Cardiovascular Diseases
Conditions
Keywords
Heart health, Behavioral modification, Community-based participatory research
Brief summary
The goal of this non-randomized, propensity-matched-controlled study is to assess the effectiveness of the Heart Matters evidence-based program -- previously evaluated for feasibility and efficacy in NCT02707432 -- in improving cardiovascular health outcomes (change in systolic and diastolic blood pressure, primary outcomes) when implemented by community-based facilitators.
Detailed description
The research team will use a non-randomized, propensity-matched-controlled design to evaluate the effectiveness of the Heart Matters evidence-based program -- previously evaluated for feasibility and efficacy under NCT02707432 -- in improving cardiovascular health outcomes when scaled in multiple rural, eastern North Carolina counties and implemented by community-based facilitators. This study aims to recruit 210 participants, 70 of whom will be propensity-score-matched with participants from NCT02707432. Propensity-score-matching will allow for flexibility in recruitment, statistical rigor, and resource efficiency. The research team hypothesizes that matched participants in the present study will show significant improvements in health outcomes (systolic blood pressure, diastolic blood pressure) compared to the matched NCT02707432 controls.
Interventions
BEHAVIORALHeart Matters
Heart Matters is a lifestyle modification intervention guided by the theory of planned behavior. Designed to mitigate cardiovascular disease risk factors, the program strives to help participants consume nutritious foods, engage in a more active lifestyle, lose weight and lower their systolic or diastolic blood pressure. Lifestyle modifications can include weight loss, a reduction in percent calorie fat consumption and total sodium intake, improving diet and increasing physical activity, and reducing daily alcoholic beverage consumption.
Sponsors
University of North Carolina, Chapel Hill
National Heart, Lung, and Blood Institute (NHLBI)
Project Momentum, Inc.
James McFarlin Community Development, Inc.
Opportunities Industrialization Center, Inc.
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Non-randomized, propensity-matched-controlled trial. Specifically, 70 participants from the present study will be propensity-matched with 70 participants from NCT02707432.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Identify as Black or African American * Reside in rural, eastern North Carolina * Self-report at least one cardiovascular disease risk factor, such as pre-diabetes, pre-hypertension or stage one hypertension, obesity, or family history of early heart disease
Exclusion criteria
* Evidence of active or unstable cardiovascular disease * Cognitive impairment that limits informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean change from Baseline, Systolic Blood Pressure | Baseline, 12 Months | Blood pressure is measured as the average of three readings, taken in a seated position using an Omron BP6100 digital blood pressure monitor. Reporting will compare participants in the present study with propensity-score-matched controls. |
| Mean change from Baseline, Diastolic Blood Pressure | Baseline, 12 Months | Blood pressure is measured as the average of three readings, taken in a seated position using an Omron BP6100 digital blood pressure monitor. Reporting will compare participants in the present study with propensity-score-matched controls. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean Perceived Stress Scale Score | Baseline, 6 Months, 12 Months | Perceived stress is measured via self-report using the 10-item Perceived Stress Scale (PSS). PSS scores can range from 0 to 40, with higher scores indicating higher levels of perceived stress. |
| Mean Alcohol Use Disorders Identification Test - Consumption (AUDIT-C) Score | Baseline, 6 Months, 12 Months | Alcohol use is measured via self-report using the 3-item Alcohol Use Disorders Identification Test - Consumption (AUDIT-C). AUDIT-C scores can range from 0 to 12, with higher scores indicating greater of drinking quantity and/or frequency. |
| Mean Minutes of Light, Moderate, and Vigorous Leisure-Time Physical Activity | Baseline, 6 Months, 12 Months | Minutes of light, moderate, and vigorous leisure-time physical activity is measured via self-report using an English-language version of Registre Gironí del Cor (REGICOR) with a look-back period of one month. |
| Number of Participants by Categorical Frequency of Dietary Intake of Sweetened Fruit Drinks | Baseline, 6 Months, 12 Months | Dietary intake of sweetened fruit drinks is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption. |
| Number of Participants by Categorical Frequency of Dietary Intake of 100% Pure Fruit Juice | Baseline, 6 Months, 12 Months | Dietary intake of 100% pure fruit juice is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption. |
| Number of Participants by Categorical Frequency of Dietary Intake of Soda | Baseline, 6 Months, 12 Months | Dietary intake of soda is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption. |
| Number of Participants with Personal History of Cardiovascular Disease | Baseline | Personal history of cardiovascular disease is measured via self-report at baseline using an adapted item from My Personal Health Record (MyPHR). Personal history of cardiovascular disease is defined as history of diabetes, heart surgery, high blood cholesterol, high blood pressure, pain or pressure in chest, palpitations, stroke, or other heart condition (including heart attack). |
| Number of Participants with Family History of Cardiovascular Disease | Baseline | Family history of cardiovascular disease is measured via self-report using an adapted item from the Women's Health Initiative. Family history of cardiovascular disease is defined as having a parent, full-blooded sibling, or child who has ever had a heart condition, such as heart attack, high blood pressure, or stroke. |
