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The Change Club Study: Evaluation of Civic Engagement for Built Environment Change and Health Improvement

Primary Purpose

Heart Diseases

Status
Active
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Group 1 (Intervention)
Group 2 (Control)
Sponsored by
Texas A&M University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Heart Diseases focused on measuring Physical Activity, Built Environment, Eating Habits

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

We will be recruiting Change Club members (CCM), friend and family members (FFM) of CCM, and community residents (CR).

Common inclusion criteria include:

  • Age 18-99
  • English-speaking

CCM also must:

  • Provide consent electronically
  • Be willing to be randomized to either group
  • Score "poor" or "intermediate" on at least one of the Simple 7 composite score items (e.g. not meeting Physical Activity Guidelines for Americans)
  • Live in one of the designated towns in NY and TX

FFM also must:

  • Provide consent electronically
  • Be family members or friends identified by a CCM

CR also must:

  • Provide consent electronically
  • Live in one of the designated towns in NY and TX

Exclusion Criteria:

  • Cognitive impairment (if it precludes completion of assessments and/or intervention)
  • Inability to communicate due to severe, uncorrectable hearing loss or speech disorder (if it precludes completion of assessments and/or intervention)
  • Severe visual impairment (if it precludes completion of assessments and/or intervention)
  • Inability to read (as it precludes completion of assessments and/or intervention)
  • Already included in another study sample (e.g. CR cannot also be CCM)

Sites / Locations

  • Camden and surrounding towns
  • Canastota
  • Carthage and surrounding towns
  • Hamilton and surrounding towns
  • Rome
  • Hounsfield and surrounding towns
  • Watertown
  • Center and Shelbyville
  • Groveton and Woodlake
  • Littlefield and surrounding towns
  • Marshall
  • Plainview
  • Trinity

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Group 1 (Intervention)

Group 2 (Control)

Arm Description

For Change Club members (CCM) only: CCM will participate in meetings of the Change Club and continue implementation of a change to the community environment for up to an additional 24 months. Change Club members will also be asked to recruit 10 or more friends and family members (FFM) to participate in the research study. In addition, 100 community residents (CR) will be recruited into the study. Family members, friends and community residents do not participate in the Change Club, but may hear about Change Club activities in their community.

Control group participants will participate in no intervention activities during the 3-year research study.

Outcomes

Primary Outcome Measures

Change in American Heart Association's Life's Simple 7 (LS7) cardiovascular health score
American Heart Association's Life's Simple 7 (LS7) score is a composite of cardiovascular disease (CVD) risk factors (physical activity, eating habits, smoking status, cholesterol, glucose, body mass index (BMI), and blood pressure). Score ranges from 0 to 14. Higher scores indicate better health.

