Incorporating cardiovascular risk assessment into adolescent and young adult visits to improve cardiovascular health

将心血管风险评估纳入青少年和年轻人的就诊中，以改善心血管健康

• 批准号: 10375349
• 负责人: Holly Catherine Gooding
• 金额: $ 7.83万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-01 至 2024-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10375349
• 关键词: 17 year old; Address; Adolescence; Adolescent; Adolescent and Young Adult; Adult; African American; African American population; Age; Age-Years; Aging; Alcohol consumption; American; Assessment tool; Awareness; Behavior; Behavior Therapy; Blood; Blood Glucose; Blood Pressure; Body mass index; Cardiac health; Cardiovascular Diseases; Caring; Cause of Death; Cessation of life; Child; Cholesterol; Chronic Disease; Clinical Trials; Communication; Companions; Coronary Artery Risk Development in Young Adults Study; Cues; Data; Data Pooling; Development; Diastolic blood pressure; Diet Habits; Dietary Practices; Equipment and supply inventories; Event; Failure; Feedback; Female Adolescents; Focus Groups; Future; Future Generations; Goals; Health Personnel; Health Promotion; Healthcare; Heart; Heart Diseases; High Prevalence; Ideal 1; Intervention; Interview; Knowledge; Life Cycle Stages; Life Style; Measurement; Measures; Medicare; Mental Health; Methods; Morbidity - disease rate; Outcome; Patients; Persons; Pharmaceutical Preparations; Physical activity; Predisposition; Prevention; Preventive; Primary Health Care; Prospective cohort; Provider; Public Health; Qualitative Methods; Randomized Controlled Trials; Reporting; Reproductive Health; Research; Research Project Grants; Risk; Risk Assessment; Risk Factors; Sampling; Smoking; Surveys; Testing; Uterus; Visit; Woman; Work; base; cardiovascular disorder prevention; cardiovascular disorder risk; cardiovascular health; cardiovascular risk factor; clinical practice; feasibility trial; heart disease risk; improved; innovation; insight; intergenerational; middle age; mobile application; modifiable lifestyle factors; mortality; offspring; practice setting; preservation; recruit; reproductive; retention rate; risk prediction; tobacco abstinence; tool; transmission process; treatment as usual; trend; usability; user centered design; web site; young adult; young woman

PROJECT SUMMARY Cardiovascular disease (CVD) is the leading cause of death for American women. While overall mortality from CVD has declined, event rates among younger women have increased dramatically in recent years. Cardiovascular health promoting interventions targeted at adolescent and young adult women are urgently needed to reverse this trend and halt the intergenerational transmission of CVD risk to future generations. The objective of the proposed research is to increase young women’s perceived susceptibility to CVD and provide a cue to action to adapt heart healthy behaviors. The aims of the proposed study are to 1) elicit information about necessary adaptations to an existing lifestyle-based CVD risk assessment tool and companion behavioral intervention from adolescent and young adult women and their primary health care providers using qualitative methods; 2) adapt the risk assessment tool and behavioral intervention into a single integrated mobile application using user-centered design principles; and 3) evaluate the usability and feasibility of delivering the mobile application with adolescent and young adult women presenting for wellness, mental health, and reproductive health visits in a pilot clinical trial. We will also examine preliminary outcomes from the initial trial, including changes in heart healthy behaviors and perceived risk for heart disease, in order to prepare for a larger clinical trial. Our long-term goal is to shift the paradigm of young women’s health care to include the prevention of CVD. By integrating this application into usual care, we aim to slow or arrest the cardiovascular health loss commonly seen as adolescent girls transition to young adulthood, thereby reducing CVD morbidity for this and future generations.

项目概要 心血管疾病（CVD）是美国女性死亡的主要原因。虽然总死亡率从 近年来，心血管疾病有所下降，年轻女性的发病率急剧上升。 针对青少年和年轻成年女性的心血管健康促进干预措施刻不容缓 需要扭转这一趋势并阻止 CVD 风险向子孙后代的代际传播。这 拟议研究的目的是增加年轻女性对心血管疾病的易感性，并提供 调整心脏健康行为的行动提示。拟议研究的目的是 1) 获取信息 关于对现有基于生活方式的 CVD 风险评估工具和配套进行必要的调整 青少年和年轻成年妇女及其初级卫生保健提供者的行为干预 定性方法； 2）将风险评估工具和行为干预整合为一个单一的综合工具 使用以用户为中心的设计原则的移动应用程序； 3）评估可用性和可行性 向青少年和年轻成年女性提供移动应用程序，以促进健康、心理 试点临床试验中的健康和生殖健康访问。我们还将审查初步结果 初步试验，包括改变心脏健康行为和感知的心脏病风险，以便 为更大规模的临床试验做好准备。我们的长期目标是将年轻女性的医疗保健模式转变为 包括预防CVD。通过将此应用程序集成到日常护理中，我们的目标是减缓或阻止 心血管健康损失通常发生在青春期女孩过渡到成年早期时，从而减少 这代人和子孙后代的 CVD 发病率。