Trial Outcomes & Findings for The FAITH! Trial: A mHealth Intervention to Improve Cardiovascular Health Among African-Americans (NCT NCT03777709)

NCT ID: NCT03777709

Last Updated: 2023-10-02

Results Overview

Change from baseline Life's Simple 7 Composite Score at 6 month post-intervention The Life's Simple 7 Composite Score is adapted from the American Heart Association standards based on health assessment data and is a composite of each component (average BP from 3 readings, fasting lipid panel and glucose, height, weight, self-reported cigarette smoking status, dietary quality, and physical activity patterns). Point values are assigned to each component: 2 points for ideal, 1 point for intermediate, 0 points for poor. The total sum allows for a continuous measure of cardiovascular health ranging from poor to ideal (0-14 points). The final score will be categorized as 0-6 (poor), 7-8 (intermediate), 9-14 (ideal).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

85 participants

Primary outcome timeframe

6 months post-intervention

Results posted on

2023-10-02

Participant Flow

Participants were recruited through various methods including phone calls, flyers, email, social media, and pastor referrals from February 2020 to October 2020. In-person and virtual kickoff events were held for study overview and open discussion forums, and the study principal investigator recorded a promotional video detailing study requirements and participant expectations. Interested individuals completed an electronic "Participant Interest/Eligibility Form," submitted to the study team.

Unit of analysis: site

Participant milestones

Participant milestones
Measure
Intervention
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Overall Study
STARTED
41 8
44 8
Overall Study
COMPLETED
34 8
42 8
Overall Study
NOT COMPLETED
7 0
2 0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The FAITH! Trial: A mHealth Intervention to Improve Cardiovascular Health Among African-Americans

