COVID-19 Related Protocol Considerations and Modifications within a Rural, Community-Engaged Health Promotion Randomized Trial

Methods and Protocols

article

Rebecca A. Seguin-Fowler¹  Galen D. Eldridge²  Meredith Graham²  Sara C. Folta³  Karla L. Hanson⁴  Jay E. Maddock⁵ 

[1] Institute for Advancing Health through Agriculture, Texas A&M AgriLife, College Station;Texas A&M AgriLife Research and Extension Center;Friedman School of Nutrition Science and Policy, Tufts University;Department of Public and Ecosystem Health, Cornell University;School of Public Health, Texas A&M University, College Station

关键词: randomized trial;    recruitment;    COVID-19;    rural;   

DOI  :  10.3390/mps6010005

学科分类：电力

来源: mdpi

【 摘 要 】

Rural communities are at higher risk for physical inactivity, poor dietary behaviors, and related chronic diseases and obesity. These disparities are largely driven by built environment, socioeconomic, and social factors. A community-based cluster randomized controlled trial of an intervention, the Change Club, aims to address some of these disparities via civic engagement for built environment change. Baseline data collection began in February 2020, only to be paused by the COVID-19 pandemic. In this context, the investigators evaluated multiple approaches for collecting data when the study resumed, focusing on Life’s Simple 7, and additional anthropometric, physiologic, and behavioral outcomes in rural and micropolitan (<50,000 population) communities in Texas and New York. Life’s Simple 7 includes fasting blood glucose, total cholesterol, blood pressure, weight, physical activity, diet, and smoking. Rigor and feasibility were considered across a variety of in-person versus at-home measurement options. After a comprehensive input from participants, partners, staff, researchers, and the funding liaison, the study team chose self-measurement and use of validated questionnaires/surveys to measure the Life’s Simple 7 components. This case provides an example of how a study team might adjust data collection protocol during unexpected and acute events while giving consideration to rigor, feasibility, stakeholder views, and participants’ health and safety.

【 授权许可】

CC BY