Physical ActivityNCT02823379
Smart Walk: A Physical Activity Program for African American Women
A study testing Physical Activity and Wellness in people with Physical Activity, run by Arizona State University at 1 site in United States.
Trial summary
The purpose of this project is to test an 8-month, culturally relevant, Smartphone-delivered PA program to improve and maintain high physical levels and reduce cardiometabolic disease risk among obese AA women. Read more about this study
- Who is it for?
- Ages 24 to 49 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Physical Activity
- What is being tested?
- Physical Activity and Wellness
- Type of treatment
- Pill or oral medicine, Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 62 participants
- Where
- 1 siteUnited States
- Study dates
- Sep 2015to Jun 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 24 to 49 years
- Women only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Self-reported African American
- Insufficiently Active ( 60 mins or less of PA per wk measured by Exercise Vital Sign Questionnaire)
- BMI>30
- English speaking and reading
- Own non-Kindle Smartphone iOS 7 or above, or Android 2.3 or above
Who cannot join
- Concurrent participation in another physical activity, nutrition, or weight loss program
- Endorsement of an item on the Physical Activity Readiness Questionnaire (PAR-Q) unless physical note is provided
- Pregnant or plans to become pregnant in next 12 months
- Plans to relocate out of Phoenix area in next 12 months
Trial locations and contacts
1 site in 1 country.
About this study
The purpose of this project is to test an 8-month, culturally relevant, Smartphone-delivered PA program to improve and maintain high physical levels and reduce cardiometabolic disease risk among obese AA women.
Read the detailed description
A three-phase study will be used to refine and implement an established theory-based culturally relevant physical activity promotion intervention for obese African American women. Phase 1 (Aim 1a) will include formative research where 25 African American women provide feedback (via 9 focus groups) to further refine the physical activity intervention by specifying the deep structure cultural relevance of the theoretical mediators of self-regulation, self-efficacy, social support, behavioral capability, and outcome expectations.5 Phase 2 will focus on technical development of the refined culturally tailored intervention and 1-month demonstration trial of the Smartphone-delivered physical activity promotion program. Phase 3 (Aims 1b and 1c) will test the intervention and delivery strategy in a two-arm randomized trial where 60 sedentary, obese African American women will receive either the 8-month culturally relevant smartphone-delivered physical activity intervention or a 8-month wellness contact control condition
- Conditions
- Physical Activity
- Being tested
- Physical Activity, Wellness
- Keywords
- physical activity, overweight, obese, exercise, women, African American, Smartphone, cardiovascular disease risk
- Medical subject headings
- Motor Activity, Overweight, Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Physical ActivityBehavioural
A Smartphone delivered physical activity program
WellnessBehavioural
A Smartphone delivered wellness intervention focused on topics other than physical activity (e.g., skin care, oral health, and breast exams).
| Study group | Role | What they receive |
|---|---|---|
| Physical Activity | Experimental | A culturally relevant physical activity promotion program delivered using a Smartphone application. Receives: Behavioral: Physical Activity |
| Wellness Contact Control | Active comparator | A wellness contract control condition delivered using a Smartphone application. Receives: Behavioral: Wellness |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in physical activity from baseline to 8-months
assessed by ActiGraph accelerometers
Measured: three assessment periods: baseline, 4-months, and 8-months
Feasibility and acceptability of the Smartphone delivered physical activity program
Feasibility and acceptability will be assessed by examining recruitment, retention, adherence, self-reported treatment acceptance, and participant utilization of the Smartphone application provided by analytic tracking software.
Measured: 4-months
Secondary outcomes (12)
change in body mass index (BMI) from baseline to 8-months
Measured: three assessment periods: baseline, 4-months, and 8-months
change in cardiorespiratory fitness from baseline to 8-months
A modified Balke treadmill protocol will be used to estimate aerobic capacity (VO2peak).
