Trial Outcomes & Findings for Healthy Immigrant Community: Mobilizing the Power of Social Networks (NCT NCT05136339)

NCT ID: NCT05136339

Last Updated: 2026-01-27

Results Overview

Difference in weight (measured in kilograms) from baseline to 6 months and from baseline to 12 months

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

475 participants

Primary outcome timeframe

Baseline, 6 months, 12 months

Results posted on

2026-01-27

Participant Flow

The social networks (units of randomization) were defined as the Health Promoter (HP) and their friend/family social network members. At 0-5 months, this included 29 Hispanic and 22 Somali social networks. At 6-11 months, this included 23 Hispanic and 22 Somali social networks. At 12-24 months, this included 23 Hispanic and 22 Somali social networks.

The units of randomization were social networks defined by a Health Promoter and their network members. Randomization occurred after all participants were enrolled and baseline measures completed. Constrained randomization was used with the assignment selected from a set of allocations balanced on ethnicity, age, network size, and sex of the HPs. The period titles are referring to the time after starting intervention.

Participant milestones

Participant milestones
Measure
Immediate Community-Based Mentoring and Education Sessions
Subjects received the intervention of community-based mentoring and education sessions immediately after enrollment. In the first 6 months (months 0-5) health promoters facilitated 12 face-to-face or virtual group visits. Each visit targeted a specific health promotion behavior for weight loss and/or reduction of cardiovascular risk. Each group session included goal setting, review of food and/or activity tracking, and positive reflections. Strategies for weight loss included regular weigh-ins, completion of food and physical activity records, reducing portion sizes, planning meals, use of MyPlate for dietary proportions, removing problem foods from the home, increasing physical activity level, and reducing sedentary behavior. HPs supported and monitored progress of their group via six evidence-based strategies: tracking, goal setting, mindfulness, social support, problem solving, and motivation. Over the subsequent 6 months (months 6-11), health promoters facilitated an additional 12 virtual or face-to-face weight maintenance sessions to focus on goal setting, social support, motivation for lifestyle changes, review of food and/or activity tracking, and reflections. No new education material was provided.
Delayed Community-Based Mentoring and Education Sessions
Subjects will receive the intervention of community-based mentoring and education sessions approximately 12 months after enrollment. In the first 6 months (months 12-17 from baseline) health promoters facilitated 12 face-to-face or virtual group visits. Each visit targeted a specific health promotion behavior for weight loss and/or reduction of cardiovascular risk. Each group session included goal setting, review of food and/or activity tracking, and positive reflections. Strategies for weight loss included regular weigh-ins, completion of food and physical activity records, reducing portion sizes, planning meals, use of MyPlate for dietary proportions, removing problem foods from the home, increasing physical activity level, and reducing sedentary behavior. HPs supported and monitored progress of their group via six evidence-based strategies: tracking, goal setting, mindfulness, social support, problem solving, and motivation. Over the subsequent 6 months (months 18-24 from baseline), health promoters facilitated an additional 12 virtual or face-to-face weight maintenance sessions to focus on goal setting, social support, motivation for lifestyle changes, review of food and/or activity tracking, and reflections. No new education material was provided.
0-5 Months
STARTED
246
229
0-5 Months
Hispanic HP
15
14
0-5 Months
Somali HP
11
11
0-5 Months
Hispanic Participants
131
115
0-5 Months
Somali Participants
89
89
0-5 Months
COMPLETED
213
208
0-5 Months
NOT COMPLETED
33
21
6-11 Months
STARTED
213
208
6-11 Months
Hispanic HP
14
9
6-11 Months
Somali HP
11
11
6-11 Months
Hispanic Participants
118
110
6-11 Months
Somali Participants
70
78
6-11 Months
COMPLETED
213
193
6-11 Months
NOT COMPLETED
0
15
12-24 Months
STARTED
213
193
12-24 Months
Hispanic HP
14
9
12-24 Months
Somali HP
11
11
12-24 Months
Hispanic Participants
116
103
12-24 Months
Somali Participants
72
70
12-24 Months
COMPLETED
195
180
12-24 Months
NOT COMPLETED
18
13

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Healthy Immigrant Community: Mobilizing the Power of Social Networks

