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Impact of Technology-Based Intervention for Improving Self-Management Behaviors in Black Adults with Poor Cardiovascular Health: A Randomized Control Trial
- Source :
- International Journal of Environmental Research and Public Health, Volume 18, Issue 7, International Journal of Environmental Research and Public Health, Vol 18, Iss 3660, p 3660 (2021)
- Publication Year :
- 2021
- Publisher :
- Multidisciplinary Digital Publishing Institute, 2021.
-
Abstract
- Cardiovascular disease (CVD) is the number one killer of adults in the U.S., with marked ethnic/racial disparities in prevalence, risk factors, associated health behaviors, and death rates. In this study, we recruited and randomized Blacks with poor cardiovascular health in the Atlanta Metro area to receive an intervention comparing two approaches to engagement with a behavioral intervention technology for CVD. Generalized Linear Mixed Models results from a 6-month intervention indicate that 53% of all participants experienced a statistical improvement in Life’s Simple 7 (LS7), 54% in BMI, 61% in blood glucose, and 53% in systolic blood pressure. Females demonstrated a statistically significant improvement in BMI and diastolic blood pressure and a reduction in self-reported physical activity. We found no significant differences in changes in LS7 or their constituent parts but found strong evidence that health coaches can help improve overall LS7 in participants living in at-risk neighborhoods. In terms of clinical significance, our result indicates that improvements in LS7 correspond to a 7% lifetime reduction of incident CVD. Our findings suggest that technology-enabled self-management can be effective for managing selected CVD risk factors among Blacks.
- Subjects :
- Adult
Gerontology
Technology
Health, Toxicology and Mutagenesis
lcsh:Medicine
Disease
030204 cardiovascular system & hematology
Article
law.invention
03 medical and health sciences
equity
0302 clinical medicine
Randomized controlled trial
Risk Factors
law
Intervention (counseling)
Life’s Simple 7
Humans
Medicine
Clinical significance
030212 general & internal medicine
health disparities
Self-management
business.industry
Self-Management
Mortality rate
lcsh:R
Public Health, Environmental and Occupational Health
Blacks
behavioral intervention technology
CVD
Health equity
Black or African American
Blood pressure
Cardiovascular Diseases
Female
business
Subjects
Details
- Language :
- English
- ISSN :
- 16604601
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....8e93bba6029289b173ce5bbbcfddc914
- Full Text :
- https://doi.org/10.3390/ijerph18073660