Text Messaging for Physical Activity & Healthy Eating

NCT02648360 | Completed Phase 3

• 1 other identifier: 20151048
• Study Type: interventional
• Target: 12
• Locations: 0 countries
• Sites: N/A

Brief Summary

Hispanics share a disproportionate burden of several of the nation's leading chronic diseases caused by poor lifestyle habits such as sedentary behavior and poor quality nutrition intake. This project will design, implement and evaluate the delivery and effectiveness of an existing health promotion text messaging program focused on increasing physical activity and improving dietary behaviors among medically underserved Hispanic patients. Adult Hispanic patients referred by their healthcare provider at a local free community health clinic will be invited to participate in the 4-month long study. Patients who agree to participate will be sent health promotion text messages and will complete a brief pre-post assessment battery. Patients who do not send an initial enrollment text (to agree to participate) will receive a follow up telephone call from the research team to encourage participation. Evaluations will consist of: (1) physician referral rates; (2) patient enrollment rates; (3) demographic differences (gender, age) in participants/non-participants; and (4) pre-post changes in levels of physical activity and quality dietary intake will be conducted. The results of this study will provide a better understanding of the feasibility and effectiveness of implementing referral-based text messaging programs among medically underserved Hispanic patients at high risk for chronic diseases.

Conditions

Overweight

Keywords

exercise; diet; patients, underserved; text messaging

Outcome Measures

Primary Outcomes (2)

• Mean change in activity levels as assessed by the Godin Leisure-Time Exercise Questionnaire

  The Godin Leisure-Time Exercise Questionnaire has been found to be appropriate for assessing leisure time activity in a community setting with two week test-retest reliability coefficients of 0.48 for mild, 0.46 for moderate, and 0.94 for strenuous exercise. The questionnaire is brief, easily administered, reliable, and demonstrates concurrent validity with other tools.

  Change in physical activity levels from baseline at 4 months

• Mean change in dietary habits as assessed by the Starting the Conversation Scale

  Starting The Conversation (STC) is a simplified screening instrument designed for non-dietitians in clinical practices for assessment and counseling. It identifies dietary patterns and was derived from a validated 54-item instrument.

  Change in dietary habits from baseline at 4 months

Study Arms (1)

Text Messaging Intervention Arm

EXPERIMENTAL

Participants will be enrolled in either a dietary or physical activity text messaging program. The dietary program will include nutritional education, reading nutrition labels, portion control, making lifestyle changes, finding social support, and identifying triggers. The physical activity program will provide information on the benefits of physical activity, exercise tips, and encouragement to live more active lifestyles. The programs have limited interactive capability; patients will be asked to respond to specific questions, but questions asked by the participants will be answered with an automated message asking them to contact their health care provider.

Behavioral: Text Messaging

Interventions

Text Messaging BEHAVIORAL

The content of the program will be delivered via 3 weekly text messages over a 4 month period of time.

Text Messaging Intervention Arm

Eligibility Criteria

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

You may qualify if:

• Spanish speaking adults
• Have a cell phone that they are able to use to send and receive text messages
• Basic level of literacy (i.e., ability to read text messages)
• Patients at the free community health clinic, who had an appointment with a physician during the study recruitment period
• Clearance by physician to participate (i.e., provision of referral card by physician is equivalent to medical clearance)

You may not qualify if:

• Pregnant women, children, or any other individuals that the physician deems not suitable for participation

Sponsors & Collaborators

• University of Miami: lead

MeSH Terms

Conditions

Overweight; Motor Activity

Condition Hierarchy (Ancestors)

Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavior

Study Officials

• Mark Stoutenberg, PhD, MSPH

  University of Miami

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant Professor

Study Record Dates

• First Submitted: January 5, 2016
• First Posted: January 7, 2016
• Study Start: January 1, 2016
• Primary Completion: May 1, 2016
• Study Completion: August 1, 2016
• Last Updated: December 28, 2016

Record last verified: 2016-12

Data Sharing

• IPD Sharing: Will not share