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Immediate Community-Based Mentoring and Education Sessions
n=246 Participants
Subjects will receive the intervention of community-based mentoring and education sessions immediately after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Delayed Community-Based Mentoring and Education Sessions
n=229 Participants
Subjects will receive the intervention of community-based mentoring and education sessions approximately 12 months after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Total
n=475 Participants
Total of all reporting groups
Age, Continuous
44.9 years
STANDARD_DEVIATION 14.2 • n=25 Participants
45.4 years
STANDARD_DEVIATION 14.2 • n=25 Participants
45.1 years
STANDARD_DEVIATION 14.2 • n=50 Participants
Sex/Gender, Customized
Female
139 Participants
n=25 Participants
134 Participants
n=25 Participants
273 Participants
n=50 Participants
Sex/Gender, Customized
Male
93 Participants
n=25 Participants
87 Participants
n=25 Participants
180 Participants
n=50 Participants
Sex/Gender, Customized
Other
11 Participants
n=25 Participants
6 Participants
n=25 Participants
17 Participants
n=50 Participants
Sex/Gender, Customized
Missing
3 Participants
n=25 Participants
2 Participants
n=25 Participants
5 Participants
n=50 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
146 Participants
n=25 Participants
129 Participants
n=25 Participants
275 Participants
n=50 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
99 Participants
n=25 Participants
98 Participants
n=25 Participants
197 Participants
n=50 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=25 Participants
2 Participants
n=25 Participants
3 Participants
n=50 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=25 Participants
0 Participants
n=25 Participants
0 Participants
n=50 Participants
Race (NIH/OMB)
Asian
0 Participants
n=25 Participants
0 Participants
n=25 Participants
0 Participants
n=50 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=25 Participants
0 Participants
n=25 Participants
0 Participants
n=50 Participants
Race (NIH/OMB)
Black or African American
96 Participants
n=25 Participants
97 Participants
n=25 Participants
193 Participants
n=50 Participants
Race (NIH/OMB)
White
146 Participants
n=25 Participants
129 Participants
n=25 Participants
275 Participants
n=50 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=25 Participants
0 Participants
n=25 Participants
0 Participants
n=50 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=25 Participants
3 Participants
n=25 Participants
7 Participants
n=50 Participants
Region of Enrollment
United States
246 participants
n=25 Participants
229 participants
n=25 Participants
475 participants
n=50 Participants
Life's Simple 6 Composite
6.4 units on a scale
STANDARD_DEVIATION 1.9 • n=25 Participants
6.5 units on a scale
STANDARD_DEVIATION 1.9 • n=25 Participants
6.4 units on a scale
STANDARD_DEVIATION 1.9 • n=50 Participants
Waist Circumference
101.7 Centimeters
STANDARD_DEVIATION 14.7 • n=25 Participants
101.8 Centimeters
STANDARD_DEVIATION 12.9 • n=25 Participants
101.7 Centimeters
STANDARD_DEVIATION 13.8 • n=50 Participants

PRIMARY outcome

Timeframe: Baseline, 6 months, 12 months

Population: The health promoters are enrolled participants and included in this outcome measure.

Difference in weight (measured in kilograms) from baseline to 6 months and from baseline to 12 months

Outcome measures

Outcome measures
Measure
Immediate Community-Based Mentoring and Education Sessions
n=246 Participants
Subjects will receive the intervention of community-based mentoring and education sessions immediately after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Delayed Community-Based Mentoring and Education Sessions
n=229 Participants
Subjects will receive the intervention of community-based mentoring and education sessions approximately 12 months after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Change in Weight
6 months
-0.7 Kilograms
Standard Deviation 9.2
-0.4 Kilograms
Standard Deviation 2.9
Change in Weight
12 months
-0.7 Kilograms
Standard Deviation 9.3
-0.3 Kilograms
Standard Deviation 3.7

PRIMARY outcome

Timeframe: Baseline, 6 months, 12 months

Population: The health promoters are enrolled participants and included in this outcome measure.

Measured to the nearest 0.1 cm at the narrowest part of the torso between the ribs and the iliac crest.

Outcome measures

Outcome measures
Measure
Immediate Community-Based Mentoring and Education Sessions
n=246 Participants
Subjects will receive the intervention of community-based mentoring and education sessions immediately after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Delayed Community-Based Mentoring and Education Sessions
n=229 Participants
Subjects will receive the intervention of community-based mentoring and education sessions approximately 12 months after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Change in Waist Circumference From Baseline to 6 Months and From Baseline to 12 Months
6 months
-0.4 Centimeters
Standard Deviation 7.7
0.3 Centimeters
Standard Deviation 6.3
Change in Waist Circumference From Baseline to 6 Months and From Baseline to 12 Months
12 months
-0.3 Centimeters
Standard Deviation 8.5
0.5 Centimeters
Standard Deviation 7.2

PRIMARY outcome

Timeframe: Baseline, 6 months, 12 months

Population: The health promoters are enrolled participants and included in this outcome measure.

