Caminemos! Trial to Increase Walking Among Sedentary Older Latinos

This study has been completed.
Sponsor:
Information provided by:
National Institute on Aging (NIA)
ClinicalTrials.gov Identifier:
NCT00183014
First received: September 13, 2005
Last updated: May 16, 2012
Last verified: May 2012
  Purpose

The purpose of this study is to examine the efficacy of a multifaceted behavioral intervention aimed at raising walking levels among sedentary older Latinos.


Condition Intervention
Aging
Sedentary Lifestyle
Behavioral: The Lifetime Fitness Program
Behavioral: Exercise class

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Treatment
Official Title: Trial to Increase Walking Among Sedentary Older Latinos

Resource links provided by NLM:


Further study details as provided by National Institute on Aging (NIA):

Primary Outcome Measures:
  • Number of steps per week on digital pedometer [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Self-reported physical activity level [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • beliefs about aging [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • self-efficacy [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • health-related quality of life [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • blood pressure [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • body mass index (BMI) [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • physical performance measures [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • hospital days [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • outpatient visits [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • restricted activity days [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]
  • cognitive function [ Time Frame: baseline and 1, 12, and 24-months ] [ Designated as safety issue: No ]

Estimated Enrollment: 600
Study Start Date: September 2005
Study Completion Date: August 2009
Primary Completion Date: August 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
discussion session and exercise class
Behavioral: The Lifetime Fitness Program
A series of 4 weekly 1-hour group discussion sessions that utilize attribution retraining techniques from the field of motivational psychology in combination with behavioral strategies based in social cognitive theory; weekly for 4 weeks, monthly for 11 months, then every two months for 12 months (total duration = 24 months
Behavioral: Exercise class
1-hour exercise class aimed at increasing strength, flexibility and endurance; weekly for 4 weeks, monthly for 11 months, then every two months for 12 months (total duration = 24 months
Active Comparator: 2
exercise class only
Behavioral: Exercise class
1-hour exercise class aimed at increasing strength, flexibility and endurance; weekly for 4 weeks, monthly for 11 months, then every two months for 12 months (total duration = 24 months

Detailed Description:

Regular physical activity contributes to the health and quality of life of older adults, but unfortunately only 20% of men and 25% of women aged 65 years and greater meet the minimal national guidelines for physical activity. Older Latinos have higher rates of diseases that are most likely to benefit from physical activity, but have disproportionately high rates of sedentary lifestyle. To address this major public health problem, this study will implement and evaluate a multifaceted intervention to raise and sustain walking levels among older Latinos.

A total of 600 sedentary older Latinos will be recruited from community-based senior centers in the greater Los Angeles region. The specific aims of the study are to test the effect of the intervention on:

  1. the change in steps per week measured by digital pedometer from baseline to 1, 12, and 24-month follow-up;
  2. self-reported physical activity level and intervening constructs (including expectations regarding aging and self-efficacy expectations for physical activity);
  3. psychosocial health constructs, physical performance measures, and clinical health outcomes.

The core of the intervention consists of a series of 4 weekly 1-hour group discussion sessions that utilize attribution retraining techniques from the field of motivational psychology in combination with behavioral strategies based in social cognitive theory. Discussion sessions will be conducted at senior centers and led by a bilingual health educator; each session will be followed by a 1-hour exercise class aimed at increasing strength, flexibility and endurance. During the discussion sessions, the health educator will administer a structured culturally-tailored curriculum in which participants are taught to raise their expectations for physical activity with aging and not to attribute being sedentary to "old age." The 4 weekly sessions will be followed by monthly sessions for 11 months, and sessions every 2 months for the following 12 months (total intervention duration = 24 months). Participants will be randomized to 1 of 2 arms:

  1. intervention arm: receiving the discussion session and the exercise class;
  2. control arm: receiving just the exercise class with the same frequency and duration as the intervention group.
  Eligibility

Ages Eligible for Study:   60 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Aged 60 years or older
  • Self-identifying as Latino/Hispanic
  • Not currently participating in 20 minutes or more of physical activity 3 times a week
  • Willingness to take brief physical activity screening test and if do not pass, provide the name of a physician who has seen the patient in the recent past

Exclusion Criteria:

  • Plans to move from the area in the next 24 months
  • Unable to participate in 1-hour group discussion
  • Unable to walk
  • Physician stating that patient is not medically able to participate
  • Family member already participating
  • Substantial cognitive impairment (determined by a screening test)
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00183014

Locations
United States, California
UCLA Division of Geriatrics
Los Angeles, California, United States, 90095
Sponsors and Collaborators
Investigators
Principal Investigator: Catherine Sarkisian, MD, MSPH UCLA Division of Geriatrics
  More Information

Additional Information:
No publications provided

Responsible Party: Catherine Sarkisian, MD, MSPH, UCLA Division of Geriatrics
ClinicalTrials.gov Identifier: NCT00183014     History of Changes
Other Study ID Numbers: AG0049, 5R01AG024460-02
Study First Received: September 13, 2005
Last Updated: May 16, 2012
Health Authority: United States: Federal Government

Keywords provided by National Institute on Aging (NIA):
behavior therapy
exercise
gait
physical activity

ClinicalTrials.gov processed this record on October 21, 2014