A Mosque-Based Intervention to Promote Physical Activity in South Asian Muslim Women

Physical Activity Clinical Trial

Official title:

Exploring the Feasibility, Acceptability, and Effectiveness of a Mosque-Based Intervention to Promote Physical Activity in South Asian Muslim Women: A Pilot Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02124967
• Other study ID #: 2014-0029-B
• Status: Completed
• Phase: N/A
• First received: April 24, 2014
• Last updated: December 10, 2015
• Start date: April 2014
• Est. completion date: March 2015

Study information

• Verified date: December 2015
• Source: Women's College Hospital
• Contact: n/a
• Is FDA regulated: No
• Health authority: Canada: Ethics Review Committee
• Study type: Interventional

Clinical Trial Summary

South Asian (SA) women living in Ontario have a higher risk of developing type 2 diabetes and coronary heart disease (CHD) compared to the general population. Various explanations for these differences have been established, one of which is based on low levels of physical activity in people of SA origin, particularly in Muslim women.

This pilot trial will test the feasibility, acceptability and effectiveness of a Mosque-based exercise and educational intervention designed for SA Muslim women.

1. What is the feasibility of a mosque-based intervention to promote physical activity that is culturally and gender sensitive to South Asian Muslim women?

2. What is the acceptability of a mosque-based intervention to promote physical activity that is culturally and gender sensitive to South Asian Muslim women?

3. What is the effectiveness of a mosque-based intervention to promote physical activity that is culturally and gender sensitive to South Asian Muslim women?

Description:

South Asian (SA) women (people with origins in Pakistan, India, Bangladesh or Sri Lanka) living in Ontario have a higher risk of developing type 2 diabetes and coronary heart disease (CHD) compared to the general population. Various explanations for these differences have been established, one of which is based on low levels of physical activity in people of SA origin, particularly in Muslim women. Studies suggest that they participate in less physical activity or recreational exercise compared to other SA women. Practical barriers (e.g. lack of time, childcare) are often interwoven with cultural barriers, such as restrictions leaving the home alone to enter mixed-gender settings, and lack of socialization into sporting and other outdoor activities) inhibit participation.

The provision of culturally and gender sensitive facilities, such as women-only exercise sessions at mosques could serve as a solution for Ontario SA Muslim women to be more active. Studies indicate health promotion programs in religious institutions (e.g. churches) have demonstrated clinical and psychosocial benefit to women of various ethnic groups. Similar to Canadian churches, mosques have key elements identified in the literature to be beneficial in providing physical activity opportunities for Muslim women: partnerships, available and accessible space and supportive social relationships.

To the investigators' knowledge, mosque-based physical activity interventions for SA Muslim women have not been implemented and evaluated in Ontario. Such interventions are needed to help attenuate the risk of diabetes and CHD in this ethnic group who represent a significant part of the Ontario population.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 28
• Est. completion date: March 2015
• Est. primary completion date: December 2014
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Muslim women attending Madinah Mosque

Exclusion Criteria:

men

Study Design

Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention

Related Conditions & MeSH terms

• Physical Activity

Intervention

Other:
• Exercise
A one hour exercise class including both aerobic activity and resistance training

Locations

Country	Name	City	State
Canada	Jennifer Price	Toronto	Ontario

Sponsors (1)

Lead Sponsor	Collaborator
Women's College Hospital

Country where clinical trial is conducted

Canada, 

References & Publications (14)

Anand SS, Yusuf S, Vuksan V, Devanesen S, Teo KK, Montague PA, Kelemen L, Yi C, Lonn E, Gerstein H, Hegele RA, McQueen M. Differences in risk factors, atherosclerosis, and cardiovascular disease between ethnic groups in Canada: the Study of Health Assessment and Risk in Ethnic groups (SHARE). Lancet. 2000 Jul 22;356(9226):279-84. — View Citation