Adapted from the American Heart Association standards based on health assessment data. 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 (0-12 points).

Outcome measures

Outcome measures
Measure
Immediate Community-Based Mentoring and Education Sessions
n=246 Participants
Subjects will receive the intervention of community-based mentoring and education sessions immediately after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Delayed Community-Based Mentoring and Education Sessions
n=229 Participants
Subjects will receive the intervention of community-based mentoring and education sessions approximately 12 months after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Change in "Life's Simple 6" Composite Score From Baseline to 6 Months and From Baseline to 12 Months
6 months
0.4 units on a scale
Standard Deviation 1.8
-0.1 units on a scale
Standard Deviation 1.7
Change in "Life's Simple 6" Composite Score From Baseline to 6 Months and From Baseline to 12 Months
12 months
0.5 units on a scale
Standard Deviation 2
0.2 units on a scale
Standard Deviation 1.7

PRIMARY outcome

Timeframe: 6 months, 12 months

Population: The health promoters are enrolled participants and included in this outcome measure.

Number of participants in each arm who lost a clinically significant amount of weight (\>5%).

Outcome measures

Outcome measures
Measure
Immediate Community-Based Mentoring and Education Sessions
n=246 Participants
Subjects will receive the intervention of community-based mentoring and education sessions immediately after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Delayed Community-Based Mentoring and Education Sessions
n=229 Participants
Subjects will receive the intervention of community-based mentoring and education sessions approximately 12 months after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Lost >5% of Body Weight
6 months
24 Participants
12 Participants
Lost >5% of Body Weight
12 months
37 Participants
18 Participants

SECONDARY outcome

Timeframe: Baseline, 6 months, 12 months

Population: The health promoters are enrolled participants and included in this outcome measure.

Measured three times and the average of the second and third readings will be used in analyses, reported in mmHg. Change from baseline to 6 months and from baseline to 12 months.

Outcome measures

Outcome measures
Measure
Immediate Community-Based Mentoring and Education Sessions
n=246 Participants
Subjects will receive the intervention of community-based mentoring and education sessions immediately after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Delayed Community-Based Mentoring and Education Sessions
n=229 Participants
Subjects will receive the intervention of community-based mentoring and education sessions approximately 12 months after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Change in Systolic Blood Pressure
6 months
3 mmHg
Standard Deviation 13.5
-0.3 mmHg
Standard Deviation 14.5
Change in Systolic Blood Pressure
12 months
-0.5 mmHg
Standard Deviation 13.6
-2.4 mmHg
Standard Deviation 13.4

SECONDARY outcome

Timeframe: Baseline, 6 months, 12 months

Population: The health promoters are enrolled participants and included in this outcome measure.

6 hours fasting glucose blood serum level, reported in mg/dL. Baseline to 6 months and baseline to 12 months.

Outcome measures

Outcome measures
Measure
Immediate Community-Based Mentoring and Education Sessions
n=246 Participants
Subjects will receive the intervention of community-based mentoring and education sessions immediately after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Delayed Community-Based Mentoring and Education Sessions
n=229 Participants
Subjects will receive the intervention of community-based mentoring and education sessions approximately 12 months after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Change in Fasting Glucose Level
6 months
2.3 mg/dL
Standard Deviation 38.1
-2.6 mg/dL
Standard Deviation 36
Change in Fasting Glucose Level
12 months
-0.1 mg/dL
Standard Deviation 40.1
-4.4 mg/dL
Standard Deviation 31.8

SECONDARY outcome

Timeframe: Baseline, 6 months, 12 months

Population: The health promoters are enrolled participants and included in this outcome measure.