Secondary Outcome Measures

Change in body mass index (BMI)
Height and weight will be self-measured and BMI will be calculated.
Change in waist circumference
Waist circumference (cm(in)) will be self-measured.
Percent with high/elevated blood pressure
Percent with high/elevated blood pressure will be classified from self-reported measurements, diagnosis, and medication use.
Percent with high/borderline high cholesterol.
Percent with high/borderline high cholesterol will be classified from self-reported measurements, diagnosis, and medication use.
Percent with diabetes/prediabetes
Percent with diabetes/ prediabetes will be classified from self-reported measurements, diagnosis, and medication use.
Change in general health status
General health status will be assessed using the general health question from the 36-Item Short Form Survey (SF-36). Scores range from 1 to 5. Higher scores indicate better health.
Current smoker (y/n)
Whether or not a participant currently smokes will be assessed using an LS7 item.
Change in total HEI score
Total Healthy Eating Index (HEI) score will be calculated from a single 24-hour recall collected via the Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24). Score ranges from 0 to 100. Higher scores indicate better diet.
Change in fruit and vegetable intake
Total fruit and vegetable intake (cups/day) will be measured using a LS7 item and a 24-hour recall.
Change in consumption of whole grains
Whole grain consumption (servings/day) will be assessed using an LS7 item and a 24-hour recall.
Change in fiber intake
Fiber intake (g/day) will be assessed using the NHANES Dietary Screener Questionnaire (DSQ) and a 24-hour recall.
Met recommendation for fish consumption (y/n)
Whether or not a participant met the recommendation for fish consumption will be assessed using an LS7 item.
Change in frequency of consuming ultra-processed foods
Frequency of ultra-processed foods consumption (times/month) will be assessed using a 9-item questionnaire adapted from the DSQ and the Beverage and Snack Questionnaire (BSQ2) and a 24-hour recall.
Change in red and processed meat consumption
Total red and processed meat consumption (g/week) will be estimated using the DSQ and a 24-hour recall.
Change in alcohol consumption
Alcohol consumption (drinks/day) will be assessed using a 2-item questionnaire adapted from the Alcohol Use Disorders Screening Test (AUDIT) and a 24-hour recall.
Change in total steps per day
Total steps per day will be calculated using the average of self-reported pedometer or wearable fitness tracker readings.
Change in total physical activity
Total physical activity (MET-min/wk) will be assessed using the International Physical Activity Questionnaire long form (IPAQ-long).
Change in World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) recommendation adherence score
WCRF/AICR recommendation adherence score is a composite of seven items listed above: BMI, physical activity, fiber intake, fruit and vegetable consumption, processed food consumption, red meat consumption, and alcohol consumption. Scores range from 0 to 7. Higher scores indicate greater adherence to the recommendations.
Change in healthy eating motivation
Healthy eating motivation will be assessed by an adapted version of the Naughton & McCarthy Healthy Eating Motivation scale (3 items). Scores range from 1 to 5. Higher scores indicate greater motivation.
Change in confidence for healthy eating
Confidence for healthy eating will also be assessed by using a newly created scale (7 items) adapted from the Sallis Eating Habits Confidence Survey and the Seguin-Fowler Expanded Eating Habits Confidence Survey (7 items). Scores range from 1 to 5. Higher scores indicate greater confidence.
Change in social support for healthy eating
Social support (family and friends) for healthy eating will be assessed by the Ball Social Support for Healthy Eating scale. Scores range from 1 to 5. Higher scores indicate greater social support.
Change in exercise attitudes
Exercise attitudes will be assessed using selected items adapted from section 2, question 5 of the AARP Exercise Attitudes and Behaviors Survey (4 items). Scores range from 1 to 5. Higher scores indicate more positive attitudes.
Change in exercise confidence
Exercise confidence will be assessed by an adapted version of the Sallis Exercise Confidence Survey (3 items). Scores range from 1 to 5. Higher scores indicate greater confidence.
Change in social support for physical activity
Social support (family and friends) for physical activity will be assessed by the Ball Social Support for Physical Activity scale. Scores range from 1 to 5. Higher scores indicate greater social support.
Change in social engagement
Social engagement (family and friends) will be assessed by the Lubben Social Network Scale. Scores range from 1 to 5. Higher scores indicate greater social engagement.
Change in (community) social cohesion
Community social cohesion will be assessed by the social cohesion sub-scale of the Mujahid et al. Neighborhood Environment Scale (NES). Scores range from 1 to 5. Higher scores indicate greater social cohesion.
Change in individual mobilization
Individual mobilization will be assessed using the human capital sub-scale of the Jakes & Shannon Mobilization Scale - Individual. Scores range from 1 to 5. Higher scores indicate greater mobilization.
Change in general civic engagement attitudes
Civic engagement attitudes will be assessed by the attitudes sub-scale of the Doolittle & Faul Civic Engagement Scale. Scores range from 1 to 5. Higher scores indicate more positive civic engagement attitudes.
Change in general civic engagement behaviors
Civic engagement behaviors will be assessed by the behaviors sub-scale of the Doolittle & Faul Civic Engagement Scale. Scores range from 1 to 5. Higher scores indicate more frequent civic engagement behaviors.
Change in investment in community health
Investment in community health (number of priorities) will be assessed using the investment in community health sub-scale of the RWJF National Survey of Health Attitudes. Scores range from 0 to 5. Higher scores indicate higher priority placed on community health.
Change in walking environment
Walking environment will be assessed by an adapted walking sub-scale of the NES (7 items). Scores range from 1 to 5. Higher scores indicate more favorable walking environments.
Change in neighborhood safety
Neighborhood safety will be assessed by an adapted neighborhood safety sub-scale of the NES (3 items). Scores range from 1 to 5. Higher scores indicate greater neighborhood safety.
Change in neighborhood aesthetic
Neighborhood aesthetic quality will be assessed by an adapted neighborhood aesthetic sub-scale of the NES (2 items). Scores range from 1 to 5. Higher scores indicate a more favorable neighborhood.
Change in fresh fruit and vegetable availability
Fresh fruit and vegetable availability will be assessed by an adapted fresh fruit and vegetable availability sub-scale (3 items) of the Green & Glanz Perceived Nutrition Environment Measures Survey (NEMS-P). Scores range from 1 to 5. Higher scores indicate greater availability.
Change in store selection motivation
Store selection motivation will be assessed by an adapted store selection motivation sub-scale from NEMS-P (3 items). Scores range from 1 to 5. Higher scores indicate greater motivation.
Change in restaurant healthy food availability
Restaurant healthy food availability will be assessed by an adapted restaurant healthy food availability sub-scale from NEMS-P (2 items). Scores range from 1 to 5. Higher scores indicate greater availability of healthy food in restaurants.

