Evidence-based Intervention to Improve Walking Engagement in El Paso, Texas
University of Texas, El Paso
Summary
The investigators will test if the 50,000 for Life (50K4Life) is effective at improving walking engagement in school employees in 30 public schools by delivering a two-phased adaptive intervention to improve walking engagement in school workers in 30 public schools. In Phase 1, all study schools will be randomly assigned to a 50K4Life only, or 50K4Life + SMS Text Messaging group. In Phase 2, non-responder schools will be randomly assigned to one of two 6-month adaptive treatments: a) an individual-level intervention that includes remote education modules (REM) and one-to-one monthly phone-based coaching, or, b) a school-level intervention that includes group educational sessions, school environmental modifications (floor distance markings, signage in corridors and breakrooms, promotional items), and work time/weekend group walks/hikes. The schools that 50% or more participants who achieve 50,000 steps in one week will continue with the Phase 1 condition. Intervention strategies will be coordinated by health educators and managed using the Pathverse app. Data collection will occur at baseline, 8 weeks (Phase 2 randomization decision point), 8 months (immediate post intervention), 12 months (4 months post-intervention), and 18 months (10 months post-intervention) for a total of 18 months of study participation.
Description
Mexican Americans who live in the U.S.-Mexico border region suffer disproportionately from preventable cardiometabolic diseases. Regular brisk walking is an effective measure in regulating metabolic processes and preventing disease. Employer-based wellness programs are promising strategies to address this public health problem because of the opportunity to take advantage of workplace environments to improve opportunities for walking engagement while also addressing barriers associated with inactivity. Employer-based walking programs have not been widely tested on the U.S.-Mexico border. A clus…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * A school is eligible if it is located within one of the four target school districts * adult 18 years or older * full-time school-based school district employee * not pregnant and able to walk without physical limitations or assistive device * willing to wear our Fitbit tracking device or use their own tracking device for 18 months * own a smartphone * willingness to use a personal smartphone for tracking activity related to the Fitbit tracker, access online intervention content, and receive text messages. Exclusion Criteria: * Works at more than one school * Does not…
Interventions
- Behavioral50K4LIfe
This intervention will consist of the Walking Challenge only.
- BehavioralSMS Text Messaging
In this intervention, participants will received notifications onto the Pathverse app
- BehavioralIndividual
In this Phase 2 individual-level intervention, participants will receive remote education modules and one-to-one monthly phone-based coaching.
- BehavioralSchool
In this Phase 2 school-level intervention, participants will receive group educational sessions, school environmental modifications (floor distance markings, signage in corridors and breakrooms, promotional items), and participate in work time/weekend group walks/hikes.
Locations (2)
- University of Texas at El PasoEl Paso, Texas
- University of Texas at El PasoEl Paso, Texas