Cardiovascular Diseases, Health Behavior
Conditions
Keywords
Community-based Intervention, Socio-ecological Model, Participatory Approach, Ultra-Orthodox Jewish women
Brief summary
The purpose of this research study is to design, implement, and evaluate a community level, socio-ecological based CVD prevention intervention using a participatory approach for women in a homogeneous ultra-Orthodox Jewish Hasidic community in Israel. A quasi-experimental, pre-post study design will be utilized, where all community participants will be exposed to intervention components. Pre and post samples will be selected through randomized cluster sampling of pre-existing community groups. It is hypothesized that ultra-Orthodox Jewish Hasidic women exposed to this community intervention will have improved healthy eating behaviors, reduced unhealthy eating behaviors, increased engagement in physical activity and sleep, and reduced risk for obesity (weight, BMI).
Detailed description
The purpose of this research study is to design, implement, and evaluate a community level, socio-ecological based CVD prevention intervention using a participatory approach for women in a homogeneous ultra-Orthodox Jewish Hasidic community in Israel. A quasi-experimental, pre-post study design will be utilized, where all community participants will be exposed to intervention components. Pre and post samples will be selected through randomized cluster sampling of pre-existing community groups (n=239 ). Intervention components will be designed through qualitative and quantitative data collection (focus groups, interviews, and questionnaires) from the target population and implementation will be conducted in partnership with community organizations. Intervention components will include a health newsletter, health workshops, community evening/health project registration, lay leader training, neighborhood exercise groups, community walking programs with pedometers, healthy cooking contest, and school health promotion activities. It is hypothesized that ultra-Orthodox Jewish Hasidic women exposed to this community intervention will have improved healthy eating behaviors, reduced unhealthy eating behaviors, increased engagement in physical activity and sleep, and reduced risk for obesity (weight, BMI).
Interventions
OTHERSocio-ecologial, community-based intervention
Intervention components will include a health newsletter, health workshops, community evening/health project registration, lay leader training, neighborhood exercise groups, community walking programs with pedometers, healthy cooking contest, and school health promotion activities.
Sponsors
Hadassah Medical Organization
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
This is a quasi-experimental, pre-post study.
Eligibility
Sex/Gender
ALL
Age
15 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Hebrew, English, or Yiddish speaker * Ultra-Orthodox Jewish Hasidic woman in the targeted community
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Eating behaviors | One year following project completion (4 years later) | Eating behaviors will be assesses through self report of specific food item consumption via questionnaire |
| Engagement in physical activity | One year following project completion (4 years later) | Engagement in physical activity will be assesses through self report of minutes engaged in vigorous and moderate physical activity via questionnaire as well as pedometer step count where relevant |
| Reduced risk for obesity (weight, BMI). | One year following project completion (4 years later) | Self report of BMI |
| Hours of sleep | One year following project completion (4 years later) | Hours of sleep will be assesses through self report of average hours slept via questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Stages of Change for targeted health behaviors | One year following project completion (4 years later) | Stages of Change for targeted health behaviors will be assesses through self report questionnaire |
| Spiritual Health Locus of Control | One year following project completion (4 years later) | Spiritual Health Locus of Control will be measured through Holt's Spiritual Health Locus of Control scale, culturally adapted to the population |
| health parameters of local population | 3 years prior to intervention, 2 years after intervention. | data will be retrieved from local health plans including lipid profile, weight and hemoglobin a1c |
| self perceived health status | One year following project completion (4 years later) | self perceived health status will be assessed through self report questionnaire |
| General Health Self Efficacy | One year following project completion (4 years later) | General Health Self Efficacy will be assessed via Ralph Schwarzer's General Health Self Efficacy self report scale, culturally adapted to the population |
| Cardiovascular disease knowledge | One year following project completion (4 years later) | Cardiovascular disease knowledge will be assesses through self report questionnaire based on the American Heart Association's knowledge survey items |
Outcome results
None listed