Engaging Native Hawaiian/Pacific Islanders and Activating Communities to Take Steps (ENACTS)

NCT03484364 | Completed DMC

• 2 other identifiers: U54MD011240 127687U54MD011240
• Study Type: interventional
• Target: 182
• Locations: 1 country
• Sites: 1

Brief Summary

Our Specific Aims are:

1. 1.At the individual level, to compare within-person change in BP and secondary outcomes between the intervention and control groups.
2. 2.At the family level, to evaluate ENACTS' effects on BP and secondary outcomes as within-person change in family members who provide primary support, and as mean change in other adult family members who are not directly engaged in the intervention.
3. 3.At the policy level, to evaluate the intervention's ability to influence grocery store policy on clearly identifying foods that are low in sodium or high in potassium, some of which might not be easily identified with existing labels (e.g., fresh produce). ENACTS combines empirically supported elements of existing programs, thus increasing its probability of success. It aligns with the American Heart Association's call for multilevel prevention.

Conditions

Hypertension

Outcome Measures

Primary Outcomes (1)

• Systolic Blood Pressure

  Automatic blood pressure

  6 months

Secondary Outcomes (6)

• Eating Behaviors

  6 months

• Food Purchasing

  6 months

• Medication Adherence

  6 months

• Social Support

  6 months

• Tobacco Use

  6 months

Study Arms (2)

Intervention Group

EXPERIMENTAL

The ENACTS intervention is four peer-facilitated educational classes delivered over 8 weeks focused on hypertension self-management.

Behavioral: ENACTS

Waitlist Group

NO INTERVENTION

Usual care and $50 in groceries every other week for 8 weeks.

Interventions

ENACTS BEHAVIORAL

Peer-facilitated, self-care BP education delivered every other week for 8 weeks emphasizing healthy diet, traditional NHPI foods, adherence to medication, and encouragement to increase physical activity and stop smoking, with text messaging to boost adherence. $50 of groceries every other week (4 times) over 8 weeks.

Also known as: Healthy Hearts Among Pacific Islanders (HHAPI)

Intervention Group

Eligibility Criteria

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

You may qualify if:

• Self-reported physician diagnosis of hypertension and/or type 2 diabetes confirmed by a prescription for an anti-hypertensive medication and/or type 2 diabetes medication;
• Self-reported NHPI race;
• \*Age 18 years and older at enrollment;
• Measured systolic BP ≥ 140 mmHg on enrollment; measured baseline fasting glucose \>125
• reliable internet access
• computer or Smartphone
• current email address
• \*Ability to understand written and spoken English; and
• \*Ability and willingness to follow all study protocols.

You may not qualify if:

• Pregnant or planning on becoming pregnant throughout the course of the study;
• Currently undergoing dialysis or treatment for a terminal illness;

Sponsors & Collaborators

• Washington State University: lead

Study Sites (1)

National Recruitment via Facebook and Internet

Seattle, Washington, 98101, United States

Location

MeSH Terms

Conditions

Hypertension

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases

Study Officials

• denise dillard

  Washington State University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: March 15, 2018
• First Posted: March 30, 2018
• Study Start: June 15, 2018
• Primary Completion: January 24, 2025
• Study Completion: January 24, 2025
• Last Updated: October 20, 2025

Record last verified: 2025-10

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)