Environmental ExposureMEETNCT07461857
Minority-focused Environmental Health Education and Tracking Pilot Study
A study testing Education curriculum in people with Environmental Exposure, run by Million Marker Wellness, Inc. at 1 site in United States.
Trial summary
The goal of this study is identify educational material related to EDC exposures that is culturally appropriate for the black community and test the usability of the material. The main questions this study aims to answer are: 1. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Environmental Exposure
- What is being tested?
- Education curriculum
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 151 participants
- Where
- 1 siteUnited States
- Study dates
- 1 Sep 2025to 20 Feb 2026
- 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 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Identify as black
- Have access to a smartphone or computer
Who cannot join
- Do not identify as black
- Do not have access to a smartphone or computer
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Minority-focused Environmental Health Education and Tracking (MEET) Pilot Study
The goal of this study is identify educational material related to EDC exposures that is culturally appropriate for the black community and test the usability of the material. The main questions this study aims to answer are:
- identify problematic lifestyle behaviors and products in a minority population that may contribute to harmful exposures and subsequently determine the most effective and sustainable lifestyle recommendations to reduce exposures;
- develop culturally appropriate educational EDC EHL materials by collaborating with community groups and adapting from Million Marker's existing extensive online educational resources and recommendations;
- integrate developed educational materials and targeted recommendations in existing Million Marker platform and test the usability of the material using a cohort of 100 black community members.
Read the detailed description
Integrate and test the usability of MEET. Use design iteration process to integrate developed educational materials and targeted recommendations in existing Million Marker platform and test the usability of the material using a cohort of 100 black community members.
The education material and recommendations developed for this project updates/adds on to the current Million Marker educational platform. This updated platform, MEET will incorporate culturally-sensitive feedback for an African American population. MEET will utilize a friendly user interface, and multiple options for engagement and incorporation of science translation/education.
The investigators will use eligibility criteria to recruit additional study participants that are: a) aged 18 and older; b) able to understand written and spoken English; c) owning a smartphone; and d) willing to complete all study assessments. Recruitment will be assisted by BCI's community advisory board. Again, investigators will utilize existing BCI's network, mailing lists and social media promotion to recruit potential participants. The investigators expect to enroll approximately 50% women and 100% African American.
The feasibility and usability testing will be conducted virtually. Recruited and consented community members (n=100) will use the platform for 4 weeks. Pre and post surveys will completed at the beginning and after 4 weeks. Surveys will cover environmental health and internet literacy, health app use, readiness to change and perceived identity, product use and breast cancer risk. The survey results will identify gaps in user perception and awareness to inform our education and marketing strategies. The investigators hypothesize that participants' environmental health literacy, attitudes, knowledge and behaviors will change after using MEET and receiving their personalized recommendations. The changes in participants' behaviors will be compared and assessed by examining the changes in lifestyle behaviors and product use, which will be captured through participants' exposure journals. The investigators expect to see a reduction in using EDC containing products, touching receipts, using less plastics, etc. Participants will also fill out an adapted System Usability Score (SUS)79 to assess users' perception of usability of the platform. The investigators expect to obtain high SUS scores, and will address any deficiencies based on SUS results and user feedback. Follow up surveys will be compared in order to assess trends over time, and begin to incorporate user feedback and behavior into the platform. Information collected will also inform our Phase II grant and future research studies.
The investigators will assess changes in participants' environmental health literacy, attitudes, knowledge, and behaviors after using MEET. Summary statistics will be generated on participants' responses. Changes will be calculated based on paired values of individual responses. The investigators will analyze percentage changes by individual responses as well as response categories (attitude, knowledge and behaviors). A Chi-square goodness of fit test will be used for pre-post comparisons. For pre-post category comparisons within individual participants, the Wilcoxon rank-sum test will be used to compare the differences.
The expected sample size of 100 will provide sufficient power to detect a difference in participant behaviors and attitudes at baseline (before using MEET) and after using MEET.
