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.

项目摘要 心血管疾病（CVD）是美国女性死亡的主要原因。虽然死亡率从 CVD已经下降，近年来年轻女性的事件发生率急剧增加。 针对青少年和年轻成年妇女的心血管健康促进干预措施迫切需要 需要扭转这一趋势，并阻止CVD风险向后代的代际传递。的 这项研究的目的是增加年轻女性对心血管疾病的易感性， 一个行动的提示，以适应心脏健康的行为。这项研究的目的是：1）获取信息 对现有的基于生活方式的CVD风险评估工具和伴侣进行必要的调整 青少年和年轻成年女性及其初级卫生保健提供者的行为干预，使用 定性方法; 2）将风险评估工具和行为干预纳入单一的综合方法 移动的应用程序使用以用户为中心的设计原则;和3）评估的可用性和可行性， 提供移动的应用程序与青少年和年轻的成年妇女提出的健康，精神 健康和生殖健康访问的试点临床试验。我们还将研究 初步试验，包括心脏健康行为和感知心脏病风险的变化， 为更大规模的临床试验做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。通过将此应用程序整合到日常护理中，我们的目标是减缓或阻止 心血管健康损失通常被视为青春期女孩过渡到年轻的成年，从而减少 这一代和后代的CVD发病率。