Black Girls Move Physical Activity and Improving Dietary Intake Among Black Adolescent Daughters

NCT05433415 | Active Not Recruiting

• 1 other identifier: R01DK132698
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

Black Girls Move is a school-linked daughter/mother physical activity and dietary behavior program, with 9th and 10th grade students. This program is designed to prevent obesity in Black adolescent females and thus aligns with the NIH mission to enhance health, lengthen life, and reduce illness and disability. This project is relevant to public health because it holds the potential to reduce population health disparities impacted by structural racism.

Conditions

Diabetes Mellitus; Adolescent Obesity

Keywords

dyad; mothers; daughters; physical activity; nutrition; racism

Outcome Measures

Primary Outcomes (2)

• Change from Actigraph GT3X Device at 12 and 24 weeks

  Objective measure of daughter and mother daily steps and activity counts. PA levels operationalized as moderate (1500-2600 counts/30 secs) or vigorous (\>2600 count/30 secs). Device worn for one week during waking hours

  Baseline, 12 weeks, and 24 weeks

• Change from Block Kids 2004 Food Frequency Questionnaire (BKFFQ) at 12 and 24 weeks

  A 72-item self-report measure of daughter dietary behavior over the past week. Participants indicate frequency of consumption of food/beverages on a 6-point scale (none to every day).

  Baseline, 12 weeks, and 24 weeks

Secondary Outcomes (9)

• Change from 3-Day Physical Activity Recall at 12 and 24 weeks moderate/vigorous physical activity per week

  Baseline, 12 weeks, and 24 weeks

• Change from The Multidimensional Model of Black Identity - Short Form at 12 and 24 weeks

  Baseline, 12 weeks, and 24 weeks

• Change from Child Health Behavior Knowledge Scale at 12 and 24 weeks

  Baseline, 12 weeks, and 24 weeks

• Change from Diet and Health Knowledge Survey at 12 and 24 weeks

  Baseline, 12 weeks, and 24 weeks

• Change from Physical Activity and Nutrition Self-Efficacy Scale at 12 and 24 weeks

  Baseline, 12 weeks, and 24 weeks

Other Outcomes (5)

• Two-Item Hunger VitalSignTM

  Baseline

• Change from International Physical Activity Questionnaire at 12 and 24 weeks

  Baseline, 12 weeks, and 24 weeks

• Change from 2014 Block Food Frequency Questionnaire at 12 and 24 weeks

  Baseline, 12 weeks, and 24 weeks

Study Arms (2)

Black Girls Move (BGM) Treatment Condition

EXPERIMENTAL

BGM is guided by the Anti-Racist Public Health Critical Race Praxis with adaptive mechanisms to support Black adolescent females as they navigate a racist society. The BGM treatment condition will include mothers as active participants in all components of the weekly, 12-session intervention to test the impact of actively leveraging the daughter/mother relationship . Participants in our prior research endorsed the importance of daughters and mothers actively engaging in group meetings together on weekends. Participants set PA and diet goals and self-monitor goal attainment. Dyads participate in structured activities designed to facilitate communication, problem solving, role assignment, and relationship quality. Dyads use a variety of videos, role play, discussion, and activities to achieve session outcomes. The sessions are led by trained facilitators who follow a standardized facilitator manual.

Behavioral: Black Girls Move

Daughters-Only Comparison Condition (DOCC)

ACTIVE COMPARATOR

The DOCC runs parallel to the BGM intervention and includes daughters-only group meetings. The DOCC incorporates all components of BGM except Family Systems Theory strategies. Daughters in DOCC will receive PA and diet behavior content based on Anti-Racist Public Health Critical Race Praxis and Social Cognitive Theory with daughter-only group activities. DOCC facilitators will lead group meetings and discussions. All DOCC daughters will self-monitor their progress towards PA goals using Fitbit® and progress towards diet goals using Start Simple with My Plate®.

Behavioral: Black Girls Move

Interventions

Black Girls Move BEHAVIORAL

Goal setting and monitoring. All BGM daughters will self-monitor their progress towards PA goals using a PA device, Fitbit®. Additionally, BGM daughters will self-monitor their progress towards diet goals using a mobile application, Start Simple with My Plate®. Further, all BGM mothers will use Fitbit® and Start Simple with My Plate® for self monitoring, however, mothers' data will not be analyzed for this study. Since the daughter/ mother relationship is critical to achieving behavioral change, BGM mothers will utilize Fitbit® and Start Simple with My Plate® as a mechanism to communicate, problem solve and support daughters' behavioral goals.BGM is situated within the contexts of environmental, cultural, interpersonal, and developmental factors impacted by structural racism. Intentionally engaging mothers and daughters in an asset based program provides a framework for mothers to model responses to structural racism i.e. racial socialization.