- Conditions
- Environmental Exposure
- Being tested
- Education curriculum
- Keywords
- bisphenols, parabens, phthalates, endocrine disrupting chemicals, EDCs
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Education curriculumBehavioural
A self-directed online interactive curriculum of EDC material, with access to live coaches and an online forum.
| Study group | Role | What they receive |
|---|---|---|
| Black Community Participants | Experimental | Members of the black community Receives: Behavioral: Education curriculum |
What is being measured
The primary outcome is the main question the study is designed to answer.
Changes in Endocrine Disrupting Chemical - Environmental Health Literacy (EDC-EHL) after the intervention.
This surveys assesses EDC-specific environmental health literacy, based on questions in a 5-point Likert scale from 1 (strongly agree) to 5 (strongly disagree) or 1 (never) to 5 (always). Responses will be reverse coded during analysis as needed so that higher numbers reflect positive outcomes (higher EDC-EHL).
Measured: Measured before the intervention, after the intervention (1 months after baseline), and at follow-up (1 months after the intervention)
Changes in 'Readiness to Change' to reduce risky behaviors after the intervention.
The Readiness to Change question asks participants to choose the response (sentence) that most accurately describes their current efforts and interest in limiting their exposure to harmful chemicals. Responses will be coded from 1 to 5 with 5 reflecting greater readiness to reduce risky behaviors.
Measured: Measured before the intervention, after the intervention (1 months after baseline), and at follow-up (1 months after the intervention)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Mar 2026
- Study start1 Sep 2025
- Primary completion20 Feb 2026
- Study completion20 Feb 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (64)Papers the sponsor has linked to this study.
- Other trials for Environmental ExposureStudies of the same condition, open and under way.
- 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 151 participants (actual)
Sponsor and investigators
- Lead sponsor
- Million Marker Wellness, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- National Institute on Minority Health and Health Disparities (NIMHD)
- Responsible party
- Principal investigator, Jenna Hua, Million Marker Wellness, Inc.
- Investigators
- Jayne Foley, MPPM, MPH, Study director, Million Marker Wellness
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07461857
- Sponsor's protocol ID
- 20252771
- Other IDs
- 1R43MD018950-01A1
- Acronym
- MEET
- Status last verified
- May 2026
- First submitted
- 2 Dec 2025
- Last updated
- 18 May 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes
Publications
U.S. Department of Health and Human Services. System Usability Scale (SUS)
Dugas M, Gao GG, Agarwal R. Unpacking mHealth interventions: A systematic review of behavior change techniques used in randomized controlled trials assessing mHealth effectiveness. Digit Health. 2020 Feb 20;6:2055207620905411. doi: 10.1177/2055207620905411. eCollection 2020 Jan-Dec.
PubMed 32128233Ajzen, I. The theory of planned behavior. Organ. Behav. Hum. Decis. Process. 50, 179-211 (1991).
Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000 Jan;55(1):68-78. doi: 10.1037//0003-066x.55.1.68.
PubMed 11392867Smoktunowicz E, Cieslak R, Demerouti E. Interrole conflict and self-efficacy to manage work and family demands mediate the relationships of job and family demands with stress in the job and family domains. Anxiety Stress Coping. 2017 Sep;30(5):485-497. doi: 10.1080/10615806.2017.1329932. Epub 2017 Jun 2.
PubMed 28573888Lepper, M. R., Master, A. & Yow, W. Q. Intrinsic motivation in education. in Advances in motivation and achievement (eds. Maehr, M. L., Karabenick, S. A. & Urdan, T. C.) vol. 15: social psychological perspectives 521-55 (Bingley, 2008).
Klasnja P, Consolvo S, McDonald DW, Landay JA, Pratt W. Using mobile & personal sensing technologies to support health behavior change in everyday life: lessons learned. AMIA Annu Symp Proc. 2009 Nov 14;2009:338-42.
PubMed 20351876Michie S, Abraham C, Whittington C, McAteer J, Gupta S. Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol. 2009 Nov;28(6):690-701. doi: 10.1037/a0016136.
