Skip to main content
OpenTrials
Completed

NCT Number: NCT03495648

Tanglewood Trail Walking Program in Rural Kentucky 2017

The Tanglewood Trail Walking Program is a well-established community health initiative that encourages community members to walk approximately 1 mile to the Whitesburg Farmers Market each Saturday. The study aims to determine if walking to the market with a community health coach results in healthier options being selected at the market.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Dietary Habits Behavior Behavior, Animal Feeding Behavior Motor Activity

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Kentucky

Lexington, Kentucky, 40506, United States

About this study

In the summer of 2017, community members of Whitesburg, KY were recruited to join the Tanglewood Trail Walking Program to the Whitesburg farmers market. Each Saturday, participants reported whether or not they walked the 1-mile trail to the farmers market and they reported which fruits and vegetables they purchased. The Walking Program was held June - Sept 2017. Participants completed questionnaires about fruit and vegetable consumption and physical activity. Participants also provided physical and biological measurements.

Although originally designed to compare data among walkers and non-walkers, the protocol was changed due to participant feasibility. Data were analyzed by comparing "low engagers" - those who walked to the market fewer than three times during the program - or "high engagers" - those who walked three or more times during the program. Data were collected at baseline and 3 months.

The data for years 2019 and 2020 of the Tanglewood to Trail walking program are registered separately in ClinicalTrials.gov.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • ability to walk 1 kilometer

Exclusion criteria

  • pregnant
  • institutionalized adults
  • impaired consent ability
  • prisoners

Treatment and study plan

walking group led by a community organizer

Behavioral

Subjects will walk 1 kilometer from a pre-determined point to a local farmer's market.

Primary outcomes

  1. Change in Carotenoid Levels Over Time

    Time frame: Baseline and 3 months

    Subjects' carotenoid status will be measured using a carotenoid Raman Spectroscopy to determine if walking combined with a voucher for fruits and vegetables increases intake in fruits and vegetables as measured by carotenoid status.

Secondary outcomes

  1. Change in A1c

    Time frame: Baseline and 3 months

    Subjects' A1c will be measured to determine if walking combined with a voucher for fruits and vegetables changes participant A1c. Data were collected at baseline and 3 months and the difference will be calculated.

  2. Change in LDL Cholesterol

    Time frame: Baseline and 3 months

    Subjects' LDL will be measured to determine if walking combined with a voucher for fruits and vegetables changes participant LDL.

  3. Change in HDL Cholesterol

    Time frame: Baseline and 3 months

    Subjects' HDL will be measured to determine if walking combined with a voucher for fruits and vegetables changes participant HDL.

  4. Change in Total Cholesterol

    Time frame: Baseline and 3 months

    Subjects' total cholesterol will be measured to determine if walking combined with a voucher for fruits and vegetables changes participant total cholesterol.

  5. Change in Weight

    Time frame: Baseline and 3 months

    Subjects' weight will be measured to determine if walking combined with a voucher for fruits and vegetables changes participant weight.

  6. Change in Waist Circumference

    Time frame: Baseline and 3 months

    Subjects' waist circumference will be measured to determine if walking combined with a voucher for fruits and vegetables changes participant waist circumference.

  7. Change in Self-reported Activity Level

    Time frame: Baseline and 3 months

    Subjects' self-reported activity level will be measured as self-reported days of leisure physical activity per week.

  8. Change in Self-reported Fruit and Vegetable Intake

    Time frame: Baseline and 3 months

    Subjects' self-reported total servings of fruit and vegetable intake per day.

  9. Group Cohesion

    Time frame: 3 months

    Subjects' group cohesion was measured post-intervention using the Physical Activity Group Environment Questionnaire" (also known as PAGE-Q). There are 20 questions, ranked using a Likert Scale with 1 being "strongly disagree" and 9 "strongly agree." Scores range from 20-180; higher scores indicate more social cohesion.

  10. Understanding of Plant-based Phytonutrients

    Time frame: 3 months

    Participants will be asked a question demonstrating their understanding of the importance of ingesting plant-based nutrients. Possible answers are yes, no, or not sure. Data will be presented as the number of participants in each group that understood the importance of plant-based nutrients.

  11. Belief in the Benefit of Plant-based Nutrients

    Time frame: 3 months

    Participants will be asked a question demonstrating their appreciation of plant-based nutrients. Possible answers are yes, no, or not sure. Data will be presented as the number of participants in each group that understood the importance of plant-based nutrients.

  12. Belief in the Preventative Effects of Plant-Based Nutrients

    Time frame: 3 months

    Participants will be asked a question demonstrating their beliefs of plant-based nutrients. Possible answers are yes, no, or not sure. Data will be presented as the number of participants in each group that understood the importance of plant-based nutrients.

  13. Belief in the Role of Healthy Diet in Protecting Health From Pollutants

    Time frame: 3 months

    Participants will be asked a question demonstrating their beliefs that a healthy diet might protect health from environmental pollutants. Possible answers are yes, no, or not sure. Data will be presented as the number of participants in each group that understood the importance of a healthy diet.

  14. Knowledge of Which Foods Contain Phytonutrients

    Time frame: 3 months

    Participants will be asked a question about which foods contain phytonutrients. Possible answers are meat, dairy, plant foods, all foods, or don't know. Data will be presented as the number of participants in each group that correctly identified plant foods.

  15. Knowledge of Environmental Pollutants

    Time frame: 3 months

    Participants will be asked to identify environmental pollutants from a list. Possible answers are polychlorinated biphenyls (PCBs), mercury, nitrites, all of those, none of those, or don't know. Data will be presented as the number of participants in each group that correctly identified all of those.

Sponsors and collaborators

Lead sponsor

Dawn Brewer

Other

Collaborators

  • National Institute of Environmental Health Sciences (NIEHS)

Registry information

Official study title

Tanglewood Trail Walking Program to Increase Phytonutrient Intake and Physical Activity in a Rural Kentucky Town

Important dates

Study start
2017
Primary completion
2020
Study completion
2020
First posted
Apr 12, 2018
Registry last updated
Nov 17, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.