Translating a Heart Disease Lifestyle Intervention Into the Community

Northwestern University63 enrolled

Overview

Translating a Heart Disease Lifestyle Intervention in the Community study will evaluate the feasibility and initial effectiveness of a community-based, culturally-targeted, lifestyle intervention to improve the cardiovascular health of underserved South Asian (Indian, Pakistani, Bangladeshi, Nepali, and Sri Lankan) Americans. Participants in this study will be randomly assigned to either a group to receive heart disease prevention classes or to another group where they will receive written materials about heart disease prevention.

South Asian individuals were recruited from a community based organization in Chicago and randomly assigned to the print health education group or the SAHELI intervention.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

Conditions

Obesity Hyperlipidemia Hypertension Pre-diabetes

Interventions

Lifestyle InterventionBEHAVIORAL

Participants will enroll in heart disease prevention group sessions focusing on physical activity, diet, weight, and stress management. Each group will have 6 to 8 participants who will attend 6 weekly, 90 minute group education sessions at Metropolitan Asian Family Services. During each session, participants will watch videos on the day's topic followed by discussion, activities, and assistance in setting realistic goals with attention to physical activity, diet, weight, and stress management. Participants will receive telephone support after each session and up to 12 weeks after they have completed the classes to help reinforce learning objectives.

Print Health EducationOTHER

Participants will receive primary care referrals and print health education material about heart disease prevention in the mail.

Eligibility

Sex: ALLMin age: 30 YearsMax age: 60 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * South Asians between 30 and 60 years * Have at least one CHD risk factor: obesity (body mass index \> 25 kg/m2- cutoff for obesity in South Asians), hyperlipidemia, hypertension, pre-diabetes, or diabetes. Exclusion Criteria: * Inability to speak English, Hindi, or Urdu * History of clinically evident CVD (e.g. heart attack, stroke) * Pregnant, lactating, or planning to become pregnant during the study period * Conditions that inhibit moderate intensity physical activity * Systolic blood pressure ≥190 or diastolic blood pressure ≥105; Triglycerides ≥ 400 * Using insulin for diabetes * Significant medical or psychiatric co-morbidities * Plans to move out of the area within 2 years * Family/household member enrolled in study

Locations (2)

Northwestern University-Feinberg School of Medicine

Chicago, Illinois, United States

Metropolitan Asian Family Services

Chicago, Illinois, United States

Outcomes

Primary Outcomes

Change in Physical Activity (Minutes/Week)

Change from baseline in minutes per week of physical activity measured by accelerometer at 6-months.

Time frame: baseline and 6-months

Change in Saturated Fat (% of Daily Kilo-calories From Fat) Intake

Change from baseline in saturated fat (% of daily kilo-calories from fat) intake measured by 24-hour food recall at 6-months

Time frame: baseline and 6-months