Purpose

This research will test the efficacy of a weight management intervention through a three-group randomized trial: mHealth only, mHealth+Community Health Worker (CHW) support, versus control group, among residents of Boston's public housing developments. The mHealth group consists of a 1-year text messaging program to promote diet and physical activity behavior changes and the CHW support consists of monthly phone counseling delivered by a CHW to support the text messaging program. Our hypothesis is that the mHealth+CHW group will be more effective in bringing about weight loss compared to mHealth alone or the assessment only control group. The findings are expected to inform future health promotion efforts among residents in public housing developments.

Conditions

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Current resident of Boston public housing development - No plans to move within the next 6 months and no plan on leaving the country for more than 2 months over the next year - Able to read and speak in English or Spanish - Has cell phone with a plan that allows for unlimited text messages - Willing to wear a device to track physical activity during assessment periods

Exclusion Criteria

  • Currently enrolled in a comprehensive weight loss program or a research study about weight that is incompatible with study participation - Currently on a medically prescribed diet or fast that is incompatible with study participation - Currently has a diagnosis of bipolar disorder, mania, manic-depressive disorder, schizophrenia, or psychosis and is not on any medications to treat the condition - Precontemplation stage of change for making healthy eating or physical activity changes - Pregnancy - Medical contraindications to physical activity. Self-reported presence of any of the following: - Can not walk without help from someone else - Regularly needs to use the following special equipment to walk or get around: wheelchair, scooter, walker, or extra oxygen - Gets short of breath even when using special equipment at a very low level of physical activity such as walking around the home, making a bed, or taking a bath - Advised by a healthcare professional not to exercise and or if diagnosed with a bone or joint problem, it could get worse. - Frequently gets pains in the heart or chest - Had a heart attack in the past 6 months - Often feels faint or has spells of severe dizziness - Has very high blood pressure that is often over 175 or the bottom blood pressure number is often over 110 - Has a good physical reason not to follow an activity program even if they wanted to

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Prevention
Masking
Single (Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
mHealth Group
12 month text messaging program about diet and physical activity behavioral goals
  • Behavioral: mHealth
    Participants will receive 2-3 text messages daily. The messages will include information to promote healthy eating and physical activity.
Experimental
mHealth+Community Health Worker (CHW) support
same as mHealth group + monthly behavioral phone counseling by a CHW
  • Behavioral: mHealth
    Participants will receive 2-3 text messages daily. The messages will include information to promote healthy eating and physical activity.
  • Behavioral: CHW support
    The CHW will provide behavioral counseling to participants guided by a study website related to their healthy eating and physical activity goals.
No Intervention
Control group
Assessments only

Recruiting Locations

Boston Medical Center
Boston, Massachusetts 02118
Contact:
Lisa Quintiliani, PhD
617-638-2777
lisa.quintiliani@bmc.org

More Details

Status
Recruiting
Sponsor
Boston Medical Center

Study Contact

Lisa Quintiliani, PhD
617-638-2777
lisa.quintiliani@bmc.org

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.