Promoting Physical Activity in Churchgoing Latinas

NCT01776632 | Completed Results DMC

• 3 other identifiers: R01CA138894R01CA138894-05S1R01CA138894-05S2
• Study Type: interventional
• Target: 436
• Locations: 1 country
• Sites: 1

Brief Summary

The low prevalence of moderate-to-vigorous physical activity (MVPA) among adult Latinas likely contributes to the high rates of cancer and other chronic diseases in this population. The goals of the current study, based largely upon the core principles of the Social Ecological Model, are to design, implement, and evaluate an innovative multi-level intervention promoting physical activity among churchgoing Latinas. The evidenced-based intervention targets three "tiers" of environmental influences (i.e., church, immediate neighborhood surrounding the church, and community) on activity, as well as MVPA-related personal factors (i.e.., interpersonal, cultural, and perceived environmental variables). The physical activity intervention will be compared with an attention-control condition providing health education on cancer screening and prevention. Sixteen churches will be randomly assigned to either the physical activity intervention or the attention-control condition. The primary aim of the study is to determine whether a multi-level intervention will increase MVPA among Latina churchgoers in the intervention condition relative to the attention-control condition.

Conditions

Chronic Disease

Outcome Measures

Primary Outcomes (2)

• Accelerometer-based Moderate-to-vigorous Physical Activity (MVPA)

  Change from baseline in moderate-to-vigorous physical activity as assessed by accelerometer

  assessed at Baseline, 12 and 24 months following implementation of intervention activities, month 12 reported

• Self-report Leisure-time MVPA

  Change from baseline in self-reported leisure-time moderate-to-vigorous physical activity

  assessed at Baseline, 12 and 24 months following implementation of intervention activities, month 12 reported

Secondary Outcomes (2)

• Body Mass Index (BMI)

  assessed at Baseline, 12 and 24 months following implementation of intervention activities, month 12 reported

• Waist Circumference

  assessed at Baseline, 12 and 24 months following implementation of intervention activities, month 12 reported

Study Arms (2)

Physical activity

EXPERIMENTAL

Latinas exposed to multi-level Faith in Action intervention promoting physical activity.

Behavioral: Physical activity

Cancer screening

ACTIVE COMPARATOR

Latinas exposed to Faith in Action intervention on cancer screening and prevention.

Behavioral: Cancer screening

Interventions

Physical activity BEHAVIORAL

Promotoras led 6 free physical activity (PA) classes per week (2 walking groups, 2 cardio dance, and 2 strength training) at participating churches randomized to the intervention condition. Classes included prayer, warm-up, moderate-to-vigorous PA, cool-down, followed by discussion of a monthly health handout. Participants received copies of the handouts each month by mail, which promoted healthy PA habits. Promotoras conducted up to 5 motivational interviewing calls with each participant over the 2-year intervention using a guide to evaluate participants' PA engagement, barriers to being active, and solutions to those barriers. Promotoras advocated for changes to the social and built environments of the churches and surrounding neighborhoods in order to promote PA and healthy behaviors.

Also known as: Faith in Action, Fe en Acción

Physical activity

Cancer screening BEHAVIORAL

Promotoras provided a 6-session group-based workshop series on cancer screening and prevention (breast, cervical, colorectal, and skin cancers) at participating churches randomized to the attention-control condition. Participants received informational handouts developed by American Cancer Society and the National Cancer Institute to reinforce learning in addition to lists of local cancer screening resources. Promotoras conducted up to 4 motivational interviewing calls with each participant over the 2-year intervention to encourage screening, help overcome barriers to screening, and provide support for goals.

Cancer screening

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Between the ages of 18-65 years of age
• Latino
• Must be a member of a participating church for at least six months
• Live within 10-15 minutes driving distance from the church
• Able to travel to the church during the week
• Able to attend activities at the church during the week
• Attend church activities (worship or otherwise) at least 4 times a month
• Plan on living in same residence for the next 24 months
• Engage in less than 150 minutes of moderate-to-vigorous physical activity per week

You may not qualify if:

• Attendance at other churches participating in the study
• Must not have any conditions limiting ability to be physically active
• Pregnant

Sponsors & Collaborators

• San Diego State University: lead
• National Cancer Institute (NCI): collaborator

Study Sites (1)

San Diego State University Research Foundation

San Diego, California, 92123, United States

Location

Related Publications (13)

• Arredondo EM, Haughton J, Ayala GX, Slymen DJ, Sallis JF, Burke K, Holub C, Chanson D, Perez LG, Valdivia R, Ryan S, Elder J. Fe en Accion/Faith in Action: Design and implementation of a church-based randomized trial to promote physical activity and cancer screening among churchgoing Latinas. Contemp Clin Trials. 2015 Nov;45(Pt B):404-415. doi: 10.1016/j.cct.2015.09.008. Epub 2015 Sep 8.

  PMID: 26358535 BACKGROUND

• Haughton J, Ayala GX, Burke KH, Elder JP, Montanez J, Arredondo EM. Community Health Workers Promoting Physical Activity: Targeting Multiple Levels of the Social Ecological Model. J Ambul Care Manage. 2015 Oct-Dec;38(4):309-20. doi: 10.1097/JAC.0000000000000108.