Change in LDL cholesterol blood serum level, reported in mg/dL. Baseline to 6 months and baseline to 12 months

Outcome measures

Outcome measures
Measure
Immediate Community-Based Mentoring and Education Sessions
n=246 Participants
Subjects will receive the intervention of community-based mentoring and education sessions immediately after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Delayed Community-Based Mentoring and Education Sessions
n=229 Participants
Subjects will receive the intervention of community-based mentoring and education sessions approximately 12 months after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Change in Low-density Lipoprotein (LDL)
6 months
4.9 mg/Dl
Standard Deviation 26.3
3.1 mg/Dl
Standard Deviation 30.8
Change in Low-density Lipoprotein (LDL)
12 months
-2.9 mg/Dl
Standard Deviation 25.3
-1 mg/Dl
Standard Deviation 32.3

SECONDARY outcome

Timeframe: Baseline, 6 months, 12 months

Population: The health promoters are enrolled participants and included in this outcome measure.

24-hour dietary recall collected using the Nutrition Data System for Research (NDSR) used to calculate the Healthy Eating index (HEI-2015). The HEI range is 0-100 with higher scores indicating healthier dietary quality. Scores can be further categorized as HEI≥69.3 optimal, HEI 56.9-69.2 intermediate, HEI\<56.9 poor. Change from baseline to 6 months and baseline to 12 months.

Outcome measures

Outcome measures
Measure
Immediate Community-Based Mentoring and Education Sessions
n=246 Participants
Subjects will receive the intervention of community-based mentoring and education sessions immediately after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Delayed Community-Based Mentoring and Education Sessions
n=229 Participants
Subjects will receive the intervention of community-based mentoring and education sessions approximately 12 months after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Change in Dietary Quality
6 months
2.3 units on a scale
Standard Deviation 18.3
2.3 units on a scale
Standard Deviation 16.6
Change in Dietary Quality
12 months
0 units on a scale
Standard Deviation 16.9
3.6 units on a scale
Standard Deviation 17

SECONDARY outcome

Timeframe: Baseline, 6 months, 12 months

Population: The health promoters are enrolled participants and included in this outcome measure.

Measured using the International Physical Activity Questionnaire (IPAQ) that assesses the number of minutes of mild, moderate, and vigorous physical activity over the previous 7 days, scores categorized as ≥150 min/wk moderate or ≥75 min/wk vigorous or ≥150 min/wk moderate+vigorous = optimal; 1-149 min/wk moderate or 1-74 min/wk vigorous or 1-149 min/wk moderate+vigorous = intermediate; no physical activity = poor. Baseline to 6 months and baseline to 12 months. For this study, we present IPAQ results as a continuous variable of MET minutes per week, which refers to the total amount of physical activity measured in Metabolic Equivalent of Task (MET) units over a week. Physical Activity Guidelines recommend achieving 500 to 1,000 MET minutes per week for significant health benefits.

Outcome measures

Outcome measures
Measure
Immediate Community-Based Mentoring and Education Sessions
n=246 Participants
Subjects will receive the intervention of community-based mentoring and education sessions immediately after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Delayed Community-Based Mentoring and Education Sessions
n=229 Participants
Subjects will receive the intervention of community-based mentoring and education sessions approximately 12 months after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Change in Physical Activity
6 months
738.5 MET minutes per week
Standard Deviation 3780.4
312.2 MET minutes per week
Standard Deviation 4334.6
Change in Physical Activity
12 months
290.1 MET minutes per week
Standard Deviation 4102.2
1080.5 MET minutes per week
Standard Deviation 5623.7

SECONDARY outcome

Timeframe: Baseline, 6 months, 12 months

Population: The health promoters are enrolled participants and included in this outcome measure.

Chage from baseline to 6 months and from baseline to 12 months (mmHg)

Outcome measures

Outcome measures
Measure
Immediate Community-Based Mentoring and Education Sessions
n=246 Participants
Subjects will receive the intervention of community-based mentoring and education sessions immediately after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Delayed Community-Based Mentoring and Education Sessions
n=229 Participants
Subjects will receive the intervention of community-based mentoring and education sessions approximately 12 months after enrollment. Community-based mentoring and education sessions: Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Change in Diastolic Blood Pressure
6 months
0.4 mmHg
Standard Deviation 8.9
-0.8 mmHg
Standard Deviation 9.1
Change in Diastolic Blood Pressure
12 months
-0.7 mmHg
Standard Deviation 8.8
-1.9 mmHg
Standard Deviation 9.6

Adverse Events

Immediate Community-Based Mentoring and Education Sessions

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

Delayed Community-Based Mentoring and Education Sessions

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

Mark Wieland

Mayo Clinic

Phone: 507-250-5993

Results disclosure agreements

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