The South Asian Healthy Lifestyle Intervention (SAHELI) trial: Protocol for a mixed-methods, hybrid effectiveness implementation trial for reducing cardiovascular risk in South Asians in the United States.
The South Asian Healthy Lifestyle Intervention (SAHELI) trial: Protocol for a mixed-methods, hybrid effectiveness implementation trial for reducing cardiovascular risk in South Asians in the United States.
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DOI：
10.1016/j.cct.2020.105995
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发表时间：
2020-05
影响因子：
2.2
通讯作者：
Siddique J
中科院分区：
文献类型：
--
作者：
Kandula NR;Bernard V;Dave S;Ehrlich-Jones L;Counard C;Shah N;Kumar S;Rao G;Ackermann R;Spring B;Siddique J
针对饮食和身体活动的强化生活方式干预被推荐用于降低成人动脉粥样硬化性心血管疾病（ASCVD）的风险。然而，由于移民的社会、文化和环境背景与支持循证生活方式干预的西方生物行为模型之间的不匹配，现有的干预措施往往无法覆盖移民人群。南亚健康生活方式干预（SAHELI）研究是一项1型混合设计随机对照试验，旨在降低南亚裔美国人的ASCVD风险，南亚裔美国人的ASCVD风险高于白人和其他亚裔美国人。目的是评估南亚成年人以社区为基础的文化适应生活方式干预的临床有效性和实施潜力。参与者（n=550）将随机分配到打印的健康生活方式教育材料或SAHELI， SAHELI是一个以小组为基础的生活方式改变计划，包括每周16周的课程和4个强化课程，直到第11个月。SAHELI将基于证据的行为改变策略与适应文化的策略和群体动机访谈相结合，以改善饮食、体育活动和压力管理。随访评估将在6个月和12个月时进行。我们假设在6个月和12个月时，SAHELI干预组在临床ASCVD危险因素（体重、血压、糖化血红蛋白和血脂）、身体活动和心理社会结局方面比打印材料组有更大的改善。我们将使用混合方法从多个涉众的角度来检查SAHELI在覆盖、采用、实现和维护方面的潜力。这项研究为南亚ASCVD风险增加的成年人提供了扩大循证生活方式干预的范围和有效性的潜力。
Intensive lifestyle interventions targeting diet and physical activity are recommended for reducing atherosclerotic cardiovascular disease (ASCVD) risk in adults. However, existing interventions often do not reach immigrant populations because of a mismatch between the social, cultural, and environmental context of immigrants and Western bio behavioral models which underpin evidence-based lifestyle interventions. The South Asian Healthy Lifestyle Intervention (SAHELI) study is a type 1 hybrid design randomized controlled trial aimed at reducing ASCVD risk in South Asian Americans, a group at higher ASCVD risk than whites and other Asian Americans. The objective is to evaluate the clinical effectiveness and implementation potential of a community-based, culturally-adapted lifestyle intervention for South Asian adults. Participants (n=550) will be randomized to printed healthy lifestyle education materials or SAHELI, a group-based lifestyle change program that includes weekly classes for 16 weeks and 4 booster classes though month 11. SAHELI integrates evidence-based behavior change strategies with culturally-adapted strategies and group motivational interviewing to improve diet, physical activity, and stress management. Follow-up assessments will occur at 6 and 12 months. We hypothesize that the SAHELI intervention group will have greater improvements in clinical ASCVD risk factors (weight, blood pressure, glycated hemoglobin, and lipids), physical activity, and psychosocial outcomes than the print material group at 6- and 12- months. We will use mixed-methods to examine SAHELI’s potential for reach, adoption, implementation, and maintenance from the perspective of multiple stakeholders. This study offers the potential to increase the reach and effectiveness of evidence-based lifestyle interventions for South Asian adults at increased risk for ASCVD.
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影响因子：
5.4
作者：
Chiuve SE;Cook NR;Shay CM;Rexrode KM;Albert CM;Manson JE;Willett WC;Rimm EB
通讯作者：
Rimm EB
影响因子：
2.4
作者：
Glasgow, Russell E.;Klesges, Lisa M.;Vogt, Thomas M.
通讯作者：
Vogt, Thomas M.
DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
5.9
作者：
Barrera, Manuel, Jr.;Castro, Felipe G.;Strycker, Lisa A.;Toobert, Deborah J.
通讯作者：
Toobert, Deborah J.
DOI：
10.1097/00005768-199805000-00021
发表时间：
1998-05-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Freedson, PS;Melanson, E;Sirard, J
通讯作者：
Sirard, J