet
Standard Deviation 273.48
1358.96 feet
Standard Deviation 323.35
6-minute Walk
T1
1260.23 feet
Standard Deviation 287.70
1298.85 feet
Standard Deviation 265.40
6-minute Walk
T3
1060.11 feet
Standard Deviation 603.53
1283.54 feet
Standard Deviation 449.10
6-minute Walk
T4
1312.84 feet
Standard Deviation 379.76
1334.98 feet
Standard Deviation 284.74
6-minute Walk
T5
1287.08 feet
Standard Deviation 320.25

Adverse Events

Intervention Arm

Serious events: 0 serious events
Other events: 0 other events
Deaths: 5 deaths

Wait-list Control Arm

Serious events: 0 serious events
Other events: 0 other events
Deaths: 1 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Suzanne Held

Montana State University

Phone: 4069946321

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place