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Healthy LifestyleNCT04623489

¡Vivir Mi Vida! Pilot Study

A study testing ¡Vivir Mi Vida! Lifestyle Intervention in people with Healthy Lifestyle, run by University of Southern California at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Rationale: By the year 2050, the number of older adults in the US will more than double. Because older adults are more likely to develop chronic conditions such as cardiovascular disease and arthritis, society is facing a healthcare crisis if effective ways to prevent such diseases is not found. Read more about this study

Who is it for?
Ages 50 to 64 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Lifestyle
What is being tested?
¡Vivir Mi Vida! Lifestyle Intervention
How many people
Not given
Where
1 siteUnited States
Study dates
28 Dec 2015to 19 May 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 50 to 64 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Adults aged at least 50 years at the outset of the four-month intervention and will be no older than 65 years upon completion of the intervention
  • Self-identify as Latino/Hispanic
  • Are fluent in Spanish
  • Live in Antelope Valley and do not plan on moving within six months from the beginning of the study
  • Are enrolled as a patient in the Antelope Valley Community Clinic
  • Have visited his/her primary care healthcare facility within the past year
Show all 9Show fewer
  • Will be available by telephone for the duration of the intervention
  • Are oriented to person, place, and time as tested by asking the person's name, date, age, and place of residence
  • Self-report their ability to participate for the duration of the intervention

Who cannot join

None listed.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Southern California

    Los Angeles, California, 90089-9003

Other trials in United States

About this study

Official title: ¡Vivir Mi Vida!: A Pilot Study of a Lifestyle Intervention to Optimize Health Outcomes in Latino Patients

Rationale: By the year 2050, the number of older adults in the US will more than double. Because older adults are more likely to develop chronic conditions such as cardiovascular disease and arthritis, society is facing a healthcare crisis if effective ways to prevent such diseases is not found. This is especially urgent for Latinos because they are the nation's fastest growing ethnic group and they are in many cases at greater risk for chronic disease. Objectives: ln this proposed pilot project, the goal is to understand if a lifestyle intervention - iVivir Mi Vida! (iVMV!) - is feasible, acceptable, and shows preliminary promise in helping late middle-aged Latinos experience better health. The investigators will accomplish this goal by pilot testing the implementation of iVMV! in collaboration with community health service partners in Antelope Valley. Methods: ln this study, 40 patients, aged 50-65 years who are enrolled in Antelope Valley health centers will receive the iVMV! lifestyle-based health program. This program lasts four months and will be delivered by promotores (respected lay heath workers from the Latino community). Intervening promotores will be supervised by an occupational therapist and a senior promotora. Within the program, patients will participate in small group sessions at their local community healthcare facilities and will also receive numerous visits from the promotores in their homes. The program will involve weekly sessions in which the participants will be taught how to practice healthy lifestyle choices, such as exercising, eating healthy food, and reducing stress. Initially and at the end of the four-month program, the investigators will measure health outcomes such as self-rated quality of life, diet and exercise, cholesterol and glucose levels, blood pressure, and weight. The investigators will also ask participants, promotores, and other research staff about their overall experiences during the study so that the investigators can improve our program for the future. Mixed-methods procedures will be used to analyze qualitative data (e.g., interview transcripts) and quantitative data (e.g., pre-post intervention health outcomes and 12-month follow-up). Anticipated lmpact: The study will provide critical information about the feasibility and acceptability and preliminary data on the health impact of the iVMV! intervention on late middle-aged Latino adults who are at risk for disease. Information collected from this study will inform the design of a larger-scale implementation study.

Being tested
¡Vivir Mi Vida! Lifestyle Intervention

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ¡Vivir Mi Vida! Lifestyle InterventionBehavioural

    Also called VMV

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baseline to 4 months on the Measure Yourself Medical Outcome Profile (MYMOP2)

    Comprised of an overall profile score and four symptom/well-being subscales. Individuals identified one to two currently bothersome symptoms. They rated each symptom's severity and how much it interfered with daily activities. They also rated their overall well-being.

    MYMOP Profile Scores can be calculated as a mean of the ratings. These have values between 0 and 6; the higher the score, the worse the outcome. A decrease in scores is considered improvement.

