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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

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...

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Autores principales: Washington-Plaskett, Tulani, Idris, Muhammed Y., Mubasher, Mohamed, Ko, Yi-An, Islam, Shabatun Jamila, Dunbar, Sandra, Taylor, Herman, Quyyumi, Arshed Ali, Pemu, Priscilla
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8036364/
https://www.ncbi.nlm.nih.gov/pubmed/33915812
http://dx.doi.org/10.3390/ijerph18073660
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author Washington-Plaskett, Tulani
Idris, Muhammed Y.
Mubasher, Mohamed
Ko, Yi-An
Islam, Shabatun Jamila
Dunbar, Sandra
Taylor, Herman
Quyyumi, Arshed Ali
Pemu, Priscilla
author_facet Washington-Plaskett, Tulani
Idris, Muhammed Y.
Mubasher, Mohamed
Ko, Yi-An
Islam, Shabatun Jamila
Dunbar, Sandra
Taylor, Herman
Quyyumi, Arshed Ali
Pemu, Priscilla
author_sort Washington-Plaskett, Tulani
collection PubMed
description 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.
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spelling pubmed-80363642021-04-12 Impact of Technology-Based Intervention for Improving Self-Management Behaviors in Black Adults with Poor Cardiovascular Health: A Randomized Control Trial Washington-Plaskett, Tulani Idris, Muhammed Y. Mubasher, Mohamed Ko, Yi-An Islam, Shabatun Jamila Dunbar, Sandra Taylor, Herman Quyyumi, Arshed Ali Pemu, Priscilla Int J Environ Res Public Health Article 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. MDPI 2021-04-01 /pmc/articles/PMC8036364/ /pubmed/33915812 http://dx.doi.org/10.3390/ijerph18073660 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Washington-Plaskett, Tulani
Idris, Muhammed Y.
Mubasher, Mohamed
Ko, Yi-An
Islam, Shabatun Jamila
Dunbar, Sandra
Taylor, Herman
Quyyumi, Arshed Ali
Pemu, Priscilla
Impact of Technology-Based Intervention for Improving Self-Management Behaviors in Black Adults with Poor Cardiovascular Health: A Randomized Control Trial
title Impact of Technology-Based Intervention for Improving Self-Management Behaviors in Black Adults with Poor Cardiovascular Health: A Randomized Control Trial
title_full Impact of Technology-Based Intervention for Improving Self-Management Behaviors in Black Adults with Poor Cardiovascular Health: A Randomized Control Trial
title_fullStr Impact of Technology-Based Intervention for Improving Self-Management Behaviors in Black Adults with Poor Cardiovascular Health: A Randomized Control Trial
title_full_unstemmed Impact of Technology-Based Intervention for Improving Self-Management Behaviors in Black Adults with Poor Cardiovascular Health: A Randomized Control Trial
title_short Impact of Technology-Based Intervention for Improving Self-Management Behaviors in Black Adults with Poor Cardiovascular Health: A Randomized Control Trial
title_sort impact of technology-based intervention for improving self-management behaviors in black adults with poor cardiovascular health: a randomized control trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8036364/
https://www.ncbi.nlm.nih.gov/pubmed/33915812
http://dx.doi.org/10.3390/ijerph18073660
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