Taxi ROADmAP (Realizing Optimization Around Diet And Physical Activity)
Trial Parameters
Brief Summary
The researchers will conduct 'Taxi ROADmAP (Realizing Optimization Around Diet And Physical activity)', which also utilizes MOST, and the same 4 obesity intervention components as in SANOS, but targets the overweight/obesity crisis in another at-risk, low socioeconomic status (SES) population, taxi and for-hire vehicle (FHV) drivers (Lyft, Uber, etc.). ROADMAP also utilizes an effectiveness- implementation hybrid type 1 design. Hybrid trials, which blend effectiveness and implementation studies, can lead to more rapid translational uptake and more effective implementation. Taxi and FHV drivers are a growing, multilingual, hard-to-reach, predominantly immigrant and minority essential worker population. There are over 750,000 licensed taxi and FHV drivers in in the U.S. and over 185,000 in New York City (NYC). They have higher rates of overweight/obese range body mass index (BMI) than New Yorkers in general (77% vs 56%) and have high rates of elevated waist circumference, sedentary behavior, poor diets, and health care services underutilization. ROADmAP will test 4 evidence- and theory-based (Social Cognitive Theory \[SCT\]) behavior change intervention components. We will use MOST to identify which of the 4 components contribute most significantly and cost-effectively to weight loss among NYC drivers recruited at workplace health fairs (HFs) and virtually. Objectives are to apply MOST to design an optimized version of a scalable, lifestyle intervention for taxi/FHV drivers, and then to conduct a mixed methods multistakeholder process evaluation to facilitate widespread intervention implementation.
Eligibility Criteria
Inclusion Criteria: For COMIDA participants only: * Self-Identifies as Mexican American or Mexican * Seeking services at the VDS of the Mexican Consulate * Prefers to speak in Spanish * All adults at least 18 years of age * Screens as obese (an adult who has a Body Mass Index (BMI) 30 or higher) or overweight (an adult who has a BMI between 25 - 29.9) * Agrees to be audio recorded For SANOS focus group participants only: * Self-identifies as Hispanic/Latino; * Seeking services at VDS or VDS Mobile; * Prefers to speak in Spanish; * At least 18 years of age; * Screens as obese (BMI ≥ 30 kg/m\^2) or overweight (BMI of 25 - 29.9 kg/m\^2); * Agrees to be audio recorded For SANOS RCT participants only: * Self-identifies as Hispanic/Latino; * Seeking services at VDS or VDS Mobile; * Prefers to speak in Spanish; * At least 18 years of age; * Screens as obese (BMI ≥ 30 kg/m\^2) or overweight (BMI of 25 - 29.9 kg/m\^2); * Owns a cell phone capable of receiving text messages; * Agrees to be audio