Full Information

First Posted
August 4, 2021
Last Updated
June 26, 2023
Sponsor
Texas A&M University
Collaborators
Cornell University, Tufts University
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1. Study Identification

Unique Protocol Identification Number
NCT05002660
Brief Title
The Change Club Study: Evaluation of Civic Engagement for Built Environment Change and Health Improvement
Official Title
The Change Club Study: Evaluation of Civic Engagement for Built Environment Change and Health Improvement
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
May 3, 2023 (Actual)
Primary Completion Date
June 30, 2026 (Anticipated)
Study Completion Date
June 30, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Texas A&M University
Collaborators
Cornell University, Tufts University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a community randomized controlled trial to evaluate a civic engagement curriculum through which residents will identify barriers and facilitators to healthy eating and physical activity and then implement a project in their communities.
Detailed Description
The purpose of this research is to better understand how resident-led activities to change the community environment affect health. The Change Club is a small group of residents who will try to change their community environment relative to food (for example, foods in restaurants or schools) or physical activity opportunities (for example, parks or walking trails) by following a step-wise process facilitated by an extension educator. The purpose of this research is to better understand if and how these activities affect individual behaviors (for example physical activity) and health outcomes (for example BMI) of adults in rural communities. This study will take place in designated rural communities in Texas and New York. It is planned that about 2,260 people will participate in this study. Some will participate as Change Club members; some will participate as family and friends of Change Club members; and others will participate as community residents.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Heart Diseases
Keywords
Physical Activity, Built Environment, Eating Habits

