Out Proud and Healthy NORC at the University of Chicago University of Missouri Columbia Project Director Elizabeth Hair PhD PI Jane McElroy PhD Senior Advisors Catherine Jefcoat ID: 235796
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Healthy Weight in Lesbian and Bisexual Women: Striving for a Healthy CommunityOut, Proud, and Healthy
NORC at the University of ChicagoUniversity of Missouri – Columbia Slide2
Project Director: Elizabeth Hair, PhDPI: Jane McElroy, PhDSenior AdvisorsCatherine
JefcoatDan Kasprzyk
Project LeadershipSlide3
SAGE Metro St. LouisNPO committed to
enhance the quality of life of LGBT elders through service, advocacy and community awareness.The Center ProjectGrassroots NPO focused on needs of LGBTQ that provides a safe and open space for social justice community
Optimus: The Center for HealthSGM friendly fitness center in Columbia, MOLab Gym
SGM friendly fitness center in St. Louis, MO
Partner SitesSlide4
Form advisory committee who will provide expertise throughout projectConvene at 6, 12, and 18 months of EDOC
Potential members (LB community members or allies):Susan Pereira, Family PhysicianCarol Cox, Health educator and Health and Exercise Department faculty at Truman State (NC MO)Maureen “Mo” Costello, the owner of
MoKaBe’s CoffeehouseJeanette Mott-Oxford, ED of MO Association for Social Welfare
Melinda
Hemmelgarn
, MS, RD, LD, “Food Sleuth” columnist
Anna Lingo, Lawyer
Geri Dickey, Director of Social Work program at
Missouri Western State University
Advisory CommitteeSlide5
Project Site & Enrollment2 sites (The Center Project & SAGE Metro St. Louis)
ParticipantsEligibility Criteria40 years or olderSelf-identify as lesbian or bisexualAt risk of morbidities associated with obesity (e.g. heart disease, cancer, diabetes)
Interested in getting healthy/healthierMedical clearance to participantAbility to commit to study
Task 2 – Out, Proud & Healthy Fitness Project Intervention PlanSlide6
Retention Plan
To include culturally appropriate messaging, periodic cards, reminders and incentivesIntervention Phase: 3 arms 5 weeks for culturally sensitive fitness education classes to orient then 16 weeks of weekly support group meetings
Full Gym Intervention group: (10 personal health fitness sessions; 6 nutritional classes, gym membership)Smart Pedometer Intervention group (smart pedometer)16 weeks of weekly educational classes on health
Attention Control group
Celebratory
Event and periodic “gifts” to reward participation
Sustainability
Component
Workout routines, support group, website/facebook
promotion
Task 2 ContinuedSlide7
The Full Gym Intervention group:Fitness-education classes (10 sessions) prior to starting the fitness program
Evaluation of body composition, ventilator threshold, exercise metabolism, heart rate variability and VO2 max to provide individualized information for goal setting of work-outs and diet (optimal caloric intake since resting metabolic rate will be measured); 3 measurements over a year period (Baseline, Month 4, and Month 12)
Support group meetings (16-one hour sessions) in groups of approximately 10 with a trained facilitatorMembership to the gym during intervention and follow-up period
Fitness Mentor Package of 10-sessions with a personal trainer to be used during the 4 month intervention phase
6 session package with a nutritionist to be used during the 4 month intervention phase
Weekly standardized workout routines involving resistance training, aerobic exercise, and flexibility will be designed by a team of
Optimus
Personal Health Fitness Mentors
Celebratory event at the end of the study
$25 for Month 12 assessment to encourage participation
Intervention Phase: 3 arms Slide8
The Smart Pedometer Intervention group:Fitness-education classes (10 sessions) prior to starting the fitness program
Evaluation of body composition, ventilator threshold, exercise metabolism, heart rate varibility
and VO2 max to provide individualized information for goal setting of work-outs and diet (optimal caloric intake since resting metabolic rate will be measured); 3 measurements over a year period (Baseline, Month 4, and Month 12)Support group meetings (16-one hour sessions) in groups of approximately 10 with a trained facilitator
Given Smart Pedometer, such as
Striiv
, to encourage physical activity
Celebratory event at the end of the study
$25 for Month 12 assessment to encourage participation
Attention Control group:
Health-education classes (16 sessions), meeting weekly
Evaluation of body composition, ventilator threshold, exercise metabolism, heart rate
varibility
and VO2 max to provide information for self-determined work-outs and diet (optimal caloric intake since resting metabolic rate will be measured); 3 measurements over a year period (
Baseline,Month
4, and Month 12)
$25 for each assessment, for a total of $75 dollars
Celebratory event at the end of the study
Intervention Phase: 3 arms Slide9
Random Assignment Procedures
During ongoing rolling enrollmentOutcomesPrimary OutcomeWeight Goal 1: Reduction in BMI of LB women Weight Goal 2: Reduction in the waist to hip ratio of LB women
Fitness Goal: Improved fitness in LB womenSecondary OutcomesDiet Goal: Increase healthy diet of LB womenPhysical Activity Goal: Increase physical activity in LB women
Task 3 – Evaluation Slide10
Impact AnalysisCompare outcomes of treatment group against control group
Special ConsiderationsITT vs. TOT analysesSelecting CovariatesCombine data across award sites for analyses of common measures?
Focus Groups2 focus groups in conjunction with celebratory event1 Full gym group & 1 Smart Pedometer group
Task 3 ContinuedSlide11
Questions/CommentsSlide12
Thank you!
NORC at the University of ChicagoUniversity of Missouri – Columbia
OUT, PROUD
AND HEALTHY