Healthy Living Anson Study

Purpose

The goal of this randomized delayed control intervention research study is to see if participants who receive education and healthy prepared meals improve the quality of their diet compared to participants who receive only physical activity education and coaching.

Conditions

  • Obesity (Disorder)
  • Diabetes Type 2
  • Heart Disease
  • Hypertension
  • Cancer
  • High Cholesterol

Eligibility

Eligible Ages
Between 18 Years and 99 Years
Eligible Sex
All
Accepts Healthy Volunteers
Yes

Criteria

Inclusion Criteria:

- Potential participants must be a resident of Anson County.

- At least 18 years of age.

- Have or be at risk for a chronic disease.

- Ability to make own dietary decisions.

- Ability to travel to a central Anson County location for data collection and group
class sessions.

- Ability and willingness to try the prepared meals.

- Ability to store 10 frozen meals in a freezer.

- Ability to communicate in English

- No dietary restrictions or food allergies such that a Mediterranean diet is not
appropriate.

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Crossover Assignment
Intervention Model Description
Randomized delayed intervention control study - 4 months participants receive either the FIM intervention (healthy frozen meals, produce box, and education by a community health advocate (CHA)) or a physical activity (PA) education and support via a CHA. At the end of the 4 months, the FIM group will receive maintenance and the PA component, and the PA group receives the FIM component and continue for another 4 months.
Primary Purpose
Prevention
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Nutrition Education and Food Delivery, Then Physical Activity Comparator
Participants first receive nutrition counseling from a Community Health Advocate (CHA) and 10 biweekly healthy prepared meals for the first four weeks. For the next four weeks, participants will reduce to 6 biweekly healthy prepared meals and 2 produce boxes. After a 6 week break at midpoint, participants will receive peer supported physical activity counseling by a Community Health Advocate (CHA) and a mHealth text messaging for 8 weeks.
  • Behavioral: Nutrition Education and Food Delivery
    Healthy frozen meals, produce boxes, and nutrition counseling
  • Behavioral: Physical Activity Comparator
    Physical activity counseling, mHealth text messaging
Experimental
Physical Activity Comparator, Then Nutrition Education and Food Delivery
Participants first receive peer supported physical activity counseling by a Community Health Advocate (CHA) and a mHealth text messaging for 8 weeks. After a 6 week break at midpoint, participants will receive nutrition counseling by a Community Health Advocate (CHA) and 10 biweekly healthy prepared meals for the first four weeks. For the next four weeks, participants will reduce to 6 biweekly healthy prepared meals and 2 produce boxes.
  • Behavioral: Nutrition Education and Food Delivery
    Healthy frozen meals, produce boxes, and nutrition counseling
  • Behavioral: Physical Activity Comparator
    Physical activity counseling, mHealth text messaging

Recruiting Locations

University of North Carolina at Chapel Hill
Chapel Hill 4460162, North Carolina 4482348 27599

More Details

NCT ID
NCT07126587
Status
Recruiting
Sponsor
University of North Carolina, Chapel Hill

Study Contact

Anissa I Vines, MS, PhD
19198431210
avines@email.unc.edu

Detailed Description

Purpose: Evaluate whether a Food is Medicine (FIM) intervention improves the quality of food intake among rural adults who have at least one chronic disease or are at risk for chronic disease compared to those receiving a physical activity intervention. Participants: English speaking Anson County residents 18 years or older Procedures: Randomized delayed intervention control study design - 4 months receive either the FIM intervention (healthy frozen meals and/or produce box, and education by a Community Health Advocate (CHA) or physical activity (PA) education and support via a CHA. At the end of the 4 months, the FIM group will receive the PA intervention, and the PA group receives the FIM intervention with both groups continuing for another 4 months. Data collected will include a funder required survey (demographics, social, and behavioral factors) plus additional study related questions and biometrics. The survey will be completed online or in person for those requiring internet access or support. The biometrics will be obtained at an in-person session. Once enrollment is complete, participants will be randomized into either the FIM or PA group and receive their study materials. Data collection will occur at baseline, midpoint, and at the end of the study.