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention
n=8 site
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=8 site
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Total
n=16 site
Total of all reporting groups
Age, Continuous
54.7 years
STANDARD_DEVIATION 12.9 • n=5 Participants
52.1 years
STANDARD_DEVIATION 11.4 • n=7 Participants
54.5 years
STANDARD_DEVIATION 12.3 • n=5 Participants
Sex: Female, Male
Female
24 Participants
n=5 Participants
30 Participants
n=7 Participants
54 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
12 Participants
n=7 Participants
22 Participants
n=5 Participants
Race/Ethnicity, Customized
Identify as African-American · Yes
34 Participants
n=5 Participants
42 Participants
n=7 Participants
76 Participants
n=5 Participants
Race/Ethnicity, Customized
Identify as African-American · No
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Marital Status
Missing
0 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
Marital Status
Single
9 Participants
n=5 Participants
11 Participants
n=7 Participants
20 Participants
n=5 Participants
Marital Status
Divorced
3 Participants
n=5 Participants
7 Participants
n=7 Participants
10 Participants
n=5 Participants
Marital Status
Widowed
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Marital Status
Married or committed relationship
22 Participants
n=5 Participants
19 Participants
n=7 Participants
41 Participants
n=5 Participants
Education Level
Missing
0 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
Education Level
High school graduate or less
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Education Level
Some college
9 Participants
n=5 Participants
14 Participants
n=7 Participants
23 Participants
n=5 Participants
Education Level
Technical or Associate's degree
7 Participants
n=5 Participants
6 Participants
n=7 Participants
13 Participants
n=5 Participants
Education Level
College graduate or higher
14 Participants
n=5 Participants
14 Participants
n=7 Participants
28 Participants
n=5 Participants
Employment Status
Missing
0 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
Employment Status
Employed, at least Part-Time
26 Participants
n=5 Participants
30 Participants
n=7 Participants
56 Participants
n=5 Participants
Employment Status
Unemployed
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Employment Status
Retired
4 Participants
n=5 Participants
6 Participants
n=7 Participants
10 Participants
n=5 Participants
Household Income Category
<$35,000
8 Participants
n=5 Participants
6 Participants
n=7 Participants
14 Participants
n=5 Participants
Household Income Category
$35,000-$49,999
3 Participants
n=5 Participants
11 Participants
n=7 Participants
14 Participants
n=5 Participants
Household Income Category
$50,000-$74,999
12 Participants
n=5 Participants
9 Participants
n=7 Participants
21 Participants
n=5 Participants
Household Income Category
>=$75,000
7 Participants
n=5 Participants
8 Participants
n=7 Participants
15 Participants
n=5 Participants
Household Income Category
Not disclosed
4 Participants
n=5 Participants
8 Participants
n=7 Participants
12 Participants
n=5 Participants
Healthcare Insurance
Missing
0 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
Healthcare Insurance
Yes
30 Participants
n=5 Participants
34 Participants
n=7 Participants
64 Participants
n=5 Participants
Healthcare Insurance
No/Don't Know
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Has healthcare professional, seen on regular basis
Yes
26 Participants
n=5 Participants
33 Participants
n=7 Participants
59 Participants
n=5 Participants
Has healthcare professional, seen on regular basis
No
8 Participants
n=5 Participants
9 Participants
n=7 Participants
17 Participants
n=5 Participants
Health conditions as communicated by a healthcare professional
Weight 20 pounds or more over ideal weight for your height and build · No
12 Participants
n=5 Participants
10 Participants
n=7 Participants
22 Participants
n=5 Participants
Health conditions as communicated by a healthcare professional
Weight 20 pounds or more over ideal weight for your height and build · Yes
22 Participants
n=5 Participants
32 Participants
n=7 Participants
54 Participants
n=5 Participants
Health conditions as communicated by a healthcare professional
Weight 20 pounds or more over ideal weight for your height and build · Missing
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Health conditions as communicated by a healthcare professional
High blood pressure · No
13 Participants
n=5 Participants
16 Participants
n=7 Participants
29 Participants
n=5 Participants
Health conditions as communicated by a healthcare professional
High blood pressure · Yes
21 Participants
n=5 Participants
26 Participants
n=7 Participants
47 Participants
n=5 Participants
Health conditions as communicated by a healthcare professional
High blood pressure · Missing
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Health conditions as communicated by a healthcare professional
Diabetes · No
21 Participants
n=5 Participants
33 Participants
n=7 Participants
54 Participants
n=5 Participants
Health conditions as communicated by a healthcare professional
Diabetes · Yes
11 Participants
n=5 Participants
9 Participants
n=7 Participants
20 Participants
n=5 Participants
Health conditions as communicated by a healthcare professional
Diabetes · Missing
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Health conditions as communicated by a healthcare professional
High cholesterol · No
19 Participants
n=5 Participants
25 Participants
n=7 Participants
44 Participants
n=5 Participants
Health conditions as communicated by a healthcare professional
High cholesterol · Yes
15 Participants
n=5 Participants
17 Participants
n=7 Participants
32 Participants
n=5 Participants
Health conditions as communicated by a healthcare professional
High cholesterol · Missing
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Current cigarette smoker
Missing
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Current cigarette smoker
No
33 Participants
n=5 Participants
40 Participants
n=7 Participants
73 Participants
n=5 Participants
Current cigarette smoker
Yes
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Electronic health literacy score
24.7 units on a scale
STANDARD_DEVIATION 6.9 • n=5 Participants
28.2 units on a scale
STANDARD_DEVIATION 5.4 • n=7 Participants
27.9 units on a scale
STANDARD_DEVIATION 6.0 • n=5 Participants
Mobile technology/Internet use skills
3.9 units on a scale
STANDARD_DEVIATION 1.3 • n=5 Participants
4.1 units on a scale
STANDARD_DEVIATION 1.0 • n=7 Participants
4.0 units on a scale
STANDARD_DEVIATION 1.1 • n=5 Participants

PRIMARY outcome

Timeframe: 6 months post-intervention

Population: Number of participants analyzed reflects number of participants able to attend and complete in person health assessment.