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Community-based cluster randomized controlled trial
Masking
None (Open Label)
Allocation
Randomized
Enrollment
2831 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1 (Intervention)
Arm Type
Experimental
Arm Description
For Change Club members (CCM) only: CCM will participate in meetings of the Change Club and continue implementation of a change to the community environment for up to an additional 24 months. Change Club members will also be asked to recruit 10 or more friends and family members (FFM) to participate in the research study. In addition, 100 community residents (CR) will be recruited into the study. Family members, friends and community residents do not participate in the Change Club, but may hear about Change Club activities in their community.
Arm Title
Group 2 (Control)
Arm Type
Experimental
Arm Description
Control group participants will participate in no intervention activities during the 3-year research study.
Intervention Type
Behavioral
Intervention Name(s)
Group 1 (Intervention)
Intervention Description
The investigators will evaluate the efficacy of the CC curriculum in a 24-months community-based randomized controlled trial. They will compare changes in CVD-related anthropometric, behavioral, and psychosocial parameters between subjects in intervention and control communities.
Intervention Type
Behavioral
Intervention Name(s)
Group 2 (Control)
Intervention Description
Group 2 will be offered the same activities as Group 1 after the conclusion of the research study.
Primary Outcome Measure Information:
Title
Change in American Heart Association's Life's Simple 7 (LS7) cardiovascular health score
Description
American Heart Association's Life's Simple 7 (LS7) score is a composite of cardiovascular disease (CVD) risk factors (physical activity, eating habits, smoking status, cholesterol, glucose, body mass index (BMI), and blood pressure). Score ranges from 0 to 14. Higher scores indicate better health.
Time Frame
Baseline to 24 months
Secondary Outcome Measure Information:
Title
Change in body mass index (BMI)
Description
Height and weight will be self-measured and BMI will be calculated.
Time Frame
Baseline to 24 months
Title
Change in waist circumference
Description
Waist circumference (cm(in)) will be self-measured.
Time Frame
Baseline to 24 months
Title
Percent with high/elevated blood pressure
Description
Percent with high/elevated blood pressure will be classified from self-reported measurements, diagnosis, and medication use.
Time Frame
Baseline to 24 months
Title
Percent with high/borderline high cholesterol.
Description
Percent with high/borderline high cholesterol will be classified from self-reported measurements, diagnosis, and medication use.
Time Frame
Baseline to 24 months
Title
Percent with diabetes/prediabetes
Description
Percent with diabetes/ prediabetes will be classified from self-reported measurements, diagnosis, and medication use.
Time Frame
Baseline to 24 months
Title
Change in general health status
Description
General health status will be assessed using the general health question from the 36-Item Short Form Survey (SF-36). Scores range from 1 to 5. Higher scores indicate better health.
Time Frame
Baseline to 24 months
Title
Current smoker (y/n)
Description
Whether or not a participant currently smokes will be assessed using an LS7 item.
Time Frame
Baseline to 24 months
Title
Change in total HEI score
Description
Total Healthy Eating Index (HEI) score will be calculated from a single 24-hour recall collected via the Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24). Score ranges from 0 to 100. Higher scores indicate better diet.
Time Frame
Baseline to 24 months
Title
Change in fruit and vegetable intake
Description
Total fruit and vegetable intake (cups/day) will be measured using a LS7 item and a 24-hour recall.
Time Frame
Baseline to 24 months
Title
Change in consumption of whole grains
Description
Whole grain consumption (servings/day) will be assessed using an LS7 item and a 24-hour recall.
Time Frame
Baseline to 24 months
Title
Change in fiber intake
Description
Fiber intake (g/day) will be assessed using the NHANES Dietary Screener Questionnaire (DSQ) and a 24-hour recall.
Time Frame
Baseline to 24 months
Title
Met recommendation for fish consumption (y/n)
Description
Whether or not a participant met the recommendation for fish consumption will be assessed using an LS7 item.
Time Frame
Baseline to 24 months
Title
Change in frequency of consuming ultra-processed foods
Description
Frequency of ultra-processed foods consumption (times/month) will be assessed using a 9-item questionnaire adapted from the DSQ and the Beverage and Snack Questionnaire (BSQ2) and a 24-hour recall.
Time Frame
Baseline to 24 months
Title
Change in red and processed meat consumption
Description
Total red and processed meat consumption (g/week) will be estimated using the DSQ and a 24-hour recall.
Time Frame
Baseline to 24 months
Title
Change in alcohol consumption
Description
