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Active, not recruitingNCT05677906Updated Jan 16, 2024

Rural Libraries Promoting Walking and Walkability in Their Rural Communities

A Phase 1/2 interventional study of Walking only (Step It Up!) and Combined (Step It Up! plus Civic Engagement) in Physical Activity, sponsored by Oregon Health and Science University. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-01-16.

Sponsored by Oregon Health and Science University · Phase 1/2, Interventional, and Prevention

From the registry’s dates

  • Primary completion was expected by Sep 2025, 1 year ago, but the record still lists the study as active, not recruiting.
Phase
Phase 1/2
Study type
Interventional
Enrollment
331
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

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.

Read the detailed 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
02

Conditions studied

  • Physical Activity

Keywords

  • rural populations
  • physical activity promotion
03

In context

Lead sponsor

Oregon Health and Science University is the lead sponsor of 676 studies on the registry; 136 are open to participants now.

Of its 49 completed or terminated interventional studies of FDA-regulated products, 36 (73%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

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)
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
331 participants (estimated)

Study arms

  • Active comparator
    Walking only (Step It Up!)

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

    Other: Walking only (Step It Up!)

  • Experimental
    Combined (Step It Up! plus Change Club)

    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

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

Interventions

  • OtherWalking only (Step It Up!)

    Participants will meet weekly for 60 minutes and walk together as a group. Participants will progressively build up to walking for 45 minutes at a brisk pace. Walks will start with a check-in and end with stretching as a group.

  • OtherCombined (Step It Up! plus Civic Engagement)

    Participants in the combined groups will meet weekly for 90 minutes with group members. They will participate in a group walk for 60 minutes followed by 30 minutes of civic engagement aimed at improving walkability in the community

06

What researchers measure

Primary outcomes

  1. Physical activity

    Participants will be asked to wear an accelerometer for \>10 hours/day for seven days at the wrist to measure physical activity. An accelerometer is a small device worn at the wrist that records acceleration, the change in velocity of a participant over time.

    Time frame: Change from baseline physical activity at 6 months, 12 months, and 24 months.

  2. Cardio respiratory fitness

    Participants will be asked to complete a six-minute walk test to measure cardiorespiratory fitness. The distance walked in 6 minutes will be recorded.

    Time frame: Change from baseline cardio respiratory fitness at 6 months, 12 months, and 24 months.

  3. Collective Efficacy

    Participants will be asked to complete a survey regarding collective-efficacy, the Collective Efficacy Scale (Sampson and colleagues, 1997), which measures how well communities work together to make things happen.

    Time frame: Change from baseline collective efficacy at 6 months, 12 months, and 24 months

Secondary outcomes

  1. Height

    Researchers will measure the height of participants in inches.

    Time frame: Baseline

  2. Hip circumference

    Researchers will measure the hip circumference of participants in inches.

    Time frame: Change from baseline hip circumference at 6 months, 12 months, and 24 months.

  3. Resting heart rate

    Researchers will measure resting heart rate of participants by using heart rate monitor.

    Time frame: Change from baseline resting heart rate at 6 months, 12 months, and 24 months.

  4. Weight

    Researchers will measure the weight of participants in pounds.

    Time frame: Change from baseline weight at 6 months, 12 months, and 24 months.

  5. Blood pressure

    Researchers will measure the both diastolic and systolic blood pressure of participants using a sphygmomanometer.

    Time frame: Change from baseline blood pressure at 6 months, 12 months, and 24 months.

07

Study locations

1 site
  • Oregon Health & Science University
    Portland, Oregon 97239, United States
08

References and documents

Publications

  • Lenstra N. The role of public librarians in supporting physical activity: challenging the "Jacks of All Trades but Masters of None" librarian syndrome. Advances in Library Administration and Organization. 2018;39:185-205.
  • Perry CK, Campbell LP, Currier J, Farris PE, Wenzel ES, Medysky ME, Zell A, McDonell M, Shannon J, Winters-Stone K. An Evidence-Based Walking Program in Oregon Communities: Step It Up! Survivors. Prev Chronic Dis. 2020 Dec 10;17:E156. doi: 10.5888/pcd17.200231. PubMed 33301392 ↗
  • Seguin RA, Sriram U, Connor LM, Silver AE, Niu B, Bartholomew AN. A Civic Engagement Approach to Encourage Healthy Eating and Active Living in Rural Towns: The HEART Club Pilot Project. Am J Health Promot. 2018 Sep;32(7):1591-1601. doi: 10.1177/0890117117748122. Epub 2018 Feb 1. PubMed 29390863 ↗

Individual participant data

Plan to share: Yes — The proposed research will involve the collection of qualitative and quantitative data. The investigators will not share the qualitative data due to the potential to compromise participant identity and related ethical concerns. Quantitative data from the participants will include demographic, anthropometric, physiologic, and behavioral data. Identifiers will be removed from the final datasets prior to release for sharing. However, given the small populations of the targeted communities, data will only be made available through a data sharing agreement to prevent the possibility of identity disclosure. This agreement will ensure that the data are used for research purposes only, that it will be kept secure, and that it will be destroyed or returned following analysis completion.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05677906
Lead sponsor
Oregon Health and Science University
Collaborators
Texas A&M University, University of North Carolina, Greensboro
Responsible party
Sponsor
First posted
Jan 10, 2023
Start date
Apr 25, 2023
Primary completion
Sep 30, 2025 (estimated)
Completion
Dec 31, 2025 (estimated)
Last update
Jan 16, 2024

Study contacts

Cynthia K Perry, PhD
principal investigator · Oregon Health & Science University School of Nursing

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Dec 2023. You cannot join it, but the record below documents what was studied.

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