Peer Empowerment Program for Physical Activity in Low Income and Minority Seniors

NCT02405325 | Completed Results

• 2 other identifiers: 150336R01HL125405
• Study Type: interventional
• Target: 476
• Locations: 1 country
• Sites: 1

Brief Summary

Older adults are the least active population group in the US. Yet, research has shown that an increase in physical activity (PA) can have immediate and profound effects on cardiovascular health. Older adults who are active use significantly fewer health care resources, and with the increasing number of older adults in the US it is imperative to curb health care expenditure in this group. PEP4PA (Peer Empowerment Program 4 Physical Activity) is a multilevel intervention aimed at increasing physical activity levels in a population of low income and ethnically diverse older adults. It will be delivered in centers by trained older adults. Participants will work towards a daily increase of 2000 steps per day through self-paced incidental walking, peer led group walks, and attendance at existing center PA classes. They will also work on projects to increase opportunities to be physically active at their center or in the surrounding neighborhood.

Conditions

Physical Activity

Keywords

physical activity; multilevel; cost-effectiveness; older adults

Outcome Measures

Primary Outcomes (1)

• Minutes of Physical Activity as Measured by Accelerometer

  Change in minutes of MVPA

  12 months

Study Arms (2)

Physical Activity

EXPERIMENTAL

The program will be run by peer Leaders and senior center staff with the support of UCSD staff. Participants will work towards a 2000 increase in daily steps through self-paced incidental walking and peer led group walks.

Behavioral: Physical Activity

Usual Care

NO INTERVENTION

Measurement at baseline, 6, 12, 18 and 24 months only with a health related event at each time point.

Interventions

Physical Activity BEHAVIORAL

intervention activities will remain at the daily level, including using pedometers, having daily goals, attendance at Peer lead group walks and recognition of efforts through monthly celebrations and bi-weekly goal tracking with peer Health Coaches.

Physical Activity

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• are 50 years or older
• have not had a fall that resulted in a hospitalization in the past 12 months
• able to complete a 3 meter walking test within 30 seconds
• able to read and write in English
• able to walk without assistance from another person
• able to wear study devices and complete assessments
• able to complete written surveys without assistance
• able to attend regular study activities at the center
• able to provide written informed consent and complete a post consent comprehension assessment
• able to commit approximately 10 hours per week to study activities (peer Health Coach only)
• active for 20 minutes per day on at least 3 days per week (peer Health Coach only)

You may not qualify if:

• are younger than 50 years,
• have had a fall that resulted in a hospitalization in the last 12 months,
• cannot complete the walking test within 30 seconds,
• are not able to read and write in English,
• cannot walk without human assistance
• unable to wear study devices and complete assessments,
• unable to complete written surveys without assistance,
• cannot regularly attend study activities at the center,
• are not able to provide written informed consent,
• do not adequately answer questions on the post consent test,
• Participated in the Community of Mine research study (UCSD)

Sponsors & Collaborators

• University of California, San Diego: lead
• National Heart, Lung, and Blood Institute (NHLBI): collaborator

Study Sites (1)

University of California, San Diego

La Jolla, California, 92093, United States

Location

Related Publications (2)

• Rich P, Aarons GA, Takemoto M, Cardenas V, Crist K, Bolling K, Lewars B, Sweet CC, Natarajan L, Shi Y, Full KM, Johnson E, Rosenberg DE, Whitt-Glover M, Marcus B, Kerr J. Implementation-effectiveness trial of an ecological intervention for physical activity in ethnically diverse low income senior centers. BMC Public Health. 2017 Jul 18;18(1):29. doi: 10.1186/s12889-017-4584-1.

  PMID: 28720079 BACKGROUND

• Crist K, Full KM, Linke S, Tuz-Zahra F, Bolling K, Lewars B, Liu C, Shi Y, Rosenberg D, Jankowska M, Benmarhnia T, Natarajan L. Health effects and cost-effectiveness of a multilevel physical activity intervention in low-income older adults; results from the PEP4PA cluster randomized controlled trial. Int J Behav Nutr Phys Act. 2022 Jun 27;19(1):75. doi: 10.1186/s12966-022-01309-w.

  PMID: 35761363 DERIVED

MeSH Terms

Conditions

Motor Activity

Interventions

Exercise

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Results Point of Contact

• Title: Loki Natarajan
• Organization: UCSD

lnatarajan@ucsd.edu

8588224763

Publication Agreements

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

Study Design

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

Study Record Dates

• First Submitted: March 20, 2015
• First Posted: April 1, 2015
• Study Start: July 1, 2015
• Primary Completion: March 17, 2020
• Study Completion: March 17, 2020
• Last Updated: July 29, 2021
• Results First Posted: July 29, 2021

Record last verified: 2021-07

Locations

US (1)