Alcohol consumption (drinks/day) will be assessed using a 2-item questionnaire adapted from the Alcohol Use Disorders Screening Test (AUDIT) and a 24-hour recall.
Time Frame
Baseline to 24 months
Title
Change in total steps per day
Description
Total steps per day will be calculated using the average of self-reported pedometer or wearable fitness tracker readings.
Time Frame
Baseline to 24 months
Title
Change in total physical activity
Description
Total physical activity (MET-min/wk) will be assessed using the International Physical Activity Questionnaire long form (IPAQ-long).
Time Frame
Baseline to 24 months
Title
Change in World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) recommendation adherence score
Description
WCRF/AICR recommendation adherence score is a composite of seven items listed above: BMI, physical activity, fiber intake, fruit and vegetable consumption, processed food consumption, red meat consumption, and alcohol consumption. Scores range from 0 to 7. Higher scores indicate greater adherence to the recommendations.
Time Frame
Baseline to 24 months
Title
Change in healthy eating motivation
Description
Healthy eating motivation will be assessed by an adapted version of the Naughton & McCarthy Healthy Eating Motivation scale (3 items). Scores range from 1 to 5. Higher scores indicate greater motivation.
Time Frame
Baseline to 24 months
Title
Change in confidence for healthy eating
Description
Confidence for healthy eating will also be assessed by using a newly created scale (7 items) adapted from the Sallis Eating Habits Confidence Survey and the Seguin-Fowler Expanded Eating Habits Confidence Survey (7 items). Scores range from 1 to 5. Higher scores indicate greater confidence.
Time Frame
Baseline to 24 months
Title
Change in social support for healthy eating
Description
Social support (family and friends) for healthy eating will be assessed by the Ball Social Support for Healthy Eating scale. Scores range from 1 to 5. Higher scores indicate greater social support.
Time Frame
Baseline to 24 months
Title
Change in exercise attitudes
Description
Exercise attitudes will be assessed using selected items adapted from section 2, question 5 of the AARP Exercise Attitudes and Behaviors Survey (4 items). Scores range from 1 to 5. Higher scores indicate more positive attitudes.
Time Frame
Baseline to 24 months
Title
Change in exercise confidence
Description
Exercise confidence will be assessed by an adapted version of the Sallis Exercise Confidence Survey (3 items). Scores range from 1 to 5. Higher scores indicate greater confidence.
Time Frame
Baseline to 24 months
Title
Change in social support for physical activity
Description
Social support (family and friends) for physical activity will be assessed by the Ball Social Support for Physical Activity scale. Scores range from 1 to 5. Higher scores indicate greater social support.
Time Frame
Baseline to 24 months
Title
Change in social engagement
Description
Social engagement (family and friends) will be assessed by the Lubben Social Network Scale. Scores range from 1 to 5. Higher scores indicate greater social engagement.
Time Frame
Baseline to 24 months
Title
Change in (community) social cohesion
Description
Community social cohesion will be assessed by the social cohesion sub-scale of the Mujahid et al. Neighborhood Environment Scale (NES). Scores range from 1 to 5. Higher scores indicate greater social cohesion.
Time Frame
Baseline to 24 months
Title
Change in individual mobilization
Description
Individual mobilization will be assessed using the human capital sub-scale of the Jakes & Shannon Mobilization Scale - Individual. Scores range from 1 to 5. Higher scores indicate greater mobilization.
Time Frame
Baseline to 24 months
Title
Change in general civic engagement attitudes
Description
Civic engagement attitudes will be assessed by the attitudes sub-scale of the Doolittle & Faul Civic Engagement Scale. Scores range from 1 to 5. Higher scores indicate more positive civic engagement attitudes.
Time Frame
Baseline to 24 months
Title
Change in general civic engagement behaviors
Description
Civic engagement behaviors will be assessed by the behaviors sub-scale of the Doolittle & Faul Civic Engagement Scale. Scores range from 1 to 5. Higher scores indicate more frequent civic engagement behaviors.
Time Frame
Baseline to 24 months
Title
Change in investment in community health
Description
Investment in community health (number of priorities) will be assessed using the investment in community health sub-scale of the RWJF National Survey of Health Attitudes. Scores range from 0 to 5. Higher scores indicate higher priority placed on community health.
Time Frame
Baseline to 24 months
Title
Change in walking environment
Description
Walking environment will be assessed by an adapted walking sub-scale of the NES (7 items). Scores range from 1 to 5. Higher scores indicate more favorable walking environments.
Time Frame
Baseline to 24 months
Title
Change in neighborhood safety
Description
Neighborhood safety will be assessed by an adapted neighborhood safety sub-scale of the NES (3 items). Scores range from 1 to 5. Higher scores indicate greater neighborhood safety.