PubMed 19916637Locke EA, Latham GP. Building a practically useful theory of goal setting and task motivation. A 35-year odyssey. Am Psychol. 2002 Sep;57(9):705-17. doi: 10.1037//0003-066x.57.9.705.
PubMed 12237980Oksas C, Brody JG, Brown P, Boronow KE, DeMicco E, Charlesworth A, Juarez M, Geiger S, Schantz SL, Woodruff TJ, Morello-Frosch R, Padula AM; program collaborators for Environmental influences on Child Health Outcomes. Perspectives of peripartum people on opportunities for personal and collective action to reduce exposure to everyday chemicals: Focus groups to inform exposure report-back. Environ Res. 2022 Sep;212(Pt A):113173. doi: 10.1016/j.envres.2022.113173. Epub 2022 Mar 26.
PubMed 35351450Claudio L, Gilmore J, Roy M, Brenner B. Communicating environmental exposure results and health information in a community-based participatory research study. BMC Public Health. 2018 Jun 25;18(1):784. doi: 10.1186/s12889-018-5721-1.
PubMed 29940915Ghannadi S, Amouzegar A, Amiri P, Karbalaeifar R, Tahmasebinejad Z, Kazempour-Ardebili S. Evaluating the Effect of Knowledge, Attitude, and Practice on Self-Management in Type 2 Diabetic Patients on Dialysis. J Diabetes Res. 2016;2016:3730875. doi: 10.1155/2016/3730875. Epub 2016 Jul 10.
PubMed 27478845Rouillon S, El Ouazzani H, Hardouin JB, Enjalbert L, Rabouan S, Migeot V, Albouy-Llaty M. How to Educate Pregnant Women about Endocrine Disruptors? Int J Environ Res Public Health. 2020 Mar 24;17(6):2156. doi: 10.3390/ijerph17062156.
PubMed 32213890Wang R, Yang Y, Chen R, Kan H, Wu J, Wang K, Maddock JE, Lu Y. Knowledge, attitudes, and practices (KAP) of the relationship between air pollution and children's respiratory health in Shanghai, China. Int J Environ Res Public Health. 2015 Feb 5;12(2):1834-48. doi: 10.3390/ijerph120201834.
PubMed 25664694Spring Nutrition. The KAP Survey Model (Knowledge, Attitudes, and Practices). https://www.spring-nutrition.org/publications/tool-summaries/kap-survey-model-knowledge-attitudes-and-practices (2011).
Study at a glance
From the registry record, last updated by the sponsor on 18 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Minority-focused Environmental Health Education and Tracking (MEET) Pilot Study
- ClinicalTrials.gov ID
- NCT07461857
- Acronym / sponsor ID
- MEET / 20252771
- Conditions
- Environmental Exposure
- Keywords
- bisphenols, parabens, phthalates, endocrine disrupting chemicals, EDCs
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 151 participants (actual)
- Lead sponsor
- Million Marker Wellness, Inc.Industry (pharma, biotech, devices)
- Collaborators
- National Institute on Minority Health and Health Disparities (NIMHD)
- Study start
- 1 Sep 2025 (actual)
- Primary completion
- 20 Feb 2026 (actual)
- Study completion
- 20 Feb 2026 (actual)
- First posted
- 10 Mar 2026 (actual)
- 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 goal of this study is identify educational material related to EDC exposures that is culturally appropriate for the black community and test the usability of the material. The main questions this study aims to answer are:
- identify problematic lifestyle behaviors and products in a minority population that may contribute to harmful exposures and subsequently determine the most effective and sustainable lifestyle recommendations to reduce exposures;
- develop culturally appropriate educational EDC EHL materials by collaborating with community groups and adapting from Million Marker's existing extensive online educational resources and recommendations;
- integrate developed educational materials and targeted recommendations in existing Million Marker platform and test the usability of the material using a cohort of 100 black community members.
Detailed description
Integrate and test the usability of MEET. Use design iteration process to integrate developed educational materials and targeted recommendations in existing Million Marker platform and test the usability of the material using a cohort of 100 black community members.