Black Girls Move (BGM) Treatment Condition; Daughters-Only Comparison Condition (DOCC)

Eligibility Criteria

• Age: 12 Years - 18 Years
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• English speaking;
• Black;
• grade 9 or 10;
• daily access to the internet outside of school and/or work through an iOS or android smart phone, tablet, or personal computer;
• either high-normal weight (between ≥50th and \<85th percentile for age and gender) or overweight (between ≥85th and \<95th percentile for age and gender) as the purpose of this study is weight maintenance and obesity prevention in at-risk daughters rather than obesity treatment; 98 and
• have either a poor diet, (defined as consuming \<1 vegetable or \<1 fruit per day) 99 or inadequate PA (defined as \< 60 minutes per day, 7 days per week). 99,100
• English-speaking;
• Black;
• co-residing biological mother or mother-figure and legal guardian of the participating daughter;
• the person primarily responsible for meals in the household; and
• access to the internet through an iOS or android smart phone, tablet or personal computer. In a longitudinal study of 480 adults, 84% of adults with obesity were adolescents with high normal weight status (≥50th and \<85th percentile). National data on cell phone ownership show that 81% of Black students and 68% of Black parents own a smart phone

You may not qualify if:

• having conditions/procedures that prevent the oral consumption of foods (e.g., gastric feeding tubes);
• presence of physical limitations that would preclude participation in the PA activity components of the intervention;
• altered dietary intake (e.g., pregnancy, eating or metabolic disorders except for type 1 or type 2 diabetes); and
• at baseline physical assessment, participants screened for uncontrolled blood pressure (systolic \> 130, diastolic \>80 for daughters; and systolic \>160, diastolic \>100 for mothers) will be eligible only with a healthcare provider release.
• participants with diagnosed type 1 or 2 diabetes will be eligible for participation only with a healthcare provider release.
• mothers will be screened for cardiovascular disease and musculoskeletal risk factors with the 7-item Physical Activity Readiness Questionnaire. Mothers that answer 'yes' to any item on the Physical Activity Readiness Questionnaire will be eligible only with a healthcare provider release. Daughters or mothers who are asked to provide healthcare provider release will be referred to the Chicago Department of Public Health if they do not have a primary care provider. To be eligible to participate in either condition, both the daughter and her mother must be willing and eligible to participate in the study.

Sponsors & Collaborators

• Rush University Medical Center: lead
• National Institutes of Health (NIH): collaborator
• University of Illinois at Chicago: collaborator
• National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK): collaborator

Study Sites (1)

Rush University Medical Center

Chicago, Illinois, 60612, United States

Location

Related Publications (3)

• Reed M, Wilbur J, Tangney CC, Miller AM, Schoeny ME, Webber-Ritchey KJ. Development and Feasibility of an Obesity Prevention Intervention for Black Adolescent Daughters and Their Mothers. J Healthy Eat Act Living. 2021 Apr 1;1(2):94-107. eCollection 2021.

  PMID: 37789909 BACKGROUND

• Reed M, Julion W, McNaughton D, Wilbur J. Preferred intervention strategies to improve dietary and physical activity behaviors among African-American mothers and daughters. Public Health Nurs. 2017 Sep;34(5):461-471. doi: 10.1111/phn.12339. Epub 2017 Jun 22.

  PMID: 28639382 BACKGROUND

• Reed M, Wilbur J, Schoeny M. Parent and African American Daughter Obesity Prevention Interventions: An Integrative Review. J Health Care Poor Underserved. 2015 Aug;26(3):737-60. doi: 10.1353/hpu.2015.0103.

  PMID: 26320909 BACKGROUND

MeSH Terms

Conditions

Pediatric Obesity; Diabetes Mellitus; Motor Activity; Racism

Condition Hierarchy (Ancestors)

Obesity; Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Glucose Metabolism Disorders; Metabolic Diseases; Endocrine System Diseases; Behavior; Prejudice; Social Behavior; Social Discrimination

Study Officials

• Monique Reed

  Rush University Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 21, 2022
• First Posted: June 27, 2022
• Study Start: March 6, 2023
• Primary Completion: November 30, 2025
• Study Completion (Estimated): May 30, 2026
• Last Updated: March 5, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)