Health Without Barriers/Salud Sin Barreras- Northern Colorado

NCT ID: NCT06822387

Last Updated: 2025-05-02

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

RECRUITING

Clinical Phase

NA

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-07

Study Completion Date

2026-06-30

Brief Summary

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The overarching goal of this work is to address the limited access to evidence-based health behavior and lifestyle interventions for youth and families most impacted by preventable chronic diseases, including obesity and type 2 diabetes. In the current project, we implement a small single-arm pilot and feasibility trial of Health Without Barriers/Salud Sin Barreras (HWB/SSB), a culturally-adapted, whole-family intensive health behavior and lifestyle intervention to 11-19-year-old adolescents and their families living in Northern Colorado. Objectives are refining the HWB/SSB community facilitator training, evaluating the feasibility and acceptability of HWB/SSB implementation, and characterizing changes in health outcomes among adolescent participants.

Detailed Description

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Health Without Barriers/Salud Sin Barreras (HWB/SSB) is a 12-session community-delivered, whole-family intensive health behavior and lifestyle intervention for health promotion and reduction of risk for chronic diseases (e.g., type 2 diabetes). The program is delivered over 6 weeks and includes mindfulness-based stress reduction training for adolescents, parent/caregiver health education and mindfulness training, youth physical activity, and whole-family nutrition education and cooking/meal preparation. Previous and ongoing work has focused on gathering and using direct input from local community members and families from Southwest Colorado to adapt HWB/SSB to ensure cultural suitability for teenagers and their families in this region. Now, there is a need for further refinement of HWB/SSB community facilitator training and evaluation of the intervention. The HWB/SSB intervention delivery is NOT considered human subjects research; only the evaluation, dissemination, and implementation elements are considered research (objectives described below). The intervention will be delivered regardless of any research study, and participation in the research study is not a requirement for families to enroll in HWB/SSB or for facilitators to facilitate the intervention.

There are three main objectives to this study:

1. Train community-based facilitators for HWB/SSB and refine training through: (a) conducting a series of focus groups with facilitators (up to n=20), (b) facilitator completion of a knowledge tests before and after training, (c) facilitator completion of surveys to evaluate and refine training processes, and (d) monitoring fidelity of HWB delivery through completion of standardized checklists by HWB trainers of mock and live sessions and through facilitator fidelity surveys.
2. Enroll adolescents (up to n=60) and parents/caregivers (up to n=60) from Northern Colorado in HWB/SSB to evaluate the acceptability and feasibility of the program. Program acceptability will be assessed through a series of focus groups and acceptability surveys completed by the participants. Program attendance and retention will be used to assess feasibility.
3. Describe changes in adolescents' psychological, health behavior, and health-related outcomes from before to up to 1-year after HWB/SSB participation. Outcomes include: 1) cardiometabolic health, 2) stress management, 3) enjoyment, self-efficacy, and frequency of physical activity, 4) healthy eating behaviors, and 5) sleep health.

Conditions

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Lifestyle Risk Reduction Adolescent Health Family Health Cardio-metabolic Health Mental Health Wellness Program Type 2 Diabetes Obesity, Adolescent

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Health without Barriers/ Salud Sin Barreras (HWB/SSB)

HWB/SSB is a community-delivered, whole-family intensive health behavior and lifestyle intervention intended to reduce adolescent risk of chronic diseases (i.e., T2D) through promoting health behaviors and healthy stress management. The program is based on a lifestyle intervention called the Healthy Living Program (HeLP), a family-centered obesity prevention and treatment program for children. Previous and ongoing work has focused on tailoring HWB/SSB implementation to ensure cultural suitability for adolescents and their families in Southwest Colorado.

HWB/SSB emphasizes "whole family" involvement including the participation of siblings, elders, other caregivers, and relatives. HWB/SSB is delivered.

The HWB/SSB intervention delivery is not considered human subjects research; only the evaluation, dissemination, and implementation elements are considered research. The intervention will be delivered regardless of any research activity.

Group Type EXPERIMENTAL

Mindfulness-Based Intervention

Intervention Type BEHAVIORAL

Learning to BREATHE (L2B) is an evidence-based mindfulness curriculum for adolescents. L2B in this program consists of 6 sessions of approximately 1 hour per session. In between sessions, participants are asked to practice brief mindfulness skills individually.