The education material and recommendations developed for this project updates/adds on to the current Million Marker educational platform. This updated platform, MEET will incorporate culturally-sensitive feedback for an African American population. MEET will utilize a friendly user interface, and multiple options for engagement and incorporation of science translation/education.
The investigators will use eligibility criteria to recruit additional study participants that are: a) aged 18 and older; b) able to understand written and spoken English; c) owning a smartphone; and d) willing to complete all study assessments. Recruitment will be assisted by BCI's community advisory board. Again, investigators will utilize existing BCI's network, mailing lists and social media promotion to recruit potential participants. The investigators expect to enroll approximately 50% women and 100% African American.
The feasibility and usability testing will be conducted virtually. Recruited and consented community members (n=100) will use the platform for 4 weeks. Pre and post surveys will completed at the beginning and after 4 weeks. Surveys will cover environmental health and internet literacy, health app use, readiness to change and perceived identity, product use and breast cancer risk. The survey results will identify gaps in user perception and awareness to inform our education and marketing strategies. The investigators hypothesize that participants' environmental health literacy, attitudes, knowledge and behaviors will change after using MEET and receiving their personalized recommendations. The changes in participants' behaviors will be compared and assessed by examining the changes in lifestyle behaviors and product use, which will be captured through participants' exposure journals. The investigators expect to see a reduction in using EDC containing products, touching receipts, using less plastics, etc. Participants will also fill out an adapted System Usability Score (SUS)79 to assess users' perception of usability of the platform. The investigators expect to obtain high SUS scores, and will address any deficiencies based on SUS results and user feedback. Follow up surveys will be compared in order to assess trends over time, and begin to incorporate user feedback and behavior into the platform. Information collected will also inform our Phase II grant and future research studies.
The investigators will assess changes in participants' environmental health literacy, attitudes, knowledge, and behaviors after using MEET. Summary statistics will be generated on participants' responses. Changes will be calculated based on paired values of individual responses. The investigators will analyze percentage changes by individual responses as well as response categories (attitude, knowledge and behaviors). A Chi-square goodness of fit test will be used for pre-post comparisons. For pre-post category comparisons within individual participants, the Wilcoxon rank-sum test will be used to compare the differences.
The expected sample size of 100 will provide sufficient power to detect a difference in participant behaviors and attitudes at baseline (before using MEET) and after using MEET.
Study design
- Primary purpose
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Black Community Participants | Experimental | Behavioral: Education curriculumMembers of the black community |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Identify as black
- Have access to a smartphone or computer
Key exclusion criteria (2 listed)
- Do not identify as black
- Do not have access to a smartphone or computer
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 |
|---|---|---|
| Education curriculumA self-directed online interactive curriculum of EDC material, with access to live coaches and an online forum. | Behavioural | Black Community Participants |
Primary outcome
Changes in Endocrine Disrupting Chemical - Environmental Health Literacy (EDC-EHL) after the intervention.
Time frame: Measured before the intervention, after the intervention (1 months after baseline), and at follow-up (1 months after the intervention)
This surveys assesses EDC-specific environmental health literacy, based on questions in a 5-point Likert scale from 1 (strongly agree) to 5 (strongly disagree) or 1 (never) to 5 (always). Responses will be reverse coded during analysis as needed so that higher numbers reflect positive outcomes (higher EDC-EHL).
Changes in 'Readiness to Change' to reduce risky behaviors after the intervention.
Time frame: Measured before the intervention, after the intervention (1 months after baseline), and at follow-up (1 months after the intervention)
The Readiness to Change question asks participants to choose the response (sentence) that most accurately describes their current efforts and interest in limiting their exposure to harmful chemicals. Responses will be coded from 1 to 5 with 5 reflecting greater readiness to reduce risky behaviors.
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 18 May 2026.
- BackgroundU.S. Department of Health and Human Services. System Usability Scale (SUS)
- Background: PubMed 32128233Dugas M, Gao GG, Agarwal R. Unpacking mHealth interventions: A systematic review of behavior change techniques used in randomized controlled trials assessing mHealth effectiveness. Digit Health. 2020 Feb 20;6:2055207620905411. doi: 10.1177/2055207620905411. eCollection 2020 Jan-Dec.