Measured: three assessment periods: baseline, 4-months, and 8-months
change in Aortic Pulse Wave Velocity from baseline to 8-months
A measure of aortic stiffness, will be assessed with SphymocorTM using validated methodology
Measured: three assessment periods: baseline, 4-months, and 8-months
change in blood pressure from baseline to 8-months
Measured: three assessment periods: baseline, 4-months, and 8-months
change in total serum cholesterol from baseline to 8-months
Measured: three assessment periods: baseline, 4-months, and 8-months
change in serum high-density lipoprotein (HDL) from baseline to 8-months
Measured: three assessment periods: baseline, 4-months, and 8-months
change in serum low-density lipoprotein (LDL) from baseline to 8-months
Measured: three assessment periods: baseline, 4-months, and 8-months
change in serum triglycerides from baseline to 8-months
Measured: three assessment periods: baseline, 4-months, and 8-months
change in serum insulin from baseline to 8-months
measured using Immulite 1000 immunoassay analyzer (Siemens Healthcare Diagnostics)
Measured: three assessment periods: baseline, 4-months, and 8-months
change in insulin sensitivity from baseline to 8-months
assessed by calculating homeostatic model assessment (HOMA) scores as: glucose (mg/dl) x insulin (μU/ml)/405.
Measured: three assessment periods: baseline, 4-months, and 8-months
change in tumor necrosis factor alpha from baseline to 8-months
Measured: three assessment periods: baseline, 4-months, and 8-months
change in Interleukin 1 beta from baseline to 8-months
Measured: three assessment periods: baseline, 4-months, and 8-months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Jul 2016 (estimated)
- Study startSep 2015
- Primary completionJun 2020
- Study completionJun 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Physical ActivityStudies of the same condition, open and under way.
- More trials run by Arizona State UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 62 participants (actual)
Sponsor and investigators
- Lead sponsor
- Arizona State University
- Sponsor type
- University, hospital or other
- Collaborators
- National Heart, Lung, and Blood Institute (NHLBI)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02823379
- Sponsor's protocol ID
- STUDY00003131
- Other IDs
- K99HL129012, R00HL129012
- Status last verified
- Jul 2020
- First submitted
- 1 Jul 2016
- Last updated
- 8 Jul 2020
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- Undecided
Publications
Metzendorf MI, Wieland LS, Richter B. Mobile health (m-health) smartphone interventions for adolescents and adults with overweight or obesity. Cochrane Database Syst Rev. 2024 Feb 20;2(2):CD013591. doi: 10.1002/14651858.CD013591.pub2.
PubMed 38375882Joseph RP, Ainsworth BE, Vega-Lopez S, Adams MA, Todd M, Gaesser GA, Keller C. Cardiometabolic Risk Factors Among Insufficiently Active African American Women With Obesity: Baseline Findings From Smart Walk. J Cardiovasc Nurs. 2023 Mar-Apr 01;38(2):198-204. doi: 10.1097/JCN.0000000000000930. Epub 2022 Jul 5.
PubMed 35794781Joseph RP, Ainsworth BE, Mathis L, Hooker SP, Keller C. Incorporating religion and spirituality into the design of community-based physical activity programs for African American women: a qualitative inquiry. BMC Res Notes. 2017 Oct 23;10(1):506. doi: 10.1186/s13104-017-2830-3.
PubMed 29058603
Study at a glance
From the registry record, last updated by the sponsor on 8 Jul 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Smart Walk: A Physical Activity Program for African American Women
- ClinicalTrials.gov ID
- NCT02823379
- Acronym / sponsor ID
- STUDY00003131
- Conditions
- Physical Activity
- Keywords
- physical activity, overweight, obese, exercise, women, African American, Smartphone, cardiovascular disease risk
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 62 participants (actual)
- Lead sponsor
- Arizona State UniversityUniversity, hospital or other
- Collaborators
- National Heart, Lung, and Blood Institute (NHLBI)
- Study start
- Sep 2015
- Primary completion
- Jun 2020 (actual)
- Study completion
- Jun 2020 (actual)
- First posted
- 6 Jul 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this project is to test an 8-month, culturally relevant, Smartphone-delivered PA program to improve and maintain high physical levels and reduce cardiometabolic disease risk among obese AA women.