    Measured: 4 months

  2. Change from baseline to 16 months on the Measure Yourself Medical Outcome Profile (MYMOP2)

    Comprised of an overall profile score and four symptom/well-being subscales. Individuals identified one to two currently bothersome symptoms. They rated each symptom's severity and how much it interfered with daily activities. They also rated their overall well-being.

    MYMOP Profile Scores can be calculated as a mean of the ratings. These have values between 0 and 6; the higher the score, the worse the outcome. A decrease in scores is considered improvement.

    Measured: 16 months

  3. Change from 4 months to 16 months on the Measure Yourself Medical Outcome Profile (MYMOP2)

    Comprised of an overall profile score and four symptom/well-being subscales. Individuals identified one to two currently bothersome symptoms. They rated each symptom's severity and how much it interfered with daily activities. They also rated their overall well-being.

    MYMOP Profile Scores can be calculated as a mean of the ratings. These have values between 0 and 6; the higher the score, the worse the outcome. A decrease in scores is considered improvement.

    Measured: 16 months

Secondary outcomes (32)
  1. Change from baseline to 4 months on the PROMIS Satisfaction with Participation in Social Roles - Short Form 7a

    Satisfaction with performing usual social roles and activities

    Measured: 4 months

  2. Change from baseline to 16 months on the PROMIS Satisfaction with Participation in Social Roles - Short Form 7a

    Satisfaction with performing usual social roles and activities

    Measured: 16 months

  3. Change from 4 months to 16 months on the PROMIS Satisfaction with Participation in Social Roles - Short Form 7a

    Satisfaction with performing usual social roles and activities

    Measured: 16 months

  4. Change from baseline to 4 months on the Pittsburgh sleep quality index (PSQI)

    Global sleep quality, sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbance, use of sleeping medications, and daytime dysfunction.

    The 19 self-rated items are combined to form seven component scores, each of which has a range of 0-3 points. In all cases, a score of 0 indicates no difficulty, whereas a score of 3 indicates severe difficulty. The seven component scores are then added to yield one global score, with a range of 0-21 points, 0 indicating no difficulty and 21 indicating severe difficulties in all areas.

    Measured: 4 months

  5. Change from baseline to 16 months on the Pittsburgh sleep quality index (PSQI)

    Global sleep quality, sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbance, use of sleeping medications, and daytime dysfunction.

    The 19 self-rated items are combined to form seven component scores, each of which has a range of 0-3 points. In all cases, a score of 0 indicates no difficulty, whereas a score of 3 indicates severe difficulty. The seven component scores are then added to yield one global score, with a range of 0-21 points, 0 indicating no difficulty and 21 indicating severe difficulties in all areas.

    Measured: 16 months

  6. Change from 4 months to 16 months on the Pittsburgh sleep quality index (PSQI)

    Global sleep quality, sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbance, use of sleeping medications, and daytime dysfunction.

    The 19 self-rated items are combined to form seven component scores, each of which has a range of 0-3 points. In all cases, a score of 0 indicates no difficulty, whereas a score of 3 indicates severe difficulty. The seven component scores are then added to yield one global score, with a range of 0-21 points, 0 indicating no difficulty and 21 indicating severe difficulties in all areas.

    Measured: 16 months

  7. Change from baseline to 4 months on the Single item stress index

    General level of stress 'these days' The response was recorded on a 5-point Likert scale varying from 1 "not at all" to 5 "very much." Higher score is worse stress.

    Measured: 4 months

  8. Change from baseline to 16 months on the Single item stress index

    General level of stress 'these days' The response was recorded on a 5-point Likert scale varying from 1 "not at all" to 5 "very much." Higher score is worse stress.

    Measured: 16 months

  9. Change from 4 months to 16 months on the Single item stress index

    General level of stress 'these days' The response was recorded on a 5-point Likert scale varying from 1 "not at all" to 5 "very much." Higher score is worse stress.

    Measured: 16 months

  10. Change from baseline to 4 months on the International Physical Activity Questionnaires (IPAQ)

    Vigorous activity, moderate activity, walking, and time spent sitting.

    There are two forms of output from scoring the IPAQ. Results can be reported in categories (low activity levels, moderate activity levels or high activity levels) or as a continuous variable (MET minutes a week). MET minutes represent the amount of energy expended carrying out physical activity. Higher activity levels or more MET minutes per week equates to more physical activity.

