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Koa Family: California's Obesity Prevention Project

Rakstu tulkošanu var veikt tikai reģistrēti lietotāji
Ielogoties Reģistrēties
Saite tiek saglabāta starpliktuvē
StatussPabeigts
Sponsori
University of California, Davis
Līdzstrādnieki
California Department of Health Services
United States Department of Agriculture (USDA)
California Department of Social Services
CAL FIRE

Atslēgvārdi

Abstrakts

The purpose of this study is to learn if a new whole-person lifestyle program improves the health of low-income mothers.

Apraksts

This study will employ a randomized controlled trial (RCT) design to test a newly developed obesity reduction program, Koa Family, among overweight or obese mothers. An exploratory, uncontrolled study will assess its acceptance among normal-weight mothers.

Koa Family consists of a 6-month whole-person lifestyle program (WPLP) combined with text messaging and social media support and the opportunity to take part in a neighborhood tree planting campaign. This multi-pronged program is intended to reduce weight in the short-term while building self-empowerment and connections to community resources so that participants can sustain long-term weight loss.

Koa Family will be implemented in select communities in Yolo and Sacramento counties, California. Overweight or obese study participants will be randomized to either an intervention or control group; all normal-weight participants will be assigned to the intervention. All participants will complete a survey and have their height and weight measured at baseline and 3-, 6-, 9- and 12-month follow-up. Intervention participants will also take part in a focus group at the 3-month midpoint of the intervention.

Datumi

Pēdējoreiz pārbaudīts: 06/30/2020
Pirmais iesniegtais: 07/16/2018
Paredzētā reģistrācija iesniegta: 07/25/2018
Pirmais izlikts: 07/29/2018
Pēdējais atjauninājums iesniegts: 07/21/2020
Pēdējā atjaunināšana ievietota: 07/22/2020
Faktiskais studiju sākuma datums: 08/15/2018
Paredzamais primārās pabeigšanas datums: 06/25/2020
Paredzamais pētījuma pabeigšanas datums: 06/25/2020

Stāvoklis vai slimība

Weight Loss
Diet Habit
Physical Activity
Overweight and Obesity

Iejaukšanās / ārstēšana

Behavioral: Koa Family

Fāze

-

Roku grupas

RokaIejaukšanās / ārstēšana
Experimental: RCT Intervention
Overweight or obese (BMI ≥ 25 kg/m2) participants randomized to the Koa Family. intervention
No Intervention: RCT Control
Overweight or obese (BMI ≥ 25 kg/m2) participants randomized to the control group.
Other: Exploratory
Normal-weight mothers (BMI 18.5-24.9 kg/m2) assigned to the Koa Family intervention.

Atbilstības kritēriji

Vecums, kas piemērots studijām 18 Years Uz 18 Years
Dzimumi, kas ir piemēroti studijāmFemale
Pieņem veselīgus brīvprātīgos
Kritēriji

Inclusion Criteria:

- Comfortable speaking and reading English

- Primary caregiver for ≥1 child, aged 3-17, who lives at home

- Living in a low-income household (at or below 185% of the Federal Poverty Level)

- Living in the study site catchment area

- Ability to receive and send text messages

- BMI ≥ 25 kg/m2 for RCT study

- BMI ≥18.5 and <25 kg/m2 for exploratory study

Exclusion Criteria:

- Pregnant

- Breastfeeding

- Within 2 years postpartum

- Life-threatening illness

- Institutionalization (i.e., not free-living in the community)

- Moderate to severe mental illness

- Receiving nutrition therapy from a health or health care provider (licensed or unlicensed)

- Had or are considering bariatric surgery

- Medically diagnosed eating disorder

- Taking medication that affects weight

- Thyroid disease

- Type 1 or Type 2 diabetes without medical clearance from the participant's physician

- Plans to move away from study site catchment area during the one-year study period

Rezultāts

Primārie rezultāti

1. Change in Body Mass Index (kg/m2) [12 months]

Objectively measured

Sekundārie iznākuma mērījumi

1. Change in diet quality [12 months]

Fruit and vegetable consumption and other indicators calculated from 24-hour dietary recall

2. Change in physical activity [12 months]

Self-report moderate-intensity equivalent minutes per week calculated from the BRFSS Physical Activity Rotating Core questionnaire

3. Change in health-related quality of life [12 months]

Summary score from SF-36v2 instrument

4. Cost effectiveness [12 months]

Dollars per change in BMI and quality-adjusted life-year (QALY)

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