Physical Activity and Community Engagement (PACE) Among Returning Veterans
NCT ID: NCT03152214
Last Updated: 2019-12-09
Study Results
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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COMPLETED
NA
60 participants
INTERVENTIONAL
2017-09-01
2019-05-01
Brief Summary
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Detailed Description
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Numerous trials indicate that engaging in exercise programs can improve mood and reduce symptoms of depression and anxiety (for review see Penedo and Dahn, 2005). Accordingly, prescribing a structured exercise program has the potential to facilitate involvement in RWB and a reduction in reintegration difficulties. Compared to other levels of exercise intensity, vigorous-intensity exercise has been associated with increases in well-being (Cox, Thomas, Hinton, Donahue, 2006), reductions in anxiety and depression (Balchin, Linde, Blackhurst, Rauch, \& Schönbächler, 2016; Cox, Thomas, Hinton, \& Donahue, 2004; Katula, Blissmer, \& McAuley, 1999) and improvements in quality of life (Ostman, Jewiss, \& Smart, 2016). According to the American College of Sports Medicine (ACSM), high intensity exercise methods are the leading trend in the fitness industry (Thompson, 2013). Importantly, high intensity exercise programs have gained increasing popularity particularly within military units (Haddock, Poston, Heinrich, Jahnke, \& Jitnarin, 2016).
This study aims to provide a pilot test of (1) the acceptability and effectiveness of RWB for veterans transitioning out of the military and (2) the effectiveness of a vigorous-intensity aerobic exercise prescription for enhancing the efficacy of RWB. To this end, the study will be a randomized controlled trial (RCT) that involves 75 veterans discharged from the US Army at Fort Hood who will be assigned to: 1) 8-weeks of vigorous-intensity aerobic exercise in addition to participation in a community-based program (Team RWB) or (2) 8-weeks of participation in Team RWB alone or (3) 8-weeks on a waitlist.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Team RWB + Vigorous Intensity Aerobic Exercise
Participants assigned to the integrated arm will be prescribed the following for the course of 8 weeks:
* 1 session of exercise counseling
* 3 weekly 25-minute sessions of vigorous intensity aerobic exercise
* 1 weekly Team RWB event
* 4 biweekly assessments
Participants will also complete an online assessment at week 9 to provide follow-up data.
Vigorous Intensity Aerobic Exercise and Community Engagement
Each veteran will be provided with an Apple watch for the duration of the study. Research staff will use the resultant data to monitor the veteran's activity level. Veterans will be asked to complete three 25-minute sessions of vigorous intensity aerobic exercise per week (either running, cycling, rowing, or elliptical workouts). Data collected will include the number of minutes exercised and the heartrate level (77-85% maximum heart rate). Any exercise session of 25 minutes at \> 76% of maximum heart rate will be characterized as 1 completed session of vigorous-intensity exercise. Veterans will enter the activity, minutes exercised, average heartrate, and perceived exertion into REDCap.
Community engagement will involve attending at least one Team RWB event per week through the Austin or Killeen chapters. This could be a weekly running group, hike, or community service project-among other activities. Veterans will enter whether or not they attended a Team RWB event on REDCap.
Team RWB
Participants assigned to the Team RWB arm will be prescribed the following for the course of 8 weeks:
* 1 weekly Team RWB event
* 4 biweekly assessments
Participants will also complete an online assessment at week 9 to provide follow-up data.
Community Engagement
Veterans in the study will receive a monthly calendar of Team RWB events upon assignment. Veterans will be able to participate in any Team RWB event located in Austin or Killeen. Veterans will be asked to attend at least one Team RWB event. This could be a weekly running group, hike, or community service project- among other activities. Veterans will enter whether or not they attended a Team RWB event on the REDCap exercise adherence surveys.
Waitlist
Participants assigned to the waitlist arm will be prescribed the following for the course of 8 weeks:
• 4 biweekly assessments
Participants will also complete an online assessment at week 9 to provide follow-up data.
No interventions assigned to this group
Interventions
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Vigorous Intensity Aerobic Exercise and Community Engagement
Each veteran will be provided with an Apple watch for the duration of the study. Research staff will use the resultant data to monitor the veteran's activity level. Veterans will be asked to complete three 25-minute sessions of vigorous intensity aerobic exercise per week (either running, cycling, rowing, or elliptical workouts). Data collected will include the number of minutes exercised and the heartrate level (77-85% maximum heart rate). Any exercise session of 25 minutes at \> 76% of maximum heart rate will be characterized as 1 completed session of vigorous-intensity exercise. Veterans will enter the activity, minutes exercised, average heartrate, and perceived exertion into REDCap.
Community engagement will involve attending at least one Team RWB event per week through the Austin or Killeen chapters. This could be a weekly running group, hike, or community service project-among other activities. Veterans will enter whether or not they attended a Team RWB event on REDCap.
Community Engagement
Veterans in the study will receive a monthly calendar of Team RWB events upon assignment. Veterans will be able to participate in any Team RWB event located in Austin or Killeen. Veterans will be asked to attend at least one Team RWB event. This could be a weekly running group, hike, or community service project- among other activities. Veterans will enter whether or not they attended a Team RWB event on the REDCap exercise adherence surveys.
Eligibility Criteria
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Inclusion Criteria
* Discharged from the US Army within/up to 12 months ago
* Endorse at least moderate difficulty with reintegration (a total score of at least 1.5 on the M2C-Q and a score of 2 on item #14)
* Use or have access to an Apple iPhone
* Has participated in less than 75 minutes of vigorous-intensity exercise per week over the last two weeks
* Understanding and willingness to comply to a 9-week study protocol
Exclusion Criteria
* Insufficient command of the English language
Each veteran will complete the PAR-Q as part of the screening procedure in order to check for any condition/injury which would render exercise harmful. Each veteran will also have undergone a routine physical with medical staff prior to discharge from the U.S. Army. Thus, the veteran should have knowledge of a condition or injury which could be problematic. If such a risk is present, the veteran will be excluded from the study. Veterans will be excluded if a doctor has said that they have a heart condition and should not do physical activity or if they know of any other reason why they should not engage in physical activity. Veterans who are unsure if they are able to engage in physical activity will have to have signed approval from a physical.
18 Years
ALL
Yes
Sponsors
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Team Red, White, and Blue
UNKNOWN
University of Texas at Austin
OTHER
Responsible Party
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Principal Investigators
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Scarlett O Baird, M.A.
Role: PRINCIPAL_INVESTIGATOR
University of Texas at Austin
Jasper A Smits, Ph.D.
Role: PRINCIPAL_INVESTIGATOR
University of Texas at Austin
Locations
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University of Texas at Austin
Austin, Texas, United States
Countries
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Other Identifiers
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2017-03-0109
Identifier Type: -
Identifier Source: org_study_id