Change from baseline Life's Simple 7 Composite Score at 6 month post-intervention The Life's Simple 7 Composite Score is adapted from the American Heart Association standards based on health assessment data and is a composite of each component (average BP from 3 readings, fasting lipid panel and glucose, height, weight, self-reported cigarette smoking status, dietary quality, and physical activity patterns). Point values are assigned to each component: 2 points for ideal, 1 point for intermediate, 0 points for poor. The total sum allows for a continuous measure of cardiovascular health ranging from poor to ideal (0-14 points). The final score will be categorized as 0-6 (poor), 7-8 (intermediate), 9-14 (ideal).

Outcome measures

Outcome measures
Measure
Intervention
n=24 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=31 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Life's Simple 7 Composite Score Change
1.88 units on a scale
Standard Deviation 1.85
0.74 units on a scale
Standard Deviation 1.69

PRIMARY outcome

Timeframe: 6 months post-intervention

Population: Number of participants analyzed reflects number of participants able to attend and complete in-person health assessment.

Change from baseline blood pressure at 6 month post-intervention. (average of 3 sitting readings of systolic and diastolic pressures)

Outcome measures

Outcome measures
Measure
Intervention
n=24 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=31 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Blood Pressure Change
Systolic BP
-3.09 mmHg
Standard Deviation 11.61
-7.25 mmHg
Standard Deviation 13.14
Blood Pressure Change
Diastolic BP
-0.53 mmHg
Standard Deviation 8.27
-2.5 mmHg
Standard Deviation 11.85

PRIMARY outcome

Timeframe: 6 months post-intervention

Population: Number of participants analyzed reflects number of participants who adhered to protocol for fasting glucose.

Change from baseline to 6 months post-intervention fasting glucose

Outcome measures

Outcome measures
Measure
Intervention
n=9 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=11 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Fasting Glucose (Fingerstick)
2.89 mg/dL
Standard Deviation 18.44
6.73 mg/dL
Standard Deviation 10.64

PRIMARY outcome

Timeframe: 6 months post-intervention

Population: Number of participants analyzed reflects number of participants able to attend and complete in-person health assessment.

Change in fasting lipid panel from baseline to 6 months post-interventio

Outcome measures

Outcome measures
Measure
Intervention
n=27 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=34 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Fasting Lipid Panel
-10.96 mg/dL
Standard Deviation 25.88
-17.74 mg/dL
Standard Deviation 25.93

PRIMARY outcome

Timeframe: 6 months post-intervention

Population: Number of participants analyzed reflects number of participants able to attend and complete in person health assessment.

Change from baseline BMI at 6 months post-intervention

Outcome measures

Outcome measures
Measure
Intervention
n=27 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=34 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
BMI
-0.16 kg/m^2
Standard Deviation 1.30
0.14 kg/m^2
Standard Deviation 2.24

PRIMARY outcome

Timeframe: Baseline

Change in the categorical score (poor, intermediate, ideal) of the smoking status LS7 component from baseline to 6 months. Poor = Current Smoker, Intermediate = Former Smoker (\<1 year), Ideal = Never or Former (\>1 year).

Outcome measures

Outcome measures
Measure
Intervention
n=30 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=38 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Smoking Status Category
Missing
0 Participants
1 Participants
Smoking Status Category
Poor
1 Participants
1 Participants
Smoking Status Category
Intermediate
1 Participants
9 Participants
Smoking Status Category
Ideal
28 Participants
27 Participants

PRIMARY outcome

Timeframe: 6 Months post-intervention

Change in the categorical score (poor, intermediate, ideal) of the smoking status LS7 component from baseline to 6 months. Poor = Current Smoker, Intermediate = Former Smoker (\<1 year), Ideal = Never or Former (\>1 year).

Outcome measures

Outcome measures
Measure
Intervention
n=30 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=38 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Smoking Status Category
Intermediate
1 Participants
0 Participants
Smoking Status Category
Ideal
28 Participants
37 Participants
Smoking Status Category
Missing
0 Participants
1 Participants
Smoking Status Category
Poor
1 Participants
0 Participants

PRIMARY outcome

Timeframe: Immediate post-intervention

Population: Number of participants analyzed reflects number of participants who completed the online questionnaire.

