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Type 2 DiabetesNCT06590649

Household Participants

A study testing Household-level effects in people with Type 2 Diabetes and Hypertension, run by University of Hawaii at 2 sites in United States.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Native Hawaiians' traditional lifestyles and diets ensured the mutual health and well-being of the land and its inhabitants, which stand in stark contrast to the disproportionately high prevalence of diet-related, cardiometabolic diseases they experience today. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Type 2 Diabetes, Hypertension, Dyslipidemias
What is being tested?
Household-level effects
Could I receive a placebo?
No, everyone receives an active treatment
How many people
168 participants
Where
2 sitesUnited States
Study dates
Oct 2024to Nov 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Current resident of the household in which an index participant lives
  • Willing to complete data collection protocols
  • Fluent in written and spoken English

Who cannot join

  • -

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Claire Ing, DrPH contact

8086921042

clairemt@hawaii.edu

United States2 sites
  • Kula no nā Po'e Hawai'i

    Honolulu, Hawaii, 96813

  • Kapolei Community Development Corporation

    Kapolei, Hawaii, 96707

Other trials in United States

About this study

Official title: PILI 'Āina 2 Household Participants

Native Hawaiians' traditional lifestyles and diets ensured the mutual health and well-being of the land and its inhabitants, which stand in stark contrast to the disproportionately high prevalence of diet-related, cardiometabolic diseases they experience today. In this project, the investigators will adapt and test an evidence-based multilevel intervention entitled PILI 'Āina to improve the self-management of prevalent cardiometabolic diseases and reduce risk factors for developing new diet-related illnesses and implement and evaluate the impact and sustainability of community-wide cooking demonstrations. The objectives of this project are to optimize the effectiveness and sustainability of PILI 'Āina, improve diet quality, cardiometabolic markers, promote traditional Native Hawaiian diets, and improve social cohesion.

Read the detailed description

The investigators will conduct a group-randomized controlled trial to test the effectiveness of PILI Aina for improving diet and health at the individual and household levels compared to a Diabetes Prevention Program Lifestyle Intervention only group. The investigators will enroll 180 Native Hawaiian adults with overweight or obesity and at least 1 other diet-related cardiometabolic condition (Type 2 diabetes, pre-diabetes, hypertension, pre-hypertension, dyslipidemia). These index participants will receive the 3-month educational program and then be randomized at the household level to the 6-month PILI Aina intervention or to a control group. Data collection will occur at baseline and 3, 9, and 12 months. Other adult household members will be invited to participate in data collection at the same time to evaluate household-level effects.

Being tested
Household-level effects
Medical subject headings
Diabetes Mellitus, Type 2, Hypertension, Dyslipidemias, Overweight, Obesity

What participants receive

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

  • Household-level effectsBehavioural

    Also called PILI 'Aina 2

    At 3 months, participants randomized to the PILI 'Āina intervention will receive a 6-month intervention centered around the use of a raised-bed home garden as the means of engaging household members to 1) increase their access to and intake of vegetables, 2) learn culturally relevant ways of preparing/cooking fresh vegetables through hands-on cooking lessons with local experts, and 3) build family cohesion through family bonding activities. Participants will be given all the equipment and materials (e.g., soil, seeds, instructions, setup of equipment) needed to grow their vegetables using their raised-bed home garden box throughout the entire study. They will receive seeds for the vegetables that can grow in a relatively short period (i.e., within 6 weeks). The household participants will be analyzed side by side with the index participants.

Study groups in NCT06590649
Study groupRoleWhat they receive
Household ParticipantsExperimentalThe household participants will be analyzed alongside the index participants to determine household-level effects from the intervention. Household participants must live in an index participant's household. Index participants are allowed to have up to 3 household participants.
Receives: Behavioral: Household-level effects

What is being measured

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

  1. Household Food Patterns

    Household food patterns will be measured by 4 questions that assess the frequency of meal planning, eating meals with household members, bringing prepared restaurant foods home, and preparing meals with household members. The responses and scores range from 1- 1 day, 2- 2-3 days, 3- 4-5 days, 4- 6 days, 5- 7 days. Higher scores indicate greater household food patterns.

    Measured: Month 3, Month 9, Month 12

  2. Food insecurity

    Food insecurity will be measured by the 10-item Household Food Security Survey Module, which captures the qualitative and quantitative dimensions of household food supply, including psychological and behavioral responses of household members, and generates a binary indicator of food insecurity at the household level. The responses and scores range from 1-often true, 2-sometimes true, 3-never true. Higher scores indicate low food insecurity.

    Measured: Month 3, Month 9, Month 12

  3. Nutrition Environment

    The perceived 9-item nutrition environment will be measured by the Gustafson Perceived Nutrition Environment Measures questionnaire, which examines perceived access and availability of healthy foods within ~1 mile of the participant's home, and the availability and affordability of produce in the participant's primary food store. The responses and scores vary depending on the question including 0- disagree, 1-agree, and 0-not important, 1-slightly important, 2-moderately important, 3- important, 4-very important. Higher scores indicate higher perceived access and availability of food.

