Community Walks: Clinical Trial

NCT ID: NCT05147298

Last Updated: 2025-07-28

Study Results

Results pending

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

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

543 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-02

Study Completion Date

2026-01-31

Brief Summary

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This research study will investigate the independent effects of an environmental intervention (E only), an individual-level eHealth phone program intervention (I only), or both (E+I) on changes in moderate intensity physical activity. A cluster randomized design will be implemented whereby all residents of one of 12 of Boston's public housing developments (PHDs) will be randomized to one of the four study groups (E only, I only, E+I, or control). The activities with this multilevel design include:

* Screening/enrollment/baseline assessment activities
* Environmental components to promote moderate intensity walking and other physical activity at the PHDs
* Changing the environment surrounding the development making it more amenable to walking through the creation of walking trails and walking maps; and advocating for changes to the built environment
* Healthy Living Advocates (HLA)-led walking groups within the community
* Individual level components to increase motivation and self-efficacy for physical activity
* eHealth program, an automated telephone-based physical activity program
* 12-month and 24-month follow up assessment activities

The investigators hypothesize that the participants living in the PHDs in any of the three intervention groups (E only, I only, and E+I combined) will increase minutes of moderate intensity physical activity more than participants in control group developments at 24-month follow up. It is further expected that delivery of an intervention package targeting environmental and social cues to become active, combined with an individual level intervention, will improve overall physical activity levels to recommended guidelines at the development level. The findings will inform future health promotion efforts among residents in public housing developments.

Detailed Description

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Conditions

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Physical Inactivity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Environmental group intervention (E only)

Changing the environment surrounding the PHDs making it more amenable to walking and advocating for changes to the built environment

Group Type EXPERIMENTAL

Environment program

Intervention Type OTHER

The environment surrounding the PHDs will be changed to make it more amenable to walking by creating walking trails and walking maps and using Healthy Living Advocates (HLA)-led walking groups within the community. Also advocating for changes to the built environment.

Individual-level eHealth phone program intervention (I only)

An automated telephone-based physical activity program.

Group Type EXPERIMENTAL

eHealth phone program

Intervention Type OTHER

The automated eHealth phone program uses text to speech technology to deliver educational content to increase awareness, confidence, and motivation for physical activity.

Combined group (E and I interventions)

Changing the environment surrounding the PHDs making it more amenable to walking and advocating for changes to the built environment and an automated telephone-based physical activity program.

Group Type EXPERIMENTAL

eHealth phone program

Intervention Type OTHER

The automated eHealth phone program uses text to speech technology to deliver educational content to increase awareness, confidence, and motivation for physical activity.

Environment program

Intervention Type OTHER

The environment surrounding the PHDs will be changed to make it more amenable to walking by creating walking trails and walking maps and using Healthy Living Advocates (HLA)-led walking groups within the community. Also advocating for changes to the built environment.

Control group (no interventions)

No interventions for residents to increase activity levels.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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eHealth phone program

The automated eHealth phone program uses text to speech technology to deliver educational content to increase awareness, confidence, and motivation for physical activity.

Intervention Type OTHER

Environment program

The environment surrounding the PHDs will be changed to make it more amenable to walking by creating walking trails and walking maps and using Healthy Living Advocates (HLA)-led walking groups within the community. Also advocating for changes to the built environment.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Willing to wear device to track physical activity during assessment periods
* Able to speak English or Spanish
* Current resident of Boston Public Housing Development or housing property on Boston Housing Authority owned land
* No plans to move within the next 2 years
* Has access to a phone (of any kind)

Exclusion Criteria

* Currently enrolled in a research study about physical activity that is incompatible with study participation
* Unable to provide informed consent in judgement of research assistant
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Minority Health and Health Disparities (NIMHD)

NIH

Sponsor Role collaborator

Tufts Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lisa M Quintiliani, PhD

Role: PRINCIPAL_INVESTIGATOR

Tufts Medical Center

Locations

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Tufts Medical Center

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Quintiliani LM, Dedier J, Amezquita M, Sierra-Ruiz M, Romero D, Murillo J, Mahar S, Goodman M, Kane JB, Cummings D, Woolley TG, Spinola I, Crouter SE. Community Walks: a cluster randomized controlled trial of a multilevel physical activity intervention for low income public housing residents. BMC Public Health. 2023 Aug 31;23(1):1676. doi: 10.1186/s12889-023-16574-y.

Reference Type DERIVED
PMID: 37653386 (View on PubMed)

Other Identifiers

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1R01MD015165-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

H-42219

Identifier Type: -

Identifier Source: org_study_id

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