scholarly journals Physical Activity and Related Psychosocial Outcomes From a Pilot Randomized Trial of an Interactive Voice Response System–Supported Intervention in the Deep South

2018 ◽  
Vol 45 (6) ◽  
pp. 957-966 ◽  
Author(s):  
Dori Pekmezi ◽  
Cole Ainsworth ◽  
Taylor Holly ◽  
Victoria Williams ◽  
Rodney Joseph ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Activity Intervention ◽  
Interactive Voice Response ◽  
Controlled Trial ◽  
Self Regulation ◽  
Deep South ◽  
Protective Effects ◽  
Wait List ◽  
Wait List Control ◽  
Voice Response

Background. Physical activity exerts cancer-protective effects, yet most Americans are inactive, especially in the South, where cancer incidence rates are generally higher. Telephone-based approaches can help overcome physical activity intervention barriers in this region (literacy, costs, lack of transportation/technology, distance from facilities) and can be automated via interactive voice response (IVR) systems for improved reach and cost-effectiveness. Aims. To evaluate the Deep South IVR-supported Active Lifestyle (DIAL) intervention. Method. A pilot randomized controlled trial was conducted among 63 underactive adults in Birmingham, Alabama, from 2015 to 2017. Results. Retention was 88.9% at 12 weeks, and ≥75% adherence (IVR contact on at least 63 out of 84 days) was noted among 62.5% of intervention participants. Intervention participants reported larger increases in self-reported minutes of moderate-to-vigorous intensity physical activity from baseline to 12 weeks than the wait-list control arm (median change = 47.5 vs. 5.0 minutes, respectively, p = .09). Moreover, the intervention produced significantly greater increases in physical activity self-regulation ( p < .001) and social support from family ( p = .001) and friends ( p = .009) from baseline to 12 weeks, compared with the wait-list control. Significant decreases in self-reported sleep disturbance also were found in the intervention arm but not among the controls, p < .05. Overall, intervention participants reported being satisfied with the DIAL program (71.4%) and would recommend it to friends (92.9%). Discussion. Findings support the feasibility, acceptability, and preliminary efficacy of the DIAL intervention. Conclusion. Next steps include intervention refinement in preparation for a fully powered efficacy trial and eventual dissemination to rural counties.

scholarly journals Design and Rationale for the Deep South Interactive Voice Response (IVR) System-Supported Active Lifestyle (DIAL) Study: Proposal for a Randomized Controlled Trial (Preprint)

2021 ◽  
Author(s):  
Nashira I Neal ◽  
Mary Anne Powell ◽  
Monica Baskin ◽  
Wendy Demark-Wahnefried ◽  
Claudia Hardy ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Activity Intervention ◽  
Interactive Voice Response ◽  
Controlled Trial ◽  
Deep South ◽  
Rural County ◽  
Active Lifestyle ◽  
Randomized Controlled ◽  
Phone Counseling ◽  
Voice Response

BACKGROUND Physical inactivity and related cancer incidence and mortality rates are disproportionately high in the U.S. Deep South, a rural, medically underserved region with a large African American population compared to the rest of the nation. Given this region’s lower rates of literacy and Internet access, Interactive Voice Response (IVR)-automated telephone-based interventions have the potential to help overcome physical activity intervention barriers (literacy, internet access, costs transportation) but have yet to be extended to rural, underserved populations, such as the Deep South. Thus, extensive formative research was conducted to develop, and beta test the Deep South Interactive Voice Response System Supported Active Lifestyle (DIAL) intervention in preparation for dissemination in rural Alabama counties OBJECTIVE To describe the design and rationale of the ongoing efficacy trial of the DIAL intervention. METHODS The 2-arm randomized controlled trial will compare a 12-month physical activity intervention versus a wait-list control condition in 240 underactive adults from 6 rural Alabama counties. The DIAL intervention is based on the Social Cognitive Theory and includes IVR-automated physical activity phone counseling (daily in months 0-3, twice weekly in months 4-6 and weekly in months 7-12) and support from local rural county coordinators with the UAB O’Neal Comprehensive Cancer Center Community Outreach and Engagement Office. The primary outcome is weekly minutes of moderate-to-vigorous intensity physical activity (7-Day PAR, accelerometry) at baseline, 6 months, 12 months, and 18 months. Rural Active Living Assessments will be conducted in each rural county to assess walkability, recreational amenities, and inform future environment/policy efforts. RESULTS Start up activities (hiring/training staff, purchasing supplies) were completed in 2019. Study recruitment and assessments began in September 2020 and are ongoing. CONCLUSIONS IVR-supported phone counseling has great potential for addressing physical activity barriers (e.g., culture, literacy, cost, transportation) and reducing related rural health disparities in this region. CLINICALTRIAL ClinicalTrials.gov NCT03903874

DigiKnowIt News: Educating youth about pediatric clinical trials using an interactive, multimedia educational website

2021 ◽  
pp. 136749352110037
Author(s):  
Alison E. Parker ◽  
Tracy M. Scull ◽  
Abigail M. Morrison
Keyword(s):  
Clinical Trials ◽  
Interactive Multimedia ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Wait List ◽  
Wait List Control Group ◽  
Wait List Control ◽  
Satisfaction Questionnaire ◽  
Study Participants

Pediatric clinical trials allow for the testing of appropriate and effective treatments for children. However, some challenges exist with recruitment. This study examined the effectiveness of DigiKnowIt News, an interactive, multimedia website (which includes activities, videos, and comic books) designed to educate children about clinical trials. A randomized controlled trial was conducted in 2018 with 91 participants ( M age = 10.92 years; SD = 2.06). Participants were randomly assigned to intervention or wait-list control groups and completed questionnaires at pretest and posttest (1 week later) about their knowledge, attitudes, beliefs about clinical trials, and self-efficacy for participating in clinical trials. Participants in the intervention group received access to DigiKnowIt News between pretest and posttest and completed a satisfaction questionnaire at posttest. At the end of the study, participants in the wait-list control group were offered the option to use the website and complete a satisfaction questionnaire. At posttest, participants in the intervention group, compared to participants in the wait-list control group, had more knowledge about clinical trials and more reported confidence for participating in clinical trials. Participants reported high levels of satisfaction with DigiKnowIt News. The findings suggest that an educational website can improve factors related to increasing rates of participation in clinical trials.

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