Parent Education

Intervention Type BEHAVIORAL

The parent education curriculum includes 3 modules: 1) family support/parenting, 2) nutrition education and 3) physical activity education. Parents set weekly goals to implement what they learned in each session at home with their family.

Physical Activity

Intervention Type BEHAVIORAL

Focuses on using cardio and resistance training to improve cardiorespiratory health in youth.

Brief Mindfulness Intervention for Parents

Intervention Type BEHAVIORAL

Parent-based mindfulness education is based on the Learning to BREATHE curriculum.

Preschool Curriculum

Intervention Type BEHAVIORAL

Preschool age children learn about and try new foods.

Nutrition and Cooking Education

Intervention Type BEHAVIORAL

Nutrition education and hands-on cooking lessons for the whole family.

Interventions

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Mindfulness-Based Intervention

Learning to BREATHE (L2B) is an evidence-based mindfulness curriculum for adolescents. L2B in this program consists of 6 sessions of approximately 1 hour per session. In between sessions, participants are asked to practice brief mindfulness skills individually.

Intervention Type BEHAVIORAL

Parent Education

The parent education curriculum includes 3 modules: 1) family support/parenting, 2) nutrition education and 3) physical activity education. Parents set weekly goals to implement what they learned in each session at home with their family.

Intervention Type BEHAVIORAL

Physical Activity

Focuses on using cardio and resistance training to improve cardiorespiratory health in youth.

Intervention Type BEHAVIORAL

Brief Mindfulness Intervention for Parents

Parent-based mindfulness education is based on the Learning to BREATHE curriculum.

Intervention Type BEHAVIORAL

Preschool Curriculum

Preschool age children learn about and try new foods.

Intervention Type BEHAVIORAL

Nutrition and Cooking Education

Nutrition education and hands-on cooking lessons for the whole family.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Adolescent subjects

* Between the ages 11-19 years old
* Reside in Larimer County, Weld County, or the surrounding areas.

Parent/guardian subjects:

* 18 years old or older
* Are parents/guardians of an adolescent between the ages of 11-19
* Reside in Larimer County, Weld County, or the surrounding areas

Facilitators subjects

* 18 years old or older
* Reside in Larimer County, Weld County, or the surrounding areas
* Are planning to or have facilitated HWB

Exclusion Criteria

Adolescents subjects will not take part in the research activities if they have a medical and/or psychological/behavioral condition that, in the opinion of the Colorado State University/Extension program team, could interfere with safety for themselves or others or interfere with the capability of the participant or other participants to potentially benefit from the program (e.g., severe emotional-behavioral disturbance, inability to follow facilitator directions).

Parents/guardians will not take part in the research activities if they have a medical and/or psychological/behavioral condition that, in the opinion of the Colorado State University/Extension program team, could interfere with safety for themselves or others or interfere with the capability of their family or other participating families to potentially benefit from the program (e.g., using drugs or alcohol or under the use of drugs/alcohol during program sessions, aggressive or inappropriate behavior toward other participants).

There is no exclusion for facilitator subjects.
Minimum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Colorado State University Extension-Larimer County

UNKNOWN

Sponsor Role collaborator

Colorado State University Extension-Weld County

UNKNOWN

Sponsor Role collaborator

Colorado State University Extension-La Plata County

UNKNOWN

Sponsor Role collaborator

University of Colorado, Denver

OTHER

Sponsor Role collaborator

United States Department of Agriculture (USDA)

FED

Sponsor Role collaborator

Colorado State University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lauren B Shomaker, PhD

Role: PRINCIPAL_INVESTIGATOR

Colorado State University

Locations

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Colorado State University

Fort Collins, Colorado, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Lauren B Shomaker, PhD

Role: CONTACT

970-491-3217

Natalia Sanchez, MPH

Role: CONTACT

970-491-1120

Facility Contacts

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Natalia Sanchez, MPH

Role: primary

970-491-1120

Vicky Jimenez, BS

Role: backup

970-286-5210

Other Identifiers

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5952

Identifier Type: -

Identifier Source: org_study_id

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