Banerjee AT, Boyle MH, Anand SS, Strachan PH, Oremus M. The relationship between religious service attendance and coronary heart disease and related risk factors in Saskatchewan, Canada. J Relig Health. 2014 Feb;53(1):141-56. doi: 10.1007/s10943-012-9609-6. — View Citation

Banerjee AT, Gupta M, Singh N. Patient characteristics, compliance, and exercise outcomes of South Asians enrolled in cardiac rehabilitation. J Cardiopulm Rehabil Prev. 2007 Jul-Aug;27(4):212-8. — View Citation

Banerjee AT, Strachan PH, Boyle MH, Anand SS, Oremus M. Attending religious services and its relationship with coronary heart disease and related risk factors in older adults: a qualitative study of church pastors' and parishioners' perspectives. J Relig Health. 2014 Dec;53(6):1770-85. doi: 10.1007/s10943-013-9783-1. — View Citation

Bryan SN, Tremblay MS, Pérez CE, Ardern CI, Katzmarzyk PT. Physical activity and ethnicity: evidence from the Canadian Community Health Survey. Can J Public Health. 2006 Jul-Aug;97(4):271-6. — View Citation

Campbell MK, Hudson MA, Resnicow K, Blakeney N, Paxton A, Baskin M. Church-based health promotion interventions: evidence and lessons learned. Annu Rev Public Health. 2007;28:213-34. Review. — View Citation

Carroll R, Ali N, Azam N. Promoting physical activity in South Asian Muslim women through "exercise on prescription". Health Technol Assess. 2002;6(8):1-101. Review. — View Citation

Chiu M, Austin PC, Manuel DG, Tu JV. Cardiovascular risk factor profiles of recent immigrants vs long-term residents of Ontario: a multi-ethnic study. Can J Cardiol. 2012 Jan-Feb;28(1):20-6. doi: 10.1016/j.cjca.2011.06.002. Epub 2011 Aug 9. — View Citation

Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003 Aug;35(8):1381-95. — View Citation

Hlatky MA, Boineau RE, Higginbotham MB, Lee KL, Mark DB, Califf RM, Cobb FR, Pryor DB. A brief self-administered questionnaire to determine functional capacity (the Duke Activity Status Index). Am J Cardiol. 1989 Sep 15;64(10):651-4. — View Citation

Lawton J, Ahmad N, Hanna L, Douglas M, Hallowell N. 'I can't do any serious exercise': barriers to physical activity amongst people of Pakistani and Indian origin with Type 2 diabetes. Health Educ Res. 2006 Feb;21(1):43-54. Epub 2005 Jun 13. — View Citation

Price J, Landry M, Rolfe D, Delos-Reyes F, Groff L, Sternberg L. Women's cardiac rehabilitation: improving access using principles of women's health. Can J Cardiovasc Nurs. 2005;15(3):32-41. Review. — View Citation

Rolfe DE, Sutton EJ, Landry M, Sternberg L, Price JA. Women's experiences accessing a women-centered cardiac rehabilitation program: a qualitative study. J Cardiovasc Nurs. 2010 Jul-Aug;25(4):332-41. doi: 10.1097/JCN.0b013e3181c83f6b. — View Citation

Williams ED, Stamatakis E, Chandola T, Hamer M. Physical activity behaviour and coronary heart disease mortality among South Asian people in the UK: an observational longitudinal study. Heart. 2011 Apr;97(8):655-9. doi: 10.1136/hrt.2010.201012. Epub 2010 Dec 3. — View Citation

* Note: There are 14 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Change in the International Physical Activity Questionaire (IPAQ)	The IPAQ measures health related physical activity.	Change from Baseline in IPAQ at 10 weeks.	No
Primary	Number of exercise sessions attended	Participants are eligible to attend up to 3 exercise sessions per week over a period of 10 weeks. The number of sessions attended will be counted.	10 weeks	No
Secondary	Change in Duke Activity Status Index (DASI)	The DASI is a self-administered questionnaire that measures functional capacity.	Change from Baseline in DASI at 10 weeks	No