Dietary quality was measured using a checklist of foods and beverages, self-reported by participants at baseline and 6 months post-intervention. Responses range from never to 2 or more times per day (responses: never, \< once/month, once/month, 2-3 times/month, 1 time/week, 2 times/week, 3-4 times/week, 5-6 times/week, 1 time/day, 2 or more times/day). Nutrient intake was estimated via a computer software, multiplying reported food frequency by nutrient content, following by comparison to AHA guidelines. Healthy diet score include 5 components: 1. fruits and vegetables, ≥4.5 cups/d 2. fish, 2 or more 3.5-oz servings/wk 3. fiber-rich whole grains (≥1.1 g fiber/10 g carbohydrate), 3 or more 1-oz-equivalent servings/d 4. sodium, ≤1500 mg/d 5. sugar-sweetened beverages, ≤450 kcal/wk. Each component equals 1 point, resulting in scores from 0 to 5, which are categorized as Poor (0-1), Intermediate (2-3), or Ideal (4-5). Higher scores indicated better dietary quality.

Outcome measures

Outcome measures
Measure
Intervention
n=30 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=37 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Dietary Quality (According to American Heart Association Guidelines by the Validated, Culturally Appropriate, Delta Nutrition Intervention Food Frequency Questionnaire-FFQ)
1.9 score on a scale
Standard Deviation 1.2
1.4 score on a scale
Standard Deviation 1.2

PRIMARY outcome

Timeframe: 6 months post-intervention

Population: Number of participants analyzed reflects number of participants who completed the online questionnaire.

Dietary quality was measured using a checklist of foods and beverages, self-reported by participants at baseline and 6 months post-intervention. Responses range from never to 2 or more times per day (responses: never, \< once/month, once/month, 2-3 times/month, 1 time/week, 2 times/week, 3-4 times/week, 5-6 times/week, 1 time/day, 2 or more times/day). Nutrient intake was estimated via a computer software, multiplying reported food frequency by nutrient content, following by comparison to AHA guidelines. Healthy diet score include 5 components: 1. fruits and vegetables, ≥4.5 cups/d 2. fish, 2 or more 3.5-oz servings/wk 3. fiber-rich whole grains (≥1.1 g fiber/10 g carbohydrate), 3 or more 1-oz-equivalent servings/d 4. sodium, ≤1500 mg/d 5. sugar-sweetened beverages, ≤450 kcal/wk. Each component equals 1 point, resulting in scores from 0 to 5, which are categorized as Poor (0-1), Intermediate (2-3), or Ideal (4-5). Higher scores indicated better dietary quality.

Outcome measures

Outcome measures
Measure
Intervention
n=29 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=38 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Dietary Quality (According to American Heart Association Guidelines by the Validated, Culturally Appropriate, Delta Nutrition Intervention Food Frequency Questionnaire-FFQ)
0.79 score on a scale
Standard Deviation 0.86
-0.08 score on a scale
Standard Deviation 1.19

PRIMARY outcome

Timeframe: Immediate post-intervention

Population: Differences in overall analyzed and specific rows are due to unanswered/missing survey data from participants.

Change from baseline in the total minutes per week that a participant engaged in moderate and vigorous intensity physical activity at immediate post-intervention.

Outcome measures

Outcome measures
Measure
Intervention
n=24 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=27 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Physical Activity Patterns (Minutes/Week of Moderate and Vigorous Intensity Physical Activity, Measured by the International Physical Activity Questionnaire-IPAQ)
Total minutes vigorous activity in the past week
91.8 minutes/week
Standard Deviation 192.1
98.5 minutes/week
Standard Deviation 129.3
Physical Activity Patterns (Minutes/Week of Moderate and Vigorous Intensity Physical Activity, Measured by the International Physical Activity Questionnaire-IPAQ)
Total minutes moderate activity in the past week
168.6 minutes/week
Standard Deviation 238.5
80.7 minutes/week
Standard Deviation 90

PRIMARY outcome

Timeframe: 6 months post-intervention

Population: Number of participants analyzed reflects number of participants who completed the online questionnaire.