    Measured: Month 3, Month 9, Month 12

  4. Physical Activity

    The 3-item Physical Activity Questionnaire, which has been used with Native Hawaiians, will assess exercise frequency during the past month. It contains 3 items that assess moderate and vigorous exercise and changes in activity levels. The responses and scores vary depending on the question, including 0- rarely or never, 1- 2-3 times over the month, 2- about once a week, 3- 2-4 times a week, 4- more than 4 times a week. Higher scores indicate greater physical activity.

    Measured: Month 3, Month 9, Month 12

Secondary outcomes (11)
  1. Demographic Data- Date of Birth

    Date of birth:

    • Month
    • Day
    • Year

    Measured: Baseline

  2. Demographic Data- Biological Sex

    Biological Sex:

    • Female
    • Male

    Measured: Baseline

  3. Demographic Data- Marital status

    Marital Status:

    • Never married
    • Currently married
    • Divorced or separated
    • Widow/widower
    • Domestic partnership/other

    Measured: Baseline

  4. Demographic Data- Employment

    Employment:

    • Full time
    • Part-time
    • Unemployed
    • Self-employed
    • Retired
    • Unable to work/other
    • Household caretaker

    Measured: Baseline

  5. Demographic Data- Education

    Education:

    • Less than high school
    • High school diploma/General Education Diploma (GED)
    • Some college/technical training
    • College degree
    • Graduate/professional degree

    Measured: Baseline

  6. Demographic Data- Ethic Ancestry

    Ethnic Ancestry:

    • Caucasian
    • Chinese
    • Filipino
    • Hawaiian
    • Latino
    • Japanese
    • Korean
    • Marshallese
    • Micronesian (specify)
    • Native American
    • Portuguese
    • Samoan
    • Other (specify)

    Measured: Baseline

  7. Demographic Data- Household income

    Household Income:

    • Under $49,999
    • $50,000-$74,999
    • $75,000-$99,999
    • $100,000-$124,999
    • Over $125,000

    Household income will be classified according to the US Census Bureau's poverty threshold by using a dichotomous variable. Participation in public assistance programs (e.g., Temporary Assistance for Needy Families, Supplemental Nutrition Assistance Program) will also be recorded.

    Measured: Baseline

  8. Demographic Data- Household Composition

    Household Composition:

    1. Who lives in your house full-time? (50% or more time spent in-house)
    • Parents
    • Children
    • Grandparents/great-grandparents
    • Other family members
    1. Of those people, what are their ages and genders?
    • Male: 17 years and under, 18-29 yrs, 30-39 yrs, 40-39 yrs, 50-59 yrs, 60+ yrs
    • Female: 17 years and under, 18-29 yrs, 30-39 yrs, 40-39 yrs, 50-59 yrs, 60+ yrs
    • Number of other/non-binary: 17 years and under, 18-29 yrs, 30-39 yrs, 40-39 yrs, 50-59 yrs, 60+ yrs

    Measured: Baseline

  9. Smoking/alcohol

    Tobacco and alcohol use will be measured by using a measure developed by Dr. Kaholokula for PILI 'Ohana.

    Measured: Month 3, Month 9, Month 12

  10. Neighborhood environment

    Neighborhood environment will be measured by the 17-item modified Neighborhood Level Stressors Scale, which assesses participants' perceptions of 4 neighborhood dimensions (i.e., walkability, availability of healthy food, safety, and social cohesion). The responses and scores range from 1-strongly disagree, 2-somewhat disagree, 3- neutral, 4-somewhat agree, 5-strongly agree. Higher scores indicate low neighborhood level stressors.

    Measured: Month 3, Month 9, Month 12

  11. Comorbidities

    Existing comorbidities will be measured as whether the participant has ever been told by a healthcare professional that they have had a heart attack, heart failure, stroke, or chronic kidney disease.

    Measured: Month 3, Month 9, Month 12

Timeline

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

  1. First posted19 Sep 2024
  2. Study startOct 2024 (estimated)
  3. Primary completionNov 2027 (estimated)
  4. Study completionNov 2027 (estimated)

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
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
168 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06590649
Sponsor's protocol ID
PILI 'Āina 2 Household Members
Other IDs
R01HL168858
Status last verified
Sep 2024
First submitted
30 Jul 2024
Last updated
19 Sep 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Household-level effects in people with Type 2 Diabetes and Hypertension, run by University of Hawaii at 2 sites 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 3 inclusion and 1 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: opening soon, as of the sponsor's last update on 19 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Claire Ing, DrPH (8086921042, clairemt@hawaii.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Household Food Patterns (time frame: Month 3, Month 9, Month 12). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 19 Sep 2024.

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