Time Frame
Baseline to 24 months
Title
Change in neighborhood aesthetic
Description
Neighborhood aesthetic quality will be assessed by an adapted neighborhood aesthetic sub-scale of the NES (2 items). Scores range from 1 to 5. Higher scores indicate a more favorable neighborhood.
Time Frame
Baseline to 24 months
Title
Change in fresh fruit and vegetable availability
Description
Fresh fruit and vegetable availability will be assessed by an adapted fresh fruit and vegetable availability sub-scale (3 items) of the Green & Glanz Perceived Nutrition Environment Measures Survey (NEMS-P). Scores range from 1 to 5. Higher scores indicate greater availability.
Time Frame
Baseline to 24 months
Title
Change in store selection motivation
Description
Store selection motivation will be assessed by an adapted store selection motivation sub-scale from NEMS-P (3 items). Scores range from 1 to 5. Higher scores indicate greater motivation.
Time Frame
Baseline to 24 months
Title
Change in restaurant healthy food availability
Description
Restaurant healthy food availability will be assessed by an adapted restaurant healthy food availability sub-scale from NEMS-P (2 items). Scores range from 1 to 5. Higher scores indicate greater availability of healthy food in restaurants.
Time Frame
Baseline to 24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: We will be recruiting Change Club members (CCM), friend and family members (FFM) of CCM, and community residents (CR). Common inclusion criteria include: Age 18-99 English-speaking CCM also must: Provide consent electronically Be willing to be randomized to either group Score "poor" or "intermediate" on at least one of the Simple 7 composite score items (e.g. not meeting Physical Activity Guidelines for Americans) Live in one of the designated towns in NY and TX FFM also must: Provide consent electronically Be family members or friends identified by a CCM CR also must: Provide consent electronically Live in one of the designated towns in NY and TX Exclusion Criteria: Cognitive impairment (if it precludes completion of assessments and/or intervention) Inability to communicate due to severe, uncorrectable hearing loss or speech disorder (if it precludes completion of assessments and/or intervention) Severe visual impairment (if it precludes completion of assessments and/or intervention) Inability to read (as it precludes completion of assessments and/or intervention) Already included in another study sample (e.g. CR cannot also be CCM)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Rebecca A. Seguin-Fowler, PhD
Organizational Affiliation
Texas A&M AgriLife Research
Official's Role
Principal Investigator
Facility Information:
Facility Name
Camden and surrounding towns
City
Camden
State/Province
New York
ZIP/Postal Code
13316
Country
United States
Facility Name
Canastota
City
Canastota
State/Province
New York
ZIP/Postal Code
13032
Country
United States
Facility Name
Carthage and surrounding towns
City
Carthage
State/Province
New York
ZIP/Postal Code
13619
Country
United States
Facility Name
Hamilton and surrounding towns
City
Hamilton
State/Province
New York
ZIP/Postal Code
13346,13355,13334,13310,13402
Country
United States
Facility Name
Rome
City
Rome
State/Province
New York
ZIP/Postal Code
13308, 13440-2, 13449, 13478
Country
United States
Facility Name
Hounsfield and surrounding towns
City
Sackets Harbor
State/Province
New York
ZIP/Postal Code
13685
Country
United States
Facility Name
Watertown
City
Watertown
State/Province
New York
ZIP/Postal Code
13601, 13602, 13603
Country
United States
Facility Name
Center and Shelbyville
City
Center
State/Province
Texas
ZIP/Postal Code
75973, 75935
Country
United States
Facility Name
Groveton and Woodlake
City
Groveton
State/Province
Texas
ZIP/Postal Code
75845, 75865
Country
United States
Facility Name
Littlefield and surrounding towns
City
Littlefield
State/Province
Texas
ZIP/Postal Code
79339
Country
United States
Facility Name
Marshall
City
Marshall
State/Province
Texas
ZIP/Postal Code
75670, 75671, 75672
Country
United States
Facility Name
Plainview
City
Plainview
State/Province
Texas
ZIP/Postal Code
79072, 79073
Country
United States
Facility Name
Trinity
City
Trinity
State/Province
Texas
ZIP/Postal Code
75862
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
36058913
Citation
Seguin-Fowler RA, Hanson KL, Villarreal D, Rethorst CD, Ayine P, Folta SC, Maddock JE, Patterson MS, Marshall GA, Volpe LC, Eldridge GD, Kershaw M, Luong V, Wang H, Kenkel D. Evaluation of a civic engagement approach to catalyze built environment change and promote healthy eating and physical activity among rural residents: a cluster (community) randomized controlled trial. BMC Public Health. 2022 Sep 4;22(1):1674. doi: 10.1186/s12889-022-13653-4.
Results Reference
derived

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The Change Club Study: Evaluation of Civic Engagement for Built Environment Change and Health Improvement

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