Rural Libraries Promoting Walking and Walkability in Their Rural Communities

Oregon Health & Science University (OHSU)

Status and phase: Active, not recruiting; Phase 2; Phase 1

Conditions: Physical Activity

Treatments: Other: Combined (Step It Up! plus Civic Engagement); Other: Walking only (Step It Up!)

Study type: Interventional

Funder types: Other

Identifiers

NCT05677906

STUDY00024665

Details and patient eligibility

About

The investigators will randomize 20 rural libraries to implement either a group-based walking (standard approach) or a group-based walking combined with a civic engagement program (combined approach). Each rural library will enroll between 15-20 participants. The investigators will compare the change in physical activity between participants in each group.

Full description

The goals of this study are:

1. Increase the capacity of rural libraries to deliver evidence-based health promotion programs
2. Compare the effects of a group-based walking program with a combined group-based plus civic engagement program on physical activity, cardiovascular fitness and collective efficacy among rural residents.
3. Evaluate program implementation

Enrollment: 331 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age 18 or older
• Inactive (defined as engaging in physical activity <3 days per week)
• Ability to walk for at least 20 minutes
• Living within the rural community served by the local library
• Ability to travel to the local library/location of walking group.

Exclusion criteria

• Participation/intention to participate in other lifestyle modification pro-gram(s)
• Cognitive impairment
• Inability to communicate due to severe uncorrected hearing loss or speech disorder or severe visual impairment (if precludes completion of assessments and/or intervention)

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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331 participants in 2 patient groups

Walking only (Step It Up!)

Active Comparator group

Description:

A group-based, weekly walking program (Step It Up) where participants walk for up to 45 minutes.

Treatment:

Other: Walking only (Step It Up!)

Combined (Step It Up! plus Change Club)

Experimental group

Description:

A group-based, weekly walking program (Step It Up) where participants walk for up to 45 minutes. Participants also spend 30 minutes each week in a civic engagement program (the Change Club) improving walkability in the community

Treatment:

Other: Combined (Step It Up! plus Civic Engagement)

Other: Walking only (Step It Up!)