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Clinical Trial NCT04994938 for Physical Activity, Peer Leaders, Diet Quality is active, not recruiting. See the Trial Radar Card View and AI discovery tools for all the details. Or ask anything here. | ||
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Peer-Led Diet and Exercise Intervention
Clinical Trial NCT04994938 is an interventional study for Physical Activity, Peer Leaders, Diet Quality that is active, not recruiting. It started on August 1, 2023 with plans to enroll 22 participants. Led by VA Office of Research and Development, it is expected to complete by January 2, 2026. The latest data from ClinicalTrials.gov was last updated on April 15, 2025.
Brief Summary
The majority of older Veterans do not meet the minimum healthy diet or physical activity recommendations, despite known benefits. Identifying novel ways to increase adherence to rehabilitation programs that improve dietary quality and physical activity may reduce the risk of disability in older Veterans. Peer-based interventions may be one method to facilitate lasting behavioral change since peers often share a common culture and knowledge about the problems that their community experiences. The investigators propose to develop and evaluate a novel peer-led diet and exercise intervention that targets older Veterans with multiple chronic health conditions. Successful development and pilot of this intervention will provide the preliminary data for a larger multisite trial focused on the use of peer-led interventions to improve long-term compliance to lifestyle interventions in older Veterans.
Detailed Description
Over the next ten years the share of Veterans age 65+ years will increase to over 50% of the total Veteran population. The ability to safely maintain mobility with aging is critical. Older Veterans with multiple chronic health conditions are more likely to experience mobility decline and report reduced physical activity levels and poor dietary quality. While a multitude of interventions have attempted to address poor diet and physical inactivity in older adults; most have utilized resource-intensive professionally led diet OR exercise interventions, and few have focused on the unique needs of older Veterans. Peer support offers a potentially low-cost, easily scalable approach to encourage long-term dietary and physical activity change.
In this proposal the investigators seek to develop and pilot a 12-week peer-led lifestyle intervention that targets older Veterans with multiple chronic health conditions and dysmobility, in two diverse urban areas with a high percentage of underrepresented minority Veteran populations (Baltimore, MD and San Antonio, TX). The investigators will develop a theory-driven, peer-led nutrition and exercise intervention tailored for older Veterans with dysmobility. The investigators will also determine the feasibility and acceptability of the peer-led intervention as well as the estimated magnitude and potential impact on selected outcomes (i.e diet quality and mobility) in older Veterans with dysmobility and multiple chronic health conditions.
Official Title
The Development and Implementation of a Peer-Led Diet and Exercise Intervention in Older Urban Dwelling Veterans With Dysmobility
Conditions
Physical ActivityPeer LeadersDiet QualityPublications
Scientific articles and research papers published about this clinical trial:Other Study IDs
- E3739-P
- RX003739-01A1 (Other Grant/Funding Number) (Veteran Affairs Rehabilitation R&D Service)
NCT ID Number
Start Date (Actual)
2023-08-01
Last Update Posted
2025-04-15
Completion Date (Estimated)
2026-01-02
Enrollment (Estimated)
22
Study Type
Interventional
PHASE
N/A
Status
Active, not recruiting
Keywords
Diet Quality
Physical Activity
Physical Activity
Primary Purpose
Treatment
Design Allocation
N/A
Interventional Model
Single Group
Masking
None (Open Label)
Arms / Interventions
| Participant Group/Arm | Intervention/Treatment |
|---|---|
ExperimentalPeer led diet and exercise intervention participation in two-times per week diet and exercise peer led interventions. | Diet Intervention Participants will engage in discussions about healthy eating one time per week led by a trained peer leader for 12-weeks. Exercise Intervention Participants will participate in a group exercise session led by a trained peer leader 2-times per week for 12-weeks. |
Primary Outcome Measures
Secondary Outcome Measures
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Cardiovascular Endurance | Cardiovascular endurance will be assessed with the distance covered during a six-minute walk test. The distance covered from baseline will be compared to post 12-week intervention. | 12-weeks |
Diet Quality | Food records will be gathered and analyzed using the automated self-administered recall system (ASA24) to evaluate diet quality. Results from baseline will be compared to those after 12 weeks of intervention. | 12-weeks |
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Mobility | The number of time and individuals can rise from a chair-without using their arms during a 30-second time period will be recorded and used as a measure of mobility. Results from baseline will be compared to those after 12-weeks of intervention. | 12-weeks |
Eligibility Criteria
Eligible Ages
Adult, Older Adult
Minimum Age
55 Years
Eligible Sexes
All
- Self-reported difficulty in at least one of the following activities: Walking quickly across the street, walking one mile, ascending one flight of stairs, rising from a chair without using arms
- Self-reports at least two chronic medical conditions such as hypertension, diabetes, hyperlipidemia, or coronary artery disease
- Speaks English
- high cardiovascular risk
- using home oxygen
- contraindications to an exercise intervention
- dementia
- regular exercise participation
- current participation in a weight loss intervention
- acute psychosis, major depression, or behavior that preventions group interaction
VA Office of Research and DevelopmentNo contact data.
2 Study Locations in 1 Countries
Maryland
Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MD, Baltimore, Maryland, 21201, United States
Texas
South Texas Health Care System, San Antonio, TX, San Antonio, Texas, 78229, United States