Heart Healthy and Ethnically Relevant (HHER) Lifestyle trial for improving diet and physical activity in underserved African American women
| Autor: | Cheryl L. Addy, Deborah Parra-Medina, Dawn K. Wilson, Sara Wilcox, Gwen M. Felton, Mary Beth Poston |
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| Rok vydání: | 2009 |
| Předmět: |
Gerontology
Counseling Ethnic group Psychological intervention Overweight Vulnerable Populations Article Underserved Population medicine Humans Pharmacology (medical) Obesity Exercise Life Style Self-efficacy business.industry General Medicine Feeding Behavior Middle Aged medicine.disease Combined Modality Therapy Dietary Fats Health equity Self Efficacy Telephone Black or African American Cardiovascular Diseases Community health Female Pamphlets medicine.symptom business Follow-Up Studies |
| Zdroj: | Contemporary clinical trials. 31(1) |
| ISSN: | 1559-2030 |
| Popis: | African American women are at increased risk for CVD morbidity and mortality relative to white women. Physical inactivity and poor dietary habits are modifiable health behaviors shown to reduce CVD risk. Community health centers have the potential to reach large numbers of African Americans to modify their risk for CVD, yet few lifestyle counseling interventions have been conducted in this setting.The HHER Lifestyle trial is a randomized controlled trial to compare the effects of a standard care intervention (provider counseling, nurse goal setting, and educational materials) to a comprehensive intervention (standard care intervention plus 12 months of telephone counseling and tailored print materials) on changes in physical activity and dietary fat consumption in financially disadvantaged African American women at 6 and 12 months. Secondary outcomes are body mass index, central adiposity, and total cholesterol. Potential mediators of outcome are self-efficacy for overcoming barriers, social support, and decisional balance.African American women (N=266; 130 standard care, 136 comprehensive intervention) 35 years and older from nine clinics within two community health centers were enrolled. Most participants were overweight or obese with existing chronic health conditions.The HHER Lifestyle trial is unique in that it targets financially disadvantaged African American women from community health centers, incorporates a standard care intervention into a routine clinical appointment, and includes a comprehensive process evaluation. The design will permit further research examining the added effect of regular telephone counseling and tailored print materials to a primary care provider and nurse intervention. |
| Databáze: | OpenAIRE |
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