Change from baseline to 6 months post-intervention in the total minutes per week that a participant engaged in moderate and vigorous intensity physical activity.

Outcome measures

Outcome measures
Measure
Intervention
n=20 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=23 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Physical Activity Patterns (Minutes/Week of Moderate and Vigorous Intensity Physical Activity, Measured by the International Physical Activity Questionnaire-IPAQ)
219.70 minutes/week
Standard Deviation 396.73
76.09 minutes/week
Standard Deviation 286.67

PRIMARY outcome

Timeframe: Immediate post-intervention

Population: Number of participants analyzed reflects number of participants who utilized tracking features. Outcome for Arm 2 (Control/Delayed Intervention group) is not shown as this group did not have access to the FAITH! App and as such could not have participated in the described outcome measure.

Participant engagement with weekly diet/physical activity tracking measured by number of times participant engaged with the tracking feature at immediate post-intervention.

Outcome measures

Outcome measures
Measure
Intervention
n=30 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Intervention Feasibility Measures - Participant Engagement With Tracking
At least one entry - fruit/veggie tracking · No
7 Participants
Intervention Feasibility Measures - Participant Engagement With Tracking
At least one entry - fruit/veggie tracking · Yes
23 Participants
Intervention Feasibility Measures - Participant Engagement With Tracking
At least one entry - Fitbit steps · No
7 Participants
Intervention Feasibility Measures - Participant Engagement With Tracking
At least one entry - Fitbit steps · Yes
23 Participants

PRIMARY outcome

Timeframe: 6 months post-intervention

Population: Number of participants analyzed reflects number of participants who utilized tracking feature. Outcome for Arm 2 (Control/Delayed Intervention group) is not shown as this group did not have access to the FAITH! App and as such could not have participated in the described outcome measure.

Participant engagement with weekly diet/physical activity tracking measured by number of times participant engaged with the tracking feature at 6 months post-intervention

Outcome measures

Outcome measures
Measure
Intervention
n=30 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Intervention Feasibility Measures - Participant Engagement With Tracking
>=1 diet tracking entry
23 Participants
Intervention Feasibility Measures - Participant Engagement With Tracking
>=1 physical activity/steps tracking entry
23 Participants

PRIMARY outcome

Timeframe: Immediate post-intervention

Population: At least one app discussion board post. Number of participants analyzed reflects number of participants connected to app. Outcome for Arm 2 (Control/Delayed Intervention group) is not shown as this group did not have access to the FAITH! App and as such could not have participated in the described outcome measure.

Participant engagement with sharing board measured by number of posts per month by each participant at immediate post-intervention

Outcome measures

Outcome measures
Measure
Intervention
n=30 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Number of Participants With and Without Engagement With Sharing Board
No
26 Participants
Number of Participants With and Without Engagement With Sharing Board
Yes
4 Participants

PRIMARY outcome

Timeframe: Immediate post-intervention

Population: App usage data as recorded by the device. Number of participants analyzed reflects number of participants connected to app.

Participant engagement with sharing board measured by the number of participants sharing at least one discussion board post during the intervention

Outcome measures

Outcome measures
Measure
Intervention
n=34 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=42 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Intervention Feasibility Measures - Participant Engagement With Sharing Board
5 Participants
10 Participants

PRIMARY outcome

Timeframe: Immediate post-intervention

Population: App usage data as recorded by the mobile device. Number of participants analyzed reflects number of participants connected to app.

App engagement as measured by the number of modules completed by the participants during the intervention. The number of participants who completed \<5 and ≥5 modules (out of 10) was calculated.

Outcome measures

Outcome measures
Measure
Intervention
n=34 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=42 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Intervention Feasibility Measures - Participant Engagement With Modules
≥5 modules completed
13 Participants
21 Participants
Intervention Feasibility Measures - Participant Engagement With Modules
<5 modules completed
21 Participants
21 Participants

PRIMARY outcome

Timeframe: 6 months post-intervention

Population: Number of participants analyzed reflects number of participants who completed the questionnaire

App usability assesses four domains (Impact, Perceived usefulness, Perceived ease of use, User control) using the Health Information Technology Usability Evaluation Scale (Health-ITUES) instrument. 20 items are assessed, each on a 5-point scale ranging from 1 (strongly disagree) to 5 (strongly agree). The overall Health-ITUES score was calculated as the mean of all 20 items, with each item being equally weighted. Possible total scores range from 1.0 (minimum) to 5.0 (maximum). A higher total sum indicates higher perceived usability of the technology measured at 6 months post-intervention.