    Measured: 4 months

  11. Change from baseline to 16 months on the International Physical Activity Questionnaires (IPAQ)

    Vigorous activity, moderate activity, walking, and time spent sitting.

    There are two forms of output from scoring the IPAQ. Results can be reported in categories (low activity levels, moderate activity levels or high activity levels) or as a continuous variable (MET minutes a week). MET minutes represent the amount of energy expended carrying out physical activity. Higher activity levels or more MET minutes per week equates to more physical activity.

    Measured: 16 months

  12. Change from 4 months to 16 months on the International Physical Activity Questionnaires (IPAQ)

    Vigorous activity, moderate activity, walking, and time spent sitting.

    There are two forms of output from scoring the IPAQ. Results can be reported in categories (low activity levels, moderate activity levels or high activity levels) or as a continuous variable (MET minutes a week). MET minutes represent the amount of energy expended carrying out physical activity. Higher activity levels or more MET minutes per week equates to more physical activity.

    Measured: 16 months

  13. Change from baseline to 4 months on the Charlson comorbidity index

    Comorbidity status calculated from from electronic medical record diagnoses. 19 possible conditions as identified in Charlson 1987.

    A weighted index of scores takes into account the presence vs absence of a disease and the seriousness of such disease. Conditions Scores range from 0-37 and depend on how many of the 19 possible conditions the person has and the seriousness of those conditions. Lower scores represent fewer or no comorbidities.

    Measured: 4 months

  14. Change from baseline to 16 months on the Charlson comorbidity index

    Comorbidity status calculated from from electronic medical record diagnoses

    Measured: 16 months

  15. Change from 4 months to 16 months on the Charlson comorbidity index

    Comorbidity status calculated from from electronic medical record diagnoses

    Measured: 16 months

  16. Change from baseline to 4 months on Hemoglobin A1c

    Non-fasting Hemoglobin A1c, measured by the Afinion meter (Alere, Inc., Waltham, MA, USA)

    Measured: 4 months

  17. Change from baseline to 16 months on Hemoglobin A1c

    Non-fasting Hemoglobin A1c, measured by the Afinion meter (Alere, Inc., Waltham, MA, USA) among participants with diabetes.

    Measured: 16 months

  18. Change from 4 months to 16 months on Hemoglobin A1c

    Non-fasting Hemoglobin A1c, measured by the Afinion meter (Alere, Inc., Waltham, MA, USA) among participants with diabetes.

    Measured: 16 months

  19. Change from baseline to 4 months on Lipid profile (Triglycerides, HDL, LDL, Total)

    Non-fasting lipid profile measured by Cholestech meter (Alere, Inc.)

    Measured: 4 months

  20. Change from baseline to 4 months on systolic/diastolic blood pressure

    Seated and resting blood pressure

    Measured: 4 months

  21. Change from 4 months to 16 months on systolic/diastolic blood pressure

    Seated and resting blood pressure

    Measured: 16 months

  22. Change from baseline to 16 months on systolic/diastolic blood pressure

    Seated and resting blood pressure

    Measured: 16 months

  23. Change from baseline to 4 months on Coronary heart disease risk

    Calculated from Framingham risk score LDL points total. Coronary heart disease risk scores are the 10-year congenital heart disease risk. Individuals with low risk have 10% or less CHD risk at 10 years, with intermediate risk 10-20%, and with high risk 20% or more.

    Measured: 4 months

  24. Change from baseline to 16 months on Coronary heart disease risk

    Calculated from Framingham risk score LDL points total. Coronary heart disease risk scores are the 10-year congenital heart disease risk. Individuals with low risk have 10% or less CHD risk at 10 years, with intermediate risk 10-20%, and with high risk 20% or more.

    Measured: 16 months

  25. Change from 4 months to 16 months on Coronary heart disease risk

    Calculated from Framingham risk score LDL points total. Coronary heart disease risk scores are the 10-year congenital heart disease risk. Individuals with low risk have 10% or less CHD risk at 10 years, with intermediate risk 10-20%, and with high risk 20% or more.

    Measured: 16 months

  26. Change from baseline to 4 months on diabetes risk

    Calculated from European prospective investigation into cancer and nutrition (EPIC) diabetes risk score. Diabetes risk scores of 534-585 and 586-657 are associated with 3.0-4.9% and 5.0-9.9% incidence of diabetes within five years, respectively.