Detailed description
A three-phase study will be used to refine and implement an established theory-based culturally relevant physical activity promotion intervention for obese African American women. Phase 1 (Aim 1a) will include formative research where 25 African American women provide feedback (via 9 focus groups) to further refine the physical activity intervention by specifying the deep structure cultural relevance of the theoretical mediators of self-regulation, self-efficacy, social support, behavioral capability, and outcome expectations.5 Phase 2 will focus on technical development of the refined culturally tailored intervention and 1-month demonstration trial of the Smartphone-delivered physical activity promotion program. Phase 3 (Aims 1b and 1c) will test the intervention and delivery strategy in a two-arm randomized trial where 60 sedentary, obese African American women will receive either the 8-month culturally relevant smartphone-delivered physical activity intervention or a 8-month wellness contact control condition
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Physical Activity | Experimental | Behavioral: Physical ActivityA culturally relevant physical activity promotion program delivered using a Smartphone application. |
| Wellness Contact Control | Active comparator | Behavioral: WellnessA wellness contract control condition delivered using a Smartphone application. |
Who may qualify
- Ages
- 24 to 49 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Self-reported African American
- Insufficiently Active ( 60 mins or less of PA per wk measured by Exercise Vital Sign Questionnaire)
- BMI>30
- English speaking and reading
- Own non-Kindle Smartphone iOS 7 or above, or Android 2.3 or above
Key exclusion criteria (4 listed)
- Concurrent participation in another physical activity, nutrition, or weight loss program
- Endorsement of an item on the Physical Activity Readiness Questionnaire (PAR-Q) unless physical note is provided
- Pregnant or plans to become pregnant in next 12 months
- Plans to relocate out of Phoenix area in next 12 months
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Physical ActivityA Smartphone delivered physical activity program | Behavioural | Physical Activity |
| WellnessA Smartphone delivered wellness intervention focused on topics other than physical activity (e.g., skin care, oral health, and breast exams). | Behavioural | Wellness Contact Control |
Primary outcome
Change in physical activity from baseline to 8-months
Time frame: three assessment periods: baseline, 4-months, and 8-months
assessed by ActiGraph accelerometers
Feasibility and acceptability of the Smartphone delivered physical activity program
Time frame: 4-months
Feasibility and acceptability will be assessed by examining recruitment, retention, adherence, self-reported treatment acceptance, and participant utilization of the Smartphone application provided by analytic tracking software.
12 secondary outcomes
change in body mass index (BMI) from baseline to 8-months
Time frame: three assessment periods: baseline, 4-months, and 8-months
change in cardiorespiratory fitness from baseline to 8-months
Time frame: three assessment periods: baseline, 4-months, and 8-months
change in Aortic Pulse Wave Velocity from baseline to 8-months
Time frame: three assessment periods: baseline, 4-months, and 8-months
change in blood pressure from baseline to 8-months
Time frame: three assessment periods: baseline, 4-months, and 8-months
change in total serum cholesterol from baseline to 8-months
Time frame: three assessment periods: baseline, 4-months, and 8-months
change in serum high-density lipoprotein (HDL) from baseline to 8-months
Time frame: three assessment periods: baseline, 4-months, and 8-months
change in serum low-density lipoprotein (LDL) from baseline to 8-months
Time frame: three assessment periods: baseline, 4-months, and 8-months
change in serum triglycerides from baseline to 8-months
Time frame: three assessment periods: baseline, 4-months, and 8-months
change in serum insulin from baseline to 8-months
Time frame: three assessment periods: baseline, 4-months, and 8-months
change in insulin sensitivity from baseline to 8-months
Time frame: three assessment periods: baseline, 4-months, and 8-months
change in tumor necrosis factor alpha from baseline to 8-months
Time frame: three assessment periods: baseline, 4-months, and 8-months
change in Interleukin 1 beta from baseline to 8-months
Time frame: three assessment periods: baseline, 4-months, and 8-months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Jul 2020.
- Derived from this study: PubMed 38375882Metzendorf MI, Wieland LS, Richter B. Mobile health (m-health) smartphone interventions for adolescents and adults with overweight or obesity. Cochrane Database Syst Rev. 2024 Feb 20;2(2):CD013591. doi: 10.1002/14651858.CD013591.pub2.
- Derived from this study: PubMed 35794781Joseph RP, Ainsworth BE, Vega-Lopez S, Adams MA, Todd M, Gaesser GA, Keller C. Cardiometabolic Risk Factors Among Insufficiently Active African American Women With Obesity: Baseline Findings From Smart Walk. J Cardiovasc Nurs. 2023 Mar-Apr 01;38(2):198-204. doi: 10.1097/JCN.0000000000000930. Epub 2022 Jul 5.
- Derived from this study: PubMed 29058603Joseph RP, Ainsworth BE, Mathis L, Hooker SP, Keller C. Incorporating religion and spirituality into the design of community-based physical activity programs for African American women: a qualitative inquiry. BMC Res Notes. 2017 Oct 23;10(1):506. doi: 10.1186/s13104-017-2830-3.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Physical Activity and Wellness in people with Physical Activity, run by Arizona State University at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 8 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in physical activity from baseline to 8-months (time frame: three assessment periods: baseline, 4-months, and 8-months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02823379, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Jul 2020.