Outcome measures

Outcome measures
Measure
Intervention
n=31 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=33 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Intervention Feasibility Measures - App Usability
Overall score
4.2 score on a scale
Standard Deviation 0.7
4.1 score on a scale
Standard Deviation 0.6
Intervention Feasibility Measures - App Usability
Impact
4.6 score on a scale
Standard Deviation 0.6
4.2 score on a scale
Standard Deviation 0.5
Intervention Feasibility Measures - App Usability
Perceived Usefulness
4.4 score on a scale
Standard Deviation 0.7
4.1 score on a scale
Standard Deviation 0.6
Intervention Feasibility Measures - App Usability
Perceived Ease Of Use
3.9 score on a scale
Standard Deviation 1.2
4.2 score on a scale
Standard Deviation 0.8
Intervention Feasibility Measures - App Usability
User Control
3.7 score on a scale
Standard Deviation 1.0
3.9 score on a scale
Standard Deviation 0.8

SECONDARY outcome

Timeframe: Day 1

Population: Number of participants analyzed reflects number of participants who completed online questionnaire. Smoking status was not measured for change over time as it is a categorical variable.

Self reported smoking status at baseline. Participants were asked to self-report current smoking status as "no" (non-smoker currently) or "yes" (current smoker). "Missing" category title indicates the survey response was unanswered.

Outcome measures

Outcome measures
Measure
Intervention
n=34 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=42 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Smoking at Baseline as Assessed by Cigarette Smoking Status
No
33 Participants
40 Participants
Smoking at Baseline as Assessed by Cigarette Smoking Status
Yes
1 Participants
1 Participants
Smoking at Baseline as Assessed by Cigarette Smoking Status
Missing
0 Participants
1 Participants

SECONDARY outcome

Timeframe: 6 months post-intervention

Population: Number of participants analyzed reflects number of participants who completed online questionnaire

Changes from baseline to 6 months post-intervention in diet self-efficacy measured a 5-item scale to assess the participant's confidence in their ability to maintain a healthy diet when faced with common barriers. Each item is scored on a scale ranging from 0 (certain I cannot) to 100 (certain I can). A mean was calculated to obtain an overall score ranging from 0 (minimum) to 100 (maximum). The difference between the mean scores is calculated. A larger difference indicates larger change in self-efficacy for healthy eating. A negative change between baseline and 6 months post-intervention indicates worsened diet self-efficacy.

Outcome measures

Outcome measures
Measure
Intervention
n=29 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=28 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Diet Self-Efficacy
0.86 score on a scale
Standard Deviation 21.19
-5.30 score on a scale
Standard Deviation 17.09

SECONDARY outcome

Timeframe: 6 months post-intervention

Population: Number of participants analyzed reflects number of participants who completed online questionnaire

Changes from baseline to 6 months post-intervention in diet self-regulation measured by the Health Beliefs Survey to assess strategies used in the past 3 months to eat healthier foods. Items are measured on a five-point scale from 1 (never) to 5 (always). A mean of all items is obtained and a difference between the scores is calculated. Higher change in scores indicate more change in use of self-regulation strategies to promote healthy eating.

