Traditional Heart-Healthy Diet and Medication Adherence in the Norton Sound Region: An 18-Month Telehealth Intervention
| Autor: | Marily Oppezzo, Mariah Knox, Jordan Skan, Amy Chieng, Maria Crouch, Rachael C. Aikens, Neal L. Benowitz, Matthew Schnellbaecher, Judith J. Prochaska |
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| Rok vydání: | 2022 |
| Předmět: |
Male
and promotion of well-being telehealth Health Toxicology and Mutagenesis Clinical Trials and Supportive Activities Cardiovascular Toxicology Alaska Native Medication Adherence Arctic 7.1 Individual care needs cardiovascular disease Clinical Research Behavioral and Social Science Humans Obesity American Indian or Alaska Native Nutrition Healthy Prevention Public Health Environmental and Occupational Health Prevention of disease and conditions dietary intake medication adherence Telemedicine Diet Stroke Heart Disease Cardiovascular Diseases 3.1 Primary prevention interventions to modify behaviours or promote wellbeing Female Management of diseases and conditions Diet Healthy |
| Zdroj: | International Journal of Environmental Research and Public Health; Volume 19; Issue 16; Pages: 9885 International journal of environmental research and public health, vol 19, iss 16 |
| ISSN: | 1660-4601 |
| Popis: | Introduction. Innovations are needed for preventing cardiovascular disease (CVD) and for reaching diverse communities in remote regions. The current study reports on a telemedicine-delivered intervention promoting a traditional heart-healthy diet and medication adherence with Alaska Native men and women residing in the Norton Sound region of Alaska. Methods. Participants were 299 men and women with high blood pressure or high cholesterol smoking daily who were randomized to receive telemedicine-delivered counseling and printed materials on diet and medication adherence or on smoking and physical activity. Intervention contacts were at baseline and 3-, 6-, and 12-months follow-up, with a final assessment at 18 months. Nutrition outcomes were the ratio of heart-healthy foods and traditional heart-healthy foods relative to all foods reported on a 34-item food frequency questionnaire. Recent and typical adherence for heart medications were self-reported. Results. Intervention effects were significant for the heart-healthy foods ratio at 6 months only (p = 0.014) and significant for the traditional heart-healthy foods ratio at 6 months only for those aged 47+ (p = 0.031). For recent and typical medication adherence, there were no significant group differences by time. Discussion. In a remote region of Alaska, telemedicine proved feasible and acceptable for engaging Alaska Native men and women in counseling on CVD risk behaviors. The findings indicate that more touchpoints may be necessary to impart comprehensive lasting change in heart-healthy eating patterns. Medication adherence group differences were not significant; however, medication adherence was high overall. |
| Databáze: | OpenAIRE |
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