MOCHA Moving Forward: a CBPR Investigation of Chronic Disease Prevention in Older, Low-income African-American Men

NCT03745703 | Completed

• 1 other identifier: 2018-4898
• Study Type: interventional
• Target: 261
• Locations: 1 country
• Sites: 2

Brief Summary

The overall goal of the research is to discover how to reduce chronic disease health disparities among older (ages 35-70) low-income African-American men more effectively. To achieve this goal, the investigators are conducting formative exploratory research with middle-aged, low-income African-American men; testing two versions of a novel community-developed intervention, MOCHA and MOCHA+ (where MOCHA+ is a modified version of the "standard" MOCHA program, modified to incorporate narrative communication strategies); and advancing the development of a Minority Stress Model through statistical modelling to test the relative contributions of hypothesized explanatory variables identified in the formative research phase of the project.

Conditions

Chronic Disease of Cardiovascular System; Multiple Chronic Conditions; Chronic Disease

Outcome Measures

Primary Outcomes (2)

• Stress, as measured by Cohen's Perceived Stress Scale

  Subjective measure of stress is being collected to evaluate the impact of the MOCHA intervention

  Six months

• Stress, as measured by cortisol levels in fingernail samples

  Objective measure of stress is being collected to evaluate the impact of the MOCHA intervention

  Six months

Secondary Outcomes (2)

• High blood pressure

  Six months

• Body Mass Index

  Six months

Study Arms (3)

MOCHA

EXPERIMENTAL

Behavioral: 12-week trial with 3 sessions per week with one small group discussion session of critical issues affecting African-American men's health each week combined with two aerobic exercise sessions each week

Behavioral: MOCHA

MOCHA+, "Stories Matter"

EXPERIMENTAL

Behavioral: 12-week trial with 3 sessions per week with one small group discussion session of critical issues affecting African-American men's health each week combined with two aerobic exercise sessions each week

Behavioral: MOCHA

Wait-list control

NO INTERVENTION

There is no intervention to be administered during the 12-week wait-list control period

Interventions

MOCHA BEHAVIORAL

(see above)

Also known as: MOCHA+

MOCHA; MOCHA+, "Stories Matter"

Eligibility Criteria

• Age: 35 Years - 70 Years
• Gender Eligibility Details: Male
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• self-identification as black, African-American, or bi-racial including black man;
• age between 35-70 years;
• insufficient or low income;
• lived in Springfield area for the previous 6 months;
• Informed consent;
• Understand study procedures; and
• Ability to comply with study procedures for the entire length of the study

You may not qualify if:

• BMI\>40;
• BP\>179/ 119;
• PTSD scale score \>50
• Physical or movement l imitations wherein unable to perform 60 minutes of moderately vigorous physical activity 2 times per week

Sponsors & Collaborators

• University of Massachusetts, Amherst: lead
• University of Massachusetts, Worcester: collaborator
• YMCA: collaborator

Study Sites (2)

University of Massachusetts

Amherst, Massachusetts, 01003, United States

Location

City of Springfield

Springfield, Massachusetts, 01101, United States

Location

Related Publications (2)

• Graham LF, Scott L, Lopeyok E, Douglas H, Gubrium A, Buchanan D. Outreach Strategies to Recruit Low-Income African American Men to Participate in Health Promotion Programs and Research: Lessons From the Men of Color Health Awareness (MOCHA) Project. Am J Mens Health. 2018 Sep;12(5):1307-1316. doi: 10.1177/1557988318768602. Epub 2018 Apr 26.

  PMID: 29695204 BACKGROUND

• Valdez LA, Gubrium AC, Markham J, Scott L, Hubert A, Meyer J, Buchanan D. A culturally and gender responsive stress and chronic disease prevention intervention for low/no-income African American men: The MOCHA moving forward randomized control trial protocol. Contemp Clin Trials. 2021 Feb;101:106240. doi: 10.1016/j.cct.2020.106240. Epub 2020 Dec 7.

  PMID: 33301990 BACKGROUND

MeSH Terms

Conditions

Multiple Chronic Conditions; Chronic Disease

Condition Hierarchy (Ancestors)

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

Study Officials

• David Buchanan, DrPH

  UMass School of Public Health & Health Sciences

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants are randomly assigned to either the MOCHA standard arm or to the enhanced MOCHA+ arm.
• Purpose: PREVENTION
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The study design uses a wait-list control to test the effectiveness and relative effectiveness of a community-driven MOCHA intervention, including discussions of salient health topics (such as stress and anger management) and an enhanced version MOCHA+, which incorporates narrative communication strategies to strenghten comprehnsion, retention and motivation.

Study Record Dates

• First Submitted: November 9, 2018
• First Posted: November 19, 2018
• Study Start: June 3, 2016
• Primary Completion: July 31, 2021
• Study Completion: July 31, 2021
• Last Updated: November 8, 2022

Record last verified: 2021-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)