NCT06172582

Brief Summary

African American adults that live in economically disadvantaged areas are at an increased risk for obesity and cardiometabolic disease. The treatment program being tested in this research study aims to address these factors and improve cardiometabolic health outcomes for the study population. The purpose of this research study is to find out about the feasibility, acceptability and preliminary effectiveness of using house chats (HC) as a model for a weight management program in a real-world, community-based setting.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
42

participants targeted

Target at P25-P50 for not_applicable obesity

Timeline
Completed

Started Nov 2023

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 9, 2023

Completed
19 days until next milestone

Study Start

First participant enrolled

November 28, 2023

Completed
17 days until next milestone

First Posted

Study publicly available on registry

December 15, 2023

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 30, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 30, 2025

Completed
Last Updated

July 13, 2026

Status Verified

October 1, 2025

Enrollment Period

1.7 years

First QC Date

November 9, 2023

Last Update Submit

July 9, 2026

Conditions

Keywords

Cardiometabolic Disease

Outcome Measures

Primary Outcomes (5)

  • Participants in the intervention will manifest clinically significant weight change with a signal for differential benefit compared to delayed intervention participants.

    Participants in the intervention will manifest clinically significant weight change with a signal for differential benefit compared to delayed intervention participants.

    12 week and 24 weeks post-treatment

  • Participants in the intervention will manifest clinically significant improvements in waist circumference with a signal for differential benefit compared to delayed intervention participants.

    Waist circumference will be measured using a Gulik tape measure at the midpoint between the highest point of the iliac crest and the lowest part of the costal margin in the mid-axillary line.

    12 week and 24 weeks post-treatment

  • Participants will experience clinically significant improvements in fasting glucose with a signal for differential benefit compared to delayed intervention participants.

    Finger-prick blood sample via a point-of-care Accu-Check glucometer will be used to obtain fasting glucose.

    12 week and 24 weeks post-treatment

  • Participants in the intervention will manifest clinically significant change in physical activity outcomes targeted in the intervention.

    Physical activity will be objectively assessed via accelerometers. Total minutes of physical activity is the main outcome, but we will also examine minutes of light and moderate-to-vigorous physical activity. The threshold for clinically meaningful is 150 minutes / week which is consistent with a wealth of evidence and current evidence-based guidelines.

    12 week and 24 weeks post-treatment

  • Participants in the intervention ward will manifest clinically significant improvements in dietary quality outcomes targeted in the intervention.

    The EARLY Trials 4-item Sugar Sweetened Beverage Questionnaire and 10-item NCI fruit and vegetable screener (all day version) to assess changes in core intervention targets will be administered. While any changes improvements in these outcomes would be meaningful if sustained over time, the results we will also will compare to current American Heart Association guidelines / recommendations

    12 week and 24 weeks post-treatment

Study Arms (2)

Intervention

EXPERIMENTAL

Participants will be randomized to intervention and will receive the 12-week program.

Behavioral: 12-week lifestyle intervention

Delayed Intervention Control

ACTIVE COMPARATOR

Participants will be randomized to delayed intervention control and will receive the same 12-week program following the 24-week assessment.

Behavioral: 12-week lifestyle intervention

Interventions

A 12-week lifestyle intervention delivered via weekly group meetings in the House Chat Leaders (HCL's) homes

Delayed Intervention ControlIntervention

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • or older
  • Resident of Petersburg, VA

You may not qualify if:

  • Dx of type 1 diabetes mellitus
  • Current treatment for cancer
  • Medical conditions that may increase risk for participating in unsupervised physical activity unless medical provider provides consent for participation
  • Hospitalization for depression or other psychiatric disorder within the past 12 months
  • Uncontrolled psychotic disorder or bipolar disorder
  • Currently pregnant or lactating or planning to become pregnant within the study period
  • Current involvement in a weight loss program or current use of weight loss medication
  • Inability to speak and read English
  • Planning to move from the Petersburg area within the study period

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Virginia Commonwealth University

Richmond, Virginia, 23298, United States

Location

MeSH Terms

Conditions

Obesity

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Moghboeba Mosavel

    Virginia Commonwealth University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Four wards will be randomly assigned to either intervention or a delayed intervention control. A total of 10 HCL will be recruited and trained across the two wards (5 in the intervention ward and 5 in delayed intervention ward).
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: The pilot trial will utilize a cluster randomized controlled design to assess the feasibility, acceptability, and preliminary effectiveness of the house chat model as a grassroots approach to lifestyle intervention delivery in a community setting. Four wards will be randomly assigned to either intervention or a delayed intervention control.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 9, 2023

First Posted

December 15, 2023

Study Start

November 28, 2023

Primary Completion

July 30, 2025

Study Completion

July 30, 2025

Last Updated

July 13, 2026

Record last verified: 2025-10

Locations