Outcome measures

Outcome measures
Measure
Intervention
n=29 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=37 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Diet Self-Regulation
Increase fruit/vegetable and grains
0.43 score on a scale
Standard Deviation 0.76
0.34 score on a scale
Standard Deviation 0.70
Diet Self-Regulation
Decrease fat and calories
0.31 score on a scale
Standard Deviation 0.69
0.18 score on a scale
Standard Deviation 0.78
Diet Self-Regulation
Plan and track nutrition
0.68 score on a scale
Standard Deviation 1.05
0.02 score on a scale
Standard Deviation 1.03

SECONDARY outcome

Timeframe: 6 months post-intervention

Population: Number analyzed in specific rows may differ from overall number analyzed due to missing/unanswered responses from survey participants

Changes from baseline to 6 months post-intervention in diet social support using the Social Support for Eating Habits Survey scale. This scale assesses the level of encouragement or discouragement from family and friends that participants received for adopting healthier eating habits. 5 questions were asked to assess the degree of encouragement and discouragement, separately, on a 5-point scale \[from 1 (none) to 5 (very often)\]. Each sub-item was summed to obtain a score ranging from 5 (lowest) to 25 (highest discouragement/encouragement). The change in level of diet social support was calculated from baseline to 6 months post-intervention. Higher scores indicate more change in social support for healthy eating.

Outcome measures

Outcome measures
Measure
Intervention
n=30 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=28 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Diet Social Support
Family Encouragement
1.33 score on a scale
Standard Deviation 5.27
0.21 score on a scale
Standard Deviation 4.21
Diet Social Support
Family Discouragement
0.28 score on a scale
Standard Deviation 3.63
2.28 score on a scale
Standard Deviation 5.10
Diet Social Support
Friend Encouragement
0.50 score on a scale
Standard Deviation 4.64
0.53 score on a scale
Standard Deviation 4.21
Diet Social Support
Friend discouragement
0.61 score on a scale
Standard Deviation 3.54
2.18 score on a scale
Standard Deviation 5.82

SECONDARY outcome

Timeframe: 6 months post-intervention

Population: Number of participants analyzed reflects number of participants who completed online questionnaire

Changes from baseline to 6 months post-intervention in physical activity self-efficacy measured using the Exercise Confidence Survey. The scale assesses the participant's confidence in their ability to exercise when faced with common barriers. 12 items are assessed, each on a 5-point scale ranging from 1 to 5. A mean of 8 items (Exercise confidence: Sticking to it) and 4 items (Exercise confidence: Making time for exercise) are obtained. The difference between baseline and 6 months post-intervention scores is calculated. A higher score indicates higher change in self-efficacy for physical activity.

Outcome measures

Outcome measures
Measure
Intervention
n=26 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=26 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Physical Activity Self-Efficacy
Exercise confidence: Sticking to it
-0.12 score on a scale
Standard Deviation 0.70
-0.10 score on a scale
Standard Deviation 0.64
Physical Activity Self-Efficacy
Exercise confidence: Making time for exercise
-0.39 score on a scale
Standard Deviation 0.85
0.00 score on a scale
Standard Deviation 0.68

SECONDARY outcome

Timeframe: 6 months post-intervention

Population: Number of participants analyzed reflects number of participants who completed online questionnaire

Changes from baseline to 6 months post-intervention in physical activity self-regulation measured by the Health Beliefs Survey to assess strategies used in the past 3 months to increase their step count or physical activity levels. Items are measured on a 10-item five-point scale from 1 (never) to 5 (always). The mean of the ten items is obtained. The difference in the mean scores from baseline to 6 months post-intervention is calculated. Larger change in scores indicate more change in self-regulation.

Outcome measures

Outcome measures
Measure
Intervention
n=26 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=27 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Physical Activity Self-Regulation
0.56 score on a scale
Standard Deviation 0.70
0.20 score on a scale
Standard Deviation 0.74

SECONDARY outcome

Timeframe: 6 months post-intervention

Population: Rows with numbers different than overall number analyzed are due to missing/unanswered survey responses from participants

Changes from baseline to 6 months post-intervention in diet social support using the Social Support for Exercise Survey scale. This scale assesses the level of encouragement or discouragement from family and friends that participants received for adopting healthier physical activity habits. 5 questions were asked to assess the degree of encouragement and discouragement, separately, on a 5-point scale \[from 1 (none) to 5 (very often)\]. Each sub-item was summed to obtain a score ranging from 5 (lowest) to 25 (highest discouragement/encouragement). The change in level of physical activity social support was calculated from baseline to 6 months post-intervention. Higher scores indicate more change in social support for physical activity. Family Participation was calculated as a sum of 10 items: 10 = low to 50 = high; Family Rewards/Punishment as a sum of 3 items: 3 = low to 15 = high; and Friend Participation sum of 10 items: 10 = low to 50 = high.