    Measured: 4 months

  27. Change from baseline to 16 months on diabetes risk

    Calculated from European prospective investigation into cancer and nutrition (EPIC) diabetes risk score. Diabetes risk scores of 534-585 and 586-657 are associated with 3.0-4.9% and 5.0-9.9% incidence of diabetes within five years, respectively.

    Measured: 16 months

  28. Change from 4 months to 16 months on diabetes risk

    Calculated from European prospective investigation into cancer and nutrition (EPIC) diabetes risk score. Diabetes risk scores of 534-585 and 586-657 are associated with 3.0-4.9% and 5.0-9.9% incidence of diabetes within five years, respectively.

    Measured: 4 months

  29. Change from baseline to 4 months on dietary intake based on Block 2005 food frequency questionnaire Spanish version

    Usual and customary intake of a wide array of nutrients and food groups Dietary intake of sugar (g), sodium (mg), saturated fat (g), vegetables (servings), and fruit (servings) was reported. Generally, higher intake of sugar, sodium, and saturated fat and lower fruit/vegetable intake is associated with poor dietary intake patterns.

    Measured: 4 months

  30. Change from 4 months to 16 months on patient activation measured using Patient Activation Measure 13

    One's knowledge of, skills in, and confidence in health self-management.

    PAM 13 scores can theoretically range from 0-100. Higher PAM scores are related to more desirable outcome.

    Measured: 16 months

  31. Pain measured using Brief Pain Inventory short form

    Pain is comprised of a severity and interference subscore. The severity subscale measures amount of pain a person has experienced at its "worst," "least," and "average" levels, as well as present pain. The interference subscale assesses how much a person's pain interferes with everyday life.

    Measured: 16 months

  32. Heart healthy behaviors measured using the My Habits questionnaire

    Measure of heart healthy behaviors within 3 subscales: salt intake, fat and cholesterol consumption, and weight control behaviors. A 4-point Likert scale (1=never, 4=always) is used to answer "How often have you done the following over the past month?" Responses are summed and averaged for each subscale; higher scores represent healthier habits.

    Measured: 16 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Nov 2020
  2. Study start28 Dec 2015
  3. Primary completion16 Aug 2017
  4. Study completion19 May 2020

Resources

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
Masking
None (open label)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04623489
Sponsor's protocol ID
HS-14-00725
Status last verified
Nov 2020
First submitted
29 Oct 2020
Last updated
12 Nov 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: No plans were made to share data publicly as this was not a government-funded study.

Publications

  • Schepens Niemiec SL, Blanchard J, Vigen CLP, Martinez J, Guzman L, Concha A, Fluke M, Carlson M. Evaluation of inverted exclamation markVivir Mi Vida! to improve health and wellness of rural-dwelling, late middle-aged Latino adults: results of a feasibility and pilot study of a lifestyle intervention. Prim Health Care Res Dev. 2018 Sep;19(5):448-463. doi: 10.1017/S1463423617000901. Epub 2018 May 6.

    PubMed 29729677
  • Schepens Niemiec SL, Blanchard J, Vigen CLP, Martinez J, Guzman L, Fluke M, Carlson M. A Pilot Study of the inverted exclamation markVivir Mi Vida! Lifestyle Intervention for Rural-Dwelling, Late-Midlife Latinos: Study Design and Protocol. OTJR (Thorofare N J). 2019 Jan;39(1):5-13. doi: 10.1177/1539449218762728. Epub 2018 Mar 7.

    PubMed 29514544
  • Schepens Niemiec SL, Vigen CLP, Martinez J, Blanchard J, Carlson M. Long-Term Follow-Up of a Lifestyle Intervention for Late-Midlife, Rural-Dwelling Latinos in Primary Care. Am J Occup Ther. 2021 Mar-Apr;75(2):7502205020p1-7502205020p11. doi: 10.5014/ajot.2021.042861.

    PubMed 33657344

Questions about this trial

What is this clinical trial studying?

A study testing ¡Vivir Mi Vida! Lifestyle Intervention in people with Healthy Lifestyle, run by University of Southern California 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 9 inclusion and 0 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 12 Nov 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 from baseline to 4 months on the Measure Yourself Medical Outcome Profile (MYMOP2) (time frame: 4 months). The study lists 3 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 NCT04623489, 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 12 Nov 2020.

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