  PMID: 26280587 BACKGROUND

• Beard M, Chuang E, Haughton J, Arredondo EM. Determinants of Implementation Effectiveness in a Physical Activity Program for Church-Going Latinas. Fam Community Health. 2016 Oct-Dec;39(4):225-33. doi: 10.1097/FCH.0000000000000122.

  PMID: 27536927 BACKGROUND

• Perez LG, Slymen DJ, Sallis JF, Ayala GX, Elder JP, Arredondo EM. Interactions between individual and perceived environmental factors on Latinas' physical activity. J Public Health (Oxf). 2017 Jun 1;39(2):e10-e18. doi: 10.1093/pubmed/fdw061.

  PMID: 27412175 BACKGROUND

• Perez LG, Chavez A, Marquez DX, Soto SC, Haughton J, Arredondo EM. Associations of Acculturation With Self-Report and Objective Physical Activity and Sedentary Behaviors Among Latinas. Health Educ Behav. 2017 Jun;44(3):431-438. doi: 10.1177/1090198116669802. Epub 2016 Sep 27.

  PMID: 27679665 BACKGROUND

• Perez LG, Carlson J, Slymen DJ, Patrick K, Kerr J, Godbole S, Elder JP, Ayala GX, Arredondo EM. Does the social environment moderate associations of the built environment with Latinas' objectively-measured neighborhood outdoor physical activity? Prev Med Rep. 2016 Oct 19;4:551-557. doi: 10.1016/j.pmedr.2016.10.006. eCollection 2016 Dec.

  PMID: 27818913 BACKGROUND

• Tristao Parra M, Porfirio GJM, Arredondo EM, Atallah AN. Physical Activity Interventions in Faith-Based Organizations: A Systematic Review. Am J Health Promot. 2018 Mar;32(3):677-690. doi: 10.1177/0890117116688107. Epub 2017 Jan 13.

  PMID: 29214856 BACKGROUND

• Elder JP, Haughton J, Perez LG, Martinez ME, De la Torre CL, Slymen DJ, Arredondo EM. Promoting cancer screening among churchgoing Latinas: Fe en Accion/faith in action. Health Educ Res. 2017 Apr 1;32(2):163-173. doi: 10.1093/her/cyx033.

  PMID: 28380627 BACKGROUND

• Soto SH, Arredondo EM, Haughton J, Shakya H. Leisure-Time Physical Activity and Characteristics of Social Network Support for Exercise Among Latinas. Am J Health Promot. 2018 Feb;32(2):432-439. doi: 10.1177/0890117117699927. Epub 2017 Mar 31.

  PMID: 28359166 BACKGROUND

• Perez LG, Elder JP, Haughton J, Martinez ME, Arredondo EM. Socio-demographic Moderators of Associations Between Psychological Factors and Latinas' Breast Cancer Screening Behaviors. J Immigr Minor Health. 2018 Aug;20(4):823-830. doi: 10.1007/s10903-017-0633-1.

  PMID: 28752364 BACKGROUND

• Perez LG, Kerr J, Sallis JF, Slymen D, McKenzie TL, Elder JP, Arredondo EM. Perceived Neighborhood Environmental Factors That Maximize the Effectiveness of a Multilevel Intervention Promoting Physical Activity Among Latinas. Am J Health Promot. 2018 Feb;32(2):334-343. doi: 10.1177/0890117117742999. Epub 2017 Nov 22.

  PMID: 29166779 BACKGROUND

• Arredondo EM, Elder JP, Haughton J, Slymen DJ, Sallis JF, Perez LG, Serrano N, Parra MT, Valdivia R, Ayala GX. Fe en Accion: Promoting Physical Activity Among Churchgoing Latinas. Am J Public Health. 2017 Jul;107(7):1109-1115. doi: 10.2105/AJPH.2017.303785. Epub 2017 May 18.

  PMID: 28520484 RESULT

• Arredondo EM, Haughton J, Ayala GX, Slymen D, Sallis JF, Perez LG, Serrano N, Ryan S, Valdivia R, Lopez NV, Elder JP. Two-year outcomes of Faith in Action/Fe en Accion: a randomized controlled trial of physical activity promotion in Latinas. Int J Behav Nutr Phys Act. 2022 Jul 30;19(1):97. doi: 10.1186/s12966-022-01329-6.

  PMID: 35907867 DERIVED

MeSH Terms

Conditions

Chronic Disease

Interventions

Exercise; Mass Screening

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Diagnostic Techniques and Procedures; Diagnosis; Health Surveys; Surveys and Questionnaires; Data Collection; Epidemiologic Methods; Investigative Techniques; Diagnostic Services; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health; Public Health Practice

Limitations and Caveats

The current study was implemented with Latina women attending Catholic churches, the findings may not generalize to men, members of other ethnic groups, or Latino groups of other denominations.

Results Point of Contact

• Title: Elva Arredondo
• Organization: San Diego State University

earredon@sdsu.edu

(619) 594-3481

Study Officials

• Elva M Arredondo, PhD

  San Diego State University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: October 29, 2012
• First Posted: January 28, 2013
• Study Start: May 11, 2011
• Primary Completion: December 21, 2015
• Study Completion: December 21, 2015
• Last Updated: September 29, 2021
• Results First Posted: April 16, 2019

Record last verified: 2021-09

Locations

US (1)