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Heart of the Family: A Cardiovascular Disease and Type 2 Diabetes Risk Reduction Intervention in High-Risk Rural Families

家庭之心：高危农村家庭的心血管疾病和 2 型糖尿病风险降低干预措施

基本信息

批准号：
10428628
负责人：
Gia Mudd
金额：
$ 48.95万
依托单位：
UNIVERSITY OF KENTUCKY
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-07 至 2025-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10428628
关键词：
Address Adult Affect Age Behavior Behavioral Biological Blood Pressure Body mass index Cardiovascular Diseases Cause of Death Collaborations Communities Complement Controlled Study Data Diabetes Mellitus Education Ethnic Origin Ethnic group Face Family Family member Feedback Geography Glycosylated hemoglobin A Health Health Resources Health behavior Heart Heart Diseases Heart Rate High Prevalence Hispanic Hispanic Populations Hyperglycemia Hypertension Individual Intervention Kentucky Life Style Modification Lipids Mediating Modeling Modification Non-Insulin-Dependent Diabetes Mellitus Not Hispanic or Latino Nutritional Obesity Outcome Participant Pattern Physical activity Population Poverty Prediabetes syndrome Prevalence Public Health Race Randomized Randomized Controlled Trials Research Research Design Resources Risk Risk Factors Risk Management Risk Reduction Rural Rural Community Rural Population Self Care Social support Testing Tobacco use Unhealthy Diet Urban Community Urban Population Weight maintenance regimen active control base behavior change behavioral outcome burden of illness cardiovascular disorder risk community based participatory research comorbidity comparison intervention diabetes risk disorder risk efficacy testing experience family support good diet group intervention health disparity health inequalities healthy lifestyle high risk hispanic community hypercholesterolemia improved indexing intervention effect lifestyle intervention lifetime risk member mortality physical inactivity post intervention racial and ethnic disparities rural Hispanic rural dwellers rural families rural residence smoking prevalence social socioeconomics

项目摘要

ABSTRACT Rural populations in the U.S. have disproportionately higher prevalence of cardiovascular disease (CVD) and type 2 diabetes (T2D) compared to urban populations. Many rural communities also have greater risk factor burden than urban communities including unhealthier diet, higher rates of physical inactivity, obesity, and smoking, and higher prevalence of hypertension, hypercholesterolemia, and hyperglycemia. Compounding these are poor socioeconomic conditions and limited health resources. Hispanic residents of rural communities may experience worse CVD and T2D disease and risk burden than non-Hispanic residents due to higher rates of poverty, lower educational attainment, and greater barriers accessing resources. U.S. Hispanics have among the highest rates of T2D of any racial or ethnic group. Culturally responsive lifestyle modification interventions are needed to reduce T2D and CVD risk in rural Hispanic and non-Hispanic populations. Modification strategies commonly target individuals and, while these may result in behavior change immediate post-intervention, sustained engagement in healthy behaviors is seldom achieved. Family engagement in lifestyle interventions may support sustained engagement in healthy behaviors especially in rural and Hispanic populations that often have greater reliance on family members for social support. We will conduct a randomized controlled trial to compare the effects of a dyadic intervention, Heart of the Family, to an active control intervention. We will compare 3-month (short-term) and 12-month (long-term) impact of the Heart of the Family intervention on biological and behavioral T2D and CVD risk factors and evaluate whether ethnicity moderates intervention effects. We will also examine how each active intervention dyad member’s engagement in healthy lifestyle behaviors and level of support for their partner’s engagement in healthy lifestyle behaviors affects their own and their partner’s outcomes. A family focused intervention may better support long-term engagement in healthy lifestyle behaviors to reduce T2D and CVD risk among at-risk rural Hispanics and non-Hispanics. Further, this community-based intervention has significant potential for broad implementation to successfully address T2D and CVD health disparities across U.S. Hispanic communities.

摘要