- BackgroundAjzen, I. The theory of planned behavior. Organ. Behav. Hum. Decis. Process. 50, 179-211 (1991).
- Background: PubMed 11392867Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000 Jan;55(1):68-78. doi: 10.1037//0003-066x.55.1.68.
- Background: PubMed 28573888Smoktunowicz E, Cieslak R, Demerouti E. Interrole conflict and self-efficacy to manage work and family demands mediate the relationships of job and family demands with stress in the job and family domains. Anxiety Stress Coping. 2017 Sep;30(5):485-497. doi: 10.1080/10615806.2017.1329932. Epub 2017 Jun 2.
- BackgroundLepper, M. R., Master, A. & Yow, W. Q. Intrinsic motivation in education. in Advances in motivation and achievement (eds. Maehr, M. L., Karabenick, S. A. & Urdan, T. C.) vol. 15: social psychological perspectives 521-55 (Bingley, 2008).
- Background: PubMed 20351876Klasnja P, Consolvo S, McDonald DW, Landay JA, Pratt W. Using mobile & personal sensing technologies to support health behavior change in everyday life: lessons learned. AMIA Annu Symp Proc. 2009 Nov 14;2009:338-42.
- Background: PubMed 19916637Michie S, Abraham C, Whittington C, McAteer J, Gupta S. Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol. 2009 Nov;28(6):690-701. doi: 10.1037/a0016136.
- Background: PubMed 12237980Locke EA, Latham GP. Building a practically useful theory of goal setting and task motivation. A 35-year odyssey. Am Psychol. 2002 Sep;57(9):705-17. doi: 10.1037//0003-066x.57.9.705.
- Background: PubMed 35351450Oksas C, Brody JG, Brown P, Boronow KE, DeMicco E, Charlesworth A, Juarez M, Geiger S, Schantz SL, Woodruff TJ, Morello-Frosch R, Padula AM; program collaborators for Environmental influences on Child Health Outcomes. Perspectives of peripartum people on opportunities for personal and collective action to reduce exposure to everyday chemicals: Focus groups to inform exposure report-back. Environ Res. 2022 Sep;212(Pt A):113173. doi: 10.1016/j.envres.2022.113173. Epub 2022 Mar 26.
- Background: PubMed 29940915Claudio L, Gilmore J, Roy M, Brenner B. Communicating environmental exposure results and health information in a community-based participatory research study. BMC Public Health. 2018 Jun 25;18(1):784. doi: 10.1186/s12889-018-5721-1.
- Background: PubMed 27478845Ghannadi S, Amouzegar A, Amiri P, Karbalaeifar R, Tahmasebinejad Z, Kazempour-Ardebili S. Evaluating the Effect of Knowledge, Attitude, and Practice on Self-Management in Type 2 Diabetic Patients on Dialysis. J Diabetes Res. 2016;2016:3730875. doi: 10.1155/2016/3730875. Epub 2016 Jul 10.
- Environmental Working Group. Healthy Living App.Link provided by the sponsor.
- Silent Spring Institute. Detox Me.Link provided by the sponsor.
- Think DirtyLink provided by the sponsor.
- ClearyaLink provided by the sponsor.
- Mobile Fact SheetLink provided by the sponsor.
- App StoreLink provided by the sponsor.
- Individual participant dataSharing planned: Yes
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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.
Jayne Foley, MPPM, MPH study director
Million Marker Wellness
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Education curriculum in people with Environmental Exposure, run by Million Marker Wellness, Inc. 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 2 inclusion and 2 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 18 May 2026. 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?
Changes in Endocrine Disrupting Chemical - Environmental Health Literacy (EDC-EHL) after the intervention. (time frame: Measured before the intervention, after the intervention (1 months after baseline), and at follow-up (1 months after the intervention)). 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 NCT07461857, which also lists 64 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 18 May 2026.