Chaamps ppt slides website_with links
- 1. Developing and Testing a New Model to Reduce Risk for Heart Disease and Stroke PI: Ruth Lindquist, PhD, RN, FAAN, Professor University of Minnesota ,School of Nursing Partner: National USA Foundation, Inc. (NUFI) Rev./Dr. LB West, Mount Airy Baptist Church, Washington, D.C.
- 2. A. Significance AA men live 4 year less than their Caucasian counterparts CVD in large part a behavioral disease Men are viewed within the context of their community
- 3. B. Innovation Novel Peer Group Support Mechanism • Okinawan “Moai” • Increasing level of accountability, encouragement, and salutary, enduring health behavior change Use of Technological tools • Smart phone • Physical activity tracker • Text messaging Audio Recording • Graining insight into change processes and support for behavior change among peer groups
- 4. B. Innovation ↑Awareness Education Personal risk (screening) ↑Activation Ready to change Demonstrated commitment (run-in) ↑Awareness Effort to change Outcomes ↑Knowledge Improved health behaviors Improved health Reduced CVD risk + Role modeling + Culture impact ↓Community CVD risk Intervention Goal setting Education Inspiration Ongoing Feedback “tracking” Peer support advice Community CVD risk Conceptual Model
- 5. C1. Preliminary work • “SOAR”: church initiated health program • 10-week behavioral weight loss program • 16-week text messaging and small peer group weight management program • Qualitative Interviews of weight loss program C2. Justification and Feasibility • Life’s Simple 7 • Community partners C. Approach
- 6. Subjects and Setting C.3. Research Design Phase I (Education) Inclusion: Men, 40-70 year old, who identify as AA, able to read and write in English and provide informed consent and who are members. Setting: New Salem Missionary Baptist Church ( n ≈ 700) Mount Airy Baptistic Church (n ≈ 300) Phase II and III (Screening & BP) “Run-In” Added inclusion: Having a health activation score in the upper 50th percentile Exclusion: Active smoker, illicit drug users, and men with alcoholism or psychiatric illness Phase IV and V (Support) Inclusion: Having one or more risks for CVD according to AHA guideline Life’s Simple 7; compliance shown in attending weekly BP checks; health activation reflecting readiness to or contemplation of health behavior change; willingness to commit time to 6-month program and be randomized.
- 7. Subjects and Setting – Performance sites C.3. Research Design
- 8. Performance sites C.3. Research Design New Salem Missionary Baptist Church Minneapolis, MN Mount Airy Baptist Church Washington D.C Pastor: Jerry McAfee Pastor: Rev. L. B. West, D.R.S.
- 9. C.4. Measures I. Primary Outcome Measures (Life’s Simple 7) Total Cholesterol Blood Pressure Blood Glucose Physical Activity Health diet score Obesity Smoking
- 10. C.4. Measures II. Psychosocial and Behavioral Measures Stage of Change/ Readiness to Change Dietary Knowledge Healthy Eating Change Strategies Framingham Coronary Heart Disease Risk Score Self- reported current smoking Self-rated Health BRFSS 4- item activity scale General Food Knowledge Questionnai re Physical Activity My Fitness Pal III. Biometric Measures Blood pressures Bloods IV. Anthropologic Measures Weight Height BMI
- 11. C.5. Intervention Model Phases Phase I Education Video Presentation Phase II Health Screening 30-40 men Health activation will be assessed Consent and Measures Phase III Blood Pressure Run-In 3-week Blood pressure check Recruit to enroll in the 6- month program Phase IV 6-month small group support, education, and behavioral change Weekly -> Bi- weekly -> Monthly Phase V Follow-up 2 month after the end of Phase IV
- 12. C.5. Small groups Video presentation Life’s Simple 7 Trained Facilitator Invisible RA
- 13. Timeline of Study Activity September October – November December - May June July - August Planning & Development Follow-up Grant Development Phase I Congregational Education & Measures Follow-up Congregational Measures Phase II Biometric Screening Post Biometric Screening Phase III BP “Run-In” Baseline Measures Phase IV Behavioral Change Intervention & RCT Post Intervention Measure Phase V Follow-Up Study Analyses, Model Revision
- 14. Thank you!