Rural Libraries Promoting Walking and Walkability in Their Rural Communities

NCT05677906 | Unknown Phase 1

• 1 other identifier: STUDY00024665
• Study Type: interventional
• Target: 331
• Locations: 1 country
• Sites: 1

Brief Summary

The investigators will randomize 20 rural libraries to implement either a group-based walking (standard approach) or a group-based walking combined with a civic engagement program (combined approach). Each rural library will enroll between 15-20 participants. The investigators will compare the change in physical activity between participants in each group.

Conditions

Physical Activity

Keywords

rural populations; physical activity promotion

Outcome Measures

Primary Outcomes (3)

• Physical activity

  Participants will be asked to wear an accelerometer for \>10 hours/day for seven days at the wrist to measure physical activity. An accelerometer is a small device worn at the wrist that records acceleration, the change in velocity of a participant over time.

  Change from baseline physical activity at 6 months, 12 months, and 24 months.

• Cardio respiratory fitness

  Participants will be asked to complete a six-minute walk test to measure cardiorespiratory fitness. The distance walked in 6 minutes will be recorded.

  Change from baseline cardio respiratory fitness at 6 months, 12 months, and 24 months.

• Collective Efficacy

  Participants will be asked to complete a survey regarding collective-efficacy, the Collective Efficacy Scale (Sampson and colleagues, 1997), which measures how well communities work together to make things happen.

  Change from baseline collective efficacy at 6 months, 12 months, and 24 months

Secondary Outcomes (5)

• Height

  Baseline

• Hip circumference

  Change from baseline hip circumference at 6 months, 12 months, and 24 months.

• Resting heart rate

  Change from baseline resting heart rate at 6 months, 12 months, and 24 months.

• Weight

  Change from baseline weight at 6 months, 12 months, and 24 months.

• Blood pressure

  Change from baseline blood pressure at 6 months, 12 months, and 24 months.

Study Arms (2)

Walking only (Step It Up!)

ACTIVE COMPARATOR

A group-based, weekly walking program (Step It Up) where participants walk for up to 45 minutes.

Other: Walking only (Step It Up!)

Combined (Step It Up! plus Change Club)

EXPERIMENTAL

A group-based, weekly walking program (Step It Up) where participants walk for up to 45 minutes. Participants also spend 30 minutes each week in a civic engagement program (the Change Club) improving walkability in the community

Other: Walking only (Step It Up!); Other: Combined (Step It Up! plus Civic Engagement)

Interventions

Walking only (Step It Up!) OTHER

Participants will meet weekly for 60 minutes and walk together as a group. Participants will progressively build up to walking for 45 minutes at a brisk pace. Walks will start with a check-in and end with stretching as a group.

Combined (Step It Up! plus Change Club); Walking only (Step It Up!)

Combined (Step It Up! plus Civic Engagement) OTHER

Participants in the combined groups will meet weekly for 90 minutes with group members. They will participate in a group walk for 60 minutes followed by 30 minutes of civic engagement aimed at improving walkability in the community

Combined (Step It Up! plus Change Club)

Eligibility Criteria

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

You may qualify if:

• Age 18 or older
• Inactive (defined as engaging in physical activity \<3 days per week)
• Ability to walk for at least 20 minutes
• Living within the rural community served by the local library
• Ability to travel to the local library/location of walking group.

You may not qualify if:

• Participation/intention to participate in other lifestyle modification pro-gram(s)
• Cognitive impairment
• Inability to communicate due to severe uncorrected hearing loss or speech disorder or severe visual impairment (if precludes completion of assessments and/or intervention)

Sponsors & Collaborators

• Oregon Health and Science University: lead
• Texas A&M University: collaborator
• University of North Carolina, Greensboro: collaborator

Study Sites (1)

Oregon Health & Science University

Portland, Oregon, 97239, United States

Location

Related Publications (4)

• Lenstra N. The role of public librarians in supporting physical activity: challenging the "Jacks of All Trades but Masters of None" librarian syndrome. Advances in Library Administration and Organization. 2018;39:185-205.

  BACKGROUND

• Perry CK, Campbell LP, Currier J, Farris PE, Wenzel ES, Medysky ME, Zell A, McDonell M, Shannon J, Winters-Stone K. An Evidence-Based Walking Program in Oregon Communities: Step It Up! Survivors. Prev Chronic Dis. 2020 Dec 10;17:E156. doi: 10.5888/pcd17.200231.

  PMID: 33301392 BACKGROUND

• Seguin RA, Sriram U, Connor LM, Silver AE, Niu B, Bartholomew AN. A Civic Engagement Approach to Encourage Healthy Eating and Active Living in Rural Towns: The HEART Club Pilot Project. Am J Health Promot. 2018 Sep;32(7):1591-1601. doi: 10.1177/0890117117748122. Epub 2018 Feb 1.

  PMID: 29390863 BACKGROUND

• Perry CK, Seguin-Fowler R, Maddock JE, Lenstra N, Dieckmann NF, Currier J, Andreyeva E, Winkle J, Trost SG. Rural libraries implementing walking groups or walking groups plus civic engagement for walkability in rural communities: a comparative effectiveness trial study protocol. BMC Public Health. 2023 Oct 2;23(1):1895. doi: 10.1186/s12889-023-16788-0.

  PMID: 37784086 DERIVED

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Cynthia K Perry, PhD

  Oregon Health & Science University School of Nursing

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 7, 2022
• First Posted: January 10, 2023
• Study Start: April 25, 2023
• Primary Completion: September 30, 2025
• Study Completion: December 31, 2025
• Last Updated: January 16, 2024

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will share
• Time Frame: Data will become available once all manuscripts have been published.
• Access Criteria: Data will be made available through a data sharing agreement.

Locations

US (1)