Outcome measures

Outcome measures
Measure
Intervention
n=26 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=36 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Physical Activity Social Support
Family Participation
3.12 score on a scale
Standard Deviation 14.47
-0.45 score on a scale
Standard Deviation 7.97
Physical Activity Social Support
Family rewards/punishment
0.15 score on a scale
Standard Deviation 2.17
0.28 score on a scale
Standard Deviation 1.63
Physical Activity Social Support
Friend Participation
3.92 score on a scale
Standard Deviation 9.22
1.61 score on a scale
Standard Deviation 9.91

SECONDARY outcome

Timeframe: 6 months post-intervention

Population: Number of participants analyzed reflects number of participants who completed online questionnaire.

Changes from baseline to 6 months post-intervention in Daily Spiritual Experiences Scale. Scores range from 1 to 6 (attendance), from 1 to 8 (prayer), and from 1 to 4 (religious coping), and from 6 to 36 (spirituality), with higher scores on each measure indicating greater religiosity.

Outcome measures

Outcome measures
Measure
Intervention
n=30 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=38 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Psychosocial Measures - Religiosity/Spirituality
0.07 score on a scale
Standard Deviation 0.47
0.14 score on a scale
Standard Deviation 0.46

SECONDARY outcome

Timeframe: 6 months post-intervention

Population: Number of participants analyzed reflects number of participants who completed online questionnaire.

Changes from baseline to 6 months post-intervention in life orientation test-revised scale. Scores range from 6 (least optimistic) to 24 (most optimistic). Participants respond to 3 positively worded items and 3 negatively worded items. Higher scores indicate more optimism.

Outcome measures

Outcome measures
Measure
Intervention
n=26 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=34 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Psychosocial Measures - Optimism
0.23 score on a scale
Standard Deviation 3.17
-0.26 score on a scale
Standard Deviation 3.18

SECONDARY outcome

Timeframe: 6 months post-intervention

Population: Number of participants analyzed reflects number of participants who completed online questionnaire.

Changes from baseline to 6 months post-intervention in global perceived stress scale. The instrument measures global perceptions of stressful experiences over the prior 12 months in domains such as employment, legal issues, and racism/discrimination. Participants rate the severity of each domain according to a range from 1 (not stressful) to 3 (very stressful), with a total sum ranging from 0 to 24. Higher total scores indicate more perceived stress.

Outcome measures

Outcome measures
Measure
Intervention
n=25 Participants
The FAITH! App intervention includes a 10-week core series of multimedia education modules with a LS7 focus and other features including interactive self-quizzes, self-monitoring (diet/physical activity), and social networking. Participants will follow a weekly schedule of each module concentrating on each LS7 component. Personalized messages will be delivered to each participant 3-4 times weekly over the intervention phase through the app dashboard, text message, or email. The sharing board will be moderated weekly to foster discussion on behavior change influences and participant successes/challenges to healthy lifestyle. Participants will maintain app access for the duration of the study. FAITH! App: Participants allocated to the intervention arm will complete a 10-week, individual-tailored intervention program utilizing the FAITH! App to promote the AHA LS7 through health education and to increase awareness and skill development while enhancing self-efficacy, self-regulation, and social support for healthy behavior change.
Delayed Intervention/Control
n=35 Participants
The delayed intervention group will not receive additional materials while under the "control" time point (intervention group within intervention/maintenance phases).
Psychosocial Measures - Perceived Stress
-0.08 units on a scale
Standard Deviation 4.14
-0.61 units on a scale
Standard Deviation 5.76

Adverse Events

Intervention

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

Delayed Intervention/Control

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. LaPrincess Brewer

Mayo Clinic

Phone: 5072661376

Results disclosure agreements

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