Rural Libraries Promoting Walking and Walkability in Their Rural Communities

NCT ID: NCT05677906

Last Updated: 2024-01-16

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

PHASE1/PHASE2

Total Enrollment

331 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-25

Study Completion Date

2025-12-31

Brief Summary

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The investigators will randomize 20 rural libraries to implement either a group-based walking (standard approach) or a group-based walking combined with a civic engagement program (combined approach). Each rural library will enroll between 15-20 participants. The investigators will compare the change in physical activity between participants in each group.

Detailed Description

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The goals of this study are:

1. Increase the capacity of rural libraries to deliver evidence-based health promotion programs
2. Compare the effects of a group-based walking program with a combined group-based plus civic engagement program on physical activity, cardiovascular fitness and collective efficacy among rural residents.
3. Evaluate program implementation

Conditions

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Physical Activity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Walking only (Step It Up!)

A group-based, weekly walking program (Step It Up) where participants walk for up to 45 minutes.

Group Type ACTIVE_COMPARATOR

Walking only (Step It Up!)

Intervention Type OTHER

Participants will meet weekly for 60 minutes and walk together as a group. Participants will progressively build up to walking for 45 minutes at a brisk pace. Walks will start with a check-in and end with stretching as a group.

Combined (Step It Up! plus Change Club)

A group-based, weekly walking program (Step It Up) where participants walk for up to 45 minutes. Participants also spend 30 minutes each week in a civic engagement program (the Change Club) improving walkability in the community

Group Type EXPERIMENTAL

Walking only (Step It Up!)

Intervention Type OTHER

Participants will meet weekly for 60 minutes and walk together as a group. Participants will progressively build up to walking for 45 minutes at a brisk pace. Walks will start with a check-in and end with stretching as a group.

Combined (Step It Up! plus Civic Engagement)

Intervention Type OTHER

Participants in the combined groups will meet weekly for 90 minutes with group members. They will participate in a group walk for 60 minutes followed by 30 minutes of civic engagement aimed at improving walkability in the community

Interventions

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Walking only (Step It Up!)

Participants will meet weekly for 60 minutes and walk together as a group. Participants will progressively build up to walking for 45 minutes at a brisk pace. Walks will start with a check-in and end with stretching as a group.

Intervention Type OTHER

Combined (Step It Up! plus Civic Engagement)

Participants in the combined groups will meet weekly for 90 minutes with group members. They will participate in a group walk for 60 minutes followed by 30 minutes of civic engagement aimed at improving walkability in the community

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age 18 or older
* Inactive (defined as engaging in physical activity \<3 days per week)
* Ability to walk for at least 20 minutes
* Living within the rural community served by the local library
* Ability to travel to the local library/location of walking group.

Exclusion Criteria

* Participation/intention to participate in other lifestyle modification pro-gram(s)
* Cognitive impairment
* Inability to communicate due to severe uncorrected hearing loss or speech disorder or severe visual impairment (if precludes completion of assessments and/or intervention)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Texas A&M University

OTHER

Sponsor Role collaborator

University of North Carolina, Greensboro

OTHER

Sponsor Role collaborator

Oregon Health and Science University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Cynthia K Perry, PhD

Role: PRINCIPAL_INVESTIGATOR

Oregon Health & Science University School of Nursing

Locations

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Oregon Health & Science University

Portland, Oregon, United States

Site Status

Countries

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United States

References

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Lenstra N. The role of public librarians in supporting physical activity: challenging the "Jacks of All Trades but Masters of None" librarian syndrome. Advances in Library Administration and Organization. 2018;39:185-205.

Reference Type BACKGROUND

Perry CK, Campbell LP, Currier J, Farris PE, Wenzel ES, Medysky ME, Zell A, McDonell M, Shannon J, Winters-Stone K. An Evidence-Based Walking Program in Oregon Communities: Step It Up! Survivors. Prev Chronic Dis. 2020 Dec 10;17:E156. doi: 10.5888/pcd17.200231.

Reference Type BACKGROUND
PMID: 33301392 (View on PubMed)

Seguin RA, Sriram U, Connor LM, Silver AE, Niu B, Bartholomew AN. A Civic Engagement Approach to Encourage Healthy Eating and Active Living in Rural Towns: The HEART Club Pilot Project. Am J Health Promot. 2018 Sep;32(7):1591-1601. doi: 10.1177/0890117117748122. Epub 2018 Feb 1.

Reference Type BACKGROUND
PMID: 29390863 (View on PubMed)

Perry CK, Seguin-Fowler R, Maddock JE, Lenstra N, Dieckmann NF, Currier J, Andreyeva E, Winkle J, Trost SG. Rural libraries implementing walking groups or walking groups plus civic engagement for walkability in rural communities: a comparative effectiveness trial study protocol. BMC Public Health. 2023 Oct 2;23(1):1895. doi: 10.1186/s12889-023-16788-0.

Reference Type DERIVED
PMID: 37784086 (View on PubMed)

Other Identifiers

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STUDY00024665

Identifier Type: -

Identifier Source: org_study_id

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