权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Engaging NHPIs and Activating Communities to Take Steps (ENACTS)

让 NHPI 参与并激励社区采取措施 (ENACTS)

基本信息

批准号：
9196923
负责人：
KA'IMI ALOHILANI SINCLAIR
金额：
$ 21.18万
依托单位：
WASHINGTON STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-08-01 至 2021-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9196923
关键词：
21 year old Address Adherence Adopted Adoption Adult Age American Heart Association Antihypertensive Agents Area Arts Awareness Behavior Blood Pressure Body Weight decreased Car Phone Cardiovascular Diseases Clinic Communities Control Groups Data Diabetes Mellitus Diagnosis Diastolic blood pressure Diet Dietary Practices Eating Education Educational Curriculum Educational Intervention Elements Energy Metabolism Enrollment Exercise Family Family member Feedback Focus Groups Food Geographic Information Systems Hawaiian population Health Food Health education Heart Diseases Household Hypertension Hypotension Individual Intake Intervention Interview Knowledge Label Learning Life Style Measurement Measures Micronutrients Nutritional Outcome Overweight Pacific Island Americans Pamphlets Participant Patient Self-Report Pattern Persons Pharmaceutical Preparations Photography Physical activity Physical environment Physicians Policies Population Potassium Potassium Deficiency Prevalence Prevention Probability Race Randomized Randomized Controlled Trials Recruitment Activity Research Risk Risk Factors Self Care Self Efficacy Self Management Site Smoke Social support Sodium Sodium Chloride Stroke Stroke prevention Technology Text Time Translating Washington Woman Work abstracting blood pressure reduction blood pressure regulation cardiovascular disorder prevention cardiovascular disorder risk community center family support good diet health disparity hypertension control hypertensive heart disease improved informant medication compliance modifiable risk novel peer phrases primary outcome programs public health relevance secondary outcome smoking cessation sound success sugar tool treatment as usual

项目摘要

PROJECT 3 Abstract Hypertension is a strong but modifiable risk factor for cardiovascular disease and stroke. Compared to Whites, Native Hawaiians and Pacific Islanders (NHPIs) are 3 to 4 times more likely to develop these conditions. They also manifest at younger ages among NHPIs, and are more likely to be fatal than in the all-races population. Hypertension prevalence is 70% higher in NHPIs than in Whites, and nearly 50% of NHPIs over the age of 21 have hypertension. Yet, NHPIs are largely absent from research on this topic. Many NHPIs consume diets high in sodium and sugar. Education on self-care for reducing sodium intake, increasing potassium intake, and encouraging weight loss, smoking cessation, and physical activity can improve blood pressure (BP). We will adapt an existing educational intervention to address self-management of hypertension in NHPIs. The multilevel 6-month intervention – “Engaging NHPIs and Activating Communities to Take Steps” (ENACTS) – will operate use peer-facilitated, self-care BP education delivered weekly for 8 weeks emphasizing healthy diet, traditional NHPI foods, adherence to medication, and encouragement to increase physical activity and stop smoking; with text messaging to boost adherence. We will implement ENACTS as a randomized controlled trial at 3 community sites serving NHPIs in the Puget Sound area of Washington. We will randomize 270 NHPI adults (90 per site) with a self-reported physician diagnosis of hypertension and elevated BP measured at enrollment to either ENACTS or usual care. Both groups will receive general health education brochures, plus a $30 weekly credit for online grocery shopping. We will use a Geographic Information Systems (GIS) mobile phone app to track participants. The primary outcome is change in systolic BP. Secondary outcomes are food purchasing behaviors (online ordering, grocery receipts); medication adherence; social support; smoking cessation; and GIS data on daily energy expenditure. Outcomes will be measured at baseline, weekly, and at 6 months. We will also examine change in household food purchasing patterns, enhanced family support for BP control, and BP improvement among family members. A subset of intervention participants and family members will be invited to participate in a program that uses personal photographs for narrative art projects to promote labeling of healthy foods by local retail outlets. Our Specific Aims are: 1) at the individual level, to compare within-person change in BP and secondary outcomes between the intervention and control groups; 2) at the family level, to evaluate ENACTS’ effects on BP and secondary outcomes as within-person change in family members who provide primary support, and as mean change in other adult family members who are not directly engaged in the intervention; and 3) at the policy level, to evaluate the intervention’s ability to influence grocery store policy on clearly identifying foods that are low in sodium or high in potassium, some of which might not be easily identified with existing labels (e.g., fresh produce). ENACTS combines empirically supported elements of existing programs, thus increasing its probability of success. It aligns with the American Heart Association’s call for multilevel prevention.

项目3