| Mean Systolic Blood Pressure in mmHg | Baseline, 6 Months | Blood pressure is measured as the average of three readings, taken in a seated position using an Omron BP6100 digital blood pressure monitor. |
| Mean Diastolic Blood Pressure in mmHg | Baseline, 6 Months | Blood pressure is measured as the average of three readings, taken in a seated position using an Omron BP6100 digital blood pressure monitor. |
| Mean Body-mass Index | Baseline, 6 Months, 12 Months | Body-mass index (BMI) will be calculated as weight (pounds) \* 703 / height\^2 (inches). |
| Mean Weight in Pounds | Baseline, 6 Months, 12 Months | Weight will be measured via a digital scale. |
| Mean Waist Circumference in Centimeters | Baseline, 6 Months, 12 Months | Waist circumference will be measured using inelastic tape. |
| Mean Total Cholesterol in mg/dL | Baseline, 6 Months, 12 Months | Total cholesterol is measured via blood sample using a Cholestech LDX analyzer. |
| Mean High-density Lipoprotein (HDL) Cholesterol in mg/dL | Baseline, 6 Months, 12 Months | HDL cholesterol is measured via blood sample using a Cholestech LDX analyzer. |
| Mean Low-density Lipoprotein (LDL) Cholesterol in mg/dL | Baseline, 6 Months, 12 Months | LDL cholesterol is measured via blood sample using a Cholestech LDX analyzer. |
| Mean Blood Triglycerides in mg/dL | Baseline, 6 Months, 12 Months | Blood triglycerides are measured via blood sample using a Cholestech LDX analyzer. |
| Mean Glycated Hemoglobin (A1C) Score | Baseline, 6 Months, 12 Months | A1C is measured via blood sample using A1CNow+ test kits. |
| Number of Participants by Categorical Smoking Status | Baseline, 6 Months, 12 Months | Smoking status is measured via self-report using excerpted items from wave 1 of the Population Assessment of Tobacco and Health Study. Reporting will include number of participants endorsing ever having smoked a cigarette and (among participants who have endorse ever having smoked) numbers of participants endorsing now smoking every day, some days, or not at all. |
| Mean Healthy Days | Baseline, 6 Months, 12 Months | Healthy Days measured via self report using the Center for Disease Control (CDC)'s 4-item Healthy Days Core Module (HRQOL-4) with a look-back period of 30 days. HRQOL-4 scores can range from 0 to 30, with 30 indicating maximum number of healthy days. |
| Number of Participants by Categorical Frequency of Dietary Intake of Water | Baseline, 6 Months, 12 Months | Dietary intake of water is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption. |
| Number of Participants by Categorical Frequency of Dietary Intake of Fruit | Baseline, 6 Months, 12 Months | Dietary intake of fruit is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption. |
| Number of Participants by Categorical Frequency of Dietary Intake of Vegetables (Excluding Potatoes) | Baseline, 6 Months, 12 Months | Dietary intake of vegetables (excluding potatoes) is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption. |
| Number of Participants by Categorical Frequency of Dietary Intake of Frozen and Fast Food | Baseline, 6 Months, 12 Months | Dietary intake of frozen and fast food is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption. |
| Number of Participants by Categorical Frequency of Dietary Intake of Processed Meat | Baseline, 6 Months, 12 Months | Dietary intake of processed meat is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption. |
| Number of Participants by Categorical Frequency of Dietary Intake of Whole Grains | Baseline, 6 Months, 12 Months | Dietary intake of whole grains is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption. |
| Number of Participants by Categorical Frequency of Dietary Intake of Candy, Desserts, and Chocolate | Baseline, 6 Months, 12 Months | Dietary intake of candy, desserts, and chocolate is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption. |
| Number of Participants by Categorical Frequency of Dietary Intake of Chips | Baseline, 6 Months, 12 Months | Dietary intake of chips is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption. |
| Number of Participants by Categorical Frequency of Dietary Intake of Sugary Cereals | Baseline, 6 Months, 12 Months | Dietary intake of sugary cereals is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption. |
| Number of Participants by Categorical Frequency of Dietary Intake of Fish | Baseline, 6 Months, 12 Months | Dietary intake of fish is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption. |
| Number of Participants by Categorical Frequency of Dietary Intake of Nuts and Seeds | Baseline, 6 Months, 12 Months | Dietary intake of nuts and seeds is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption. |
| Mean Heart Disease Fact Questionnaire Score | Baseline, 6 Months, 12 Months | Heart disease knowledge is measured via self-report using the 25-item Heart Disease Fact Questionnaire (HDFQ). HDFQ scores can range from 0 to 25, with higher scores indicating greater knowledge of heart disease. |
| Number of Participants by Categorical Frequency of Dietary Intake of Eggs | Baseline, 6 Months, 12 Months | Dietary intake of eggs is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption. |
| Mean University of Rhode Island Change Assessment Score | Baseline, 6 Months, 12 Months | Readiness for behavioral change is measured via self-report using the 32-item University of Rhode Island Change Assessment (URICA). URICA scores can range from -2 to +14, with higher scores indicating greater levels of readiness to change. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORGaurav Dave, MBBS, DrPH
University of North Carolina, Chapel Hill
Outcome results
None listed