Developing a Research Agenda for Cardiovascular Disease Prevention in High-Risk Rural Communities.
ABSTRACT The National Institutes of Health convened a workshop to engage researchers and practitioners in dialogue on research issues viewed as either unique or of particular relevance to rural areas, key content areas needed to inform policy and practice in rural settings, and ways rural contexts may influence study design, implementation, assessment of outcomes, and dissemination. Our purpose was to develop a research agenda to address the disproportionate burden of cardiovascular disease (CVD) and related risk factors among populations living in rural areas. Complementary presentations used theoretical and methodological principles to describe research and practice examples from rural settings. Participants created a comprehensive CVD research agenda that identified themes and challenges, and provided 21 recommendations to guide research, practice, and programs in rural areas. (Am J Public Health. Published online ahead of print April 18, 2013: e1-e11. doi:10.2105/AJPH.2012.300984).
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ABSTRACT: Background Lifestyle modification is recommended for management of prehypertension, yet finding effective interventions to reach rural women is a public health challenge. This community-based clinical trial compared the effectiveness of standard advice to two multi-component theory-based tailored interventions, using web-based or print-mailed delivery, in reducing blood pressure among rural women, ages 40¿69, with prehypertension.Methods289 women with prehypertension enrolled in the Wellness for Women: DASHing towards Health trial, a 12-month intervention with 12-month follow-up. Women were randomly assigned to groups using a 1:2:2 ratio, comparing standard advice (30-minute counseling session) to two interventions (two 2-hour counseling sessions, 5 phone goal-setting sessions, strength-training video, and 16 tailored newsletters, web-based or print-mailed). Linear mixed model methods were used to test planned pairwise comparisons of marginal mean change in blood pressure, healthy eating and activity, adjusted for age and baseline level. General estimating equations were used to examine the proportion of women achieving normotensive status and meeting health outcome criteria for eating and activity.ResultsMean blood pressure reduction ranged from 3.8 (SD¿=¿9.8) mm Hg to 8.1 (SD¿=¿10.4) mm Hg. The 24-month estimated marginal proportions of women achieving normotensive status were 47% for web-based, and 39% for both print-mailed and standard advice groups, with no group differences (p¿=¿.11 and p¿=¿.09, respectively). Web-based and print-mailed groups improved more than standard advice group for waist circumference (p¿=¿.017 and p¿=¿.016, respectively); % daily calories from fat (p¿=¿.018 and p¿=¿.030) and saturated fat (p¿=¿.049 and p¿=¿.013); daily servings of fruit and vegetables (p¿=¿.008 and p¿<¿.005); and low fat dairy (p¿<¿.001 and p¿=¿.002). Greater improvements were observed in web-based versus standard advice groups in systolic blood pressure (p¿=¿.048) and estimated VO2max (p¿=¿.037). Dropout rates were 6% by 6-months, 11.4% by 24 months, with no differences across groups.Conclusions Rural women with prehypertension receiving distance-delivery theory-based lifestyle modifications can achieve a reduction of blood pressure and attainment of normotensive status.Trial registrationClinicalTrials.gov NCT00580528.International Journal of Behavioral Nutrition and Physical Activity 12/2014; 11(1):148. DOI:10.1186/s12966-014-0148-2 · 3.68 Impact Factor
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ABSTRACT: We examined the efficacy of a community-based, culturally relevant intervention to promote healthy eating and physical activity among African American (AA) women between the ages of 45-65, residing in rural Alabama.Preventive Medicine 08/2014; DOI:10.1016/j.ypmed.2014.08.016 · 2.93 Impact Factor