The purpose of this research is to test whether a technology application(Health360x) that lets participants set goals for better health and track health can help participants reduce their heart disease risk. Investigators will compare life style intervention using Health360x alone with Health360xs plus health coach on AHA(American Heart Association) LS7 scores after 6 months.
Study volunteers' participation in this study will last for 6 months. Investigators will ask participants to examine their own health behaviors. The purpose of the examination is to find the areas that need improvement so participants can work on them. Investigators will use technology in the form of Health360x to support participant efforts to change health behaviors. This list below, shows the activities you will perform as part of this research. Arm A ='High tech' Arm B='High tech high touch" 1. Recruitment Phone call: During this call, investigators will do the following: * Collect email address * Phone# that can receive text messages * Contact information for 2 close friends/relatives 2. Investigators will email participants enrollment and welcome package that contains links to the * Online screening form * Consent form Please complete both forms 3. Investigators will send participants a link to online training videos and Health360x user manual that show how to use health360x and the online user manual • Participants will show investigative team that they know how to use Health360x by completing a proficiency test 4. Investigators will have Live chat sessions to answer questions about the project by the health coach and PI. Participants can access these as needed 5. Participants will be assigned by chance, to High tech only(Arm A) or high tech and high touch(Arm B). Participant will receive an email notification of what study arm they are enrolled in 6. Self- assessment; LS7 score 7. Participant will receive a sleep/activity tracker; Investigators will work to obtain a Blood Pressure monitor through participants' usual health insurance 8. Weekly goal setting; personal action plan x4 weeks Arm A participants will receive email prompts to complete. Arm B participants will complete; 45minute-1 hour meetings with health coach (recorded) 9. Every 2-week goal setting; personal action plans x4 Arm A participants will receive email prompts to complete; Arm B participants will complete 45 minute-1 hour long meetings with health coach(recorded) 10. Every 1 monthly goal setting; personal action plan x3 Arm A participants will receive email prompts to complete; Arm B participants will complete 45 minute-1 hour long meetings with health coach(recorded)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
150
Access to health360x which provides monitoring, in the moment color coded feedback and goal setting for self management skills
All participants will have access to Helath360x with reminders generated for goal setting.
Morehouse School of Medicine
Atlanta, Georgia, United States
Emory University Clinical Research Network
Atlanta, Georgia, United States
Life Simple 7(LS7 the metrics for defining ideal cardiovascular health) score at 6-month follow-up
The LS7 score consists of 4 behavioral and 3 clinical measures. The behavioral measures are smoking, body Mass Index (BMI), physical activity and healthy dietary pattern. The clinical measures are blood pressure, total cholesterol and fasting plasma glucose.Each LS7 component will be given a point score of 0, 1, or 2 to represent poor, intermediate, or ideal health, respectively. Then, an overall LS7 score ranging from 0 to 14 will be calculated as the sum of the LS7 component scores. The overall LS7 score will be further classified as inadequate (0-4), average (5-9), or optimum (10-14) cardiovascular health.
Time frame: 6 months
Self management skills acquired
Self management skills are patterned on the AADE 7 self care behaviors. A skill is acquired when the participant reports a score of 7 or higher on a 10-point scale. Healthy Coping Healthy Eating Being Active Monitoring Taking Medication Problem Solving Reducing Risks
Time frame: 6 months
Change in Systolic Blood Pressure:
Blood pressure readings will be made three times with the subject at rest in the sitting position using a cuff of the appropriate size and a standardized procedure. The average of the three systolic blood pressure measurements will be calculated. Blood pressure will be categorized according to Joint National Committee recommendations.
Time frame: Baseline, Month 6
Change in Diastolic Blood Pressure
Blood pressure readings will be made three times with the subject at rest in the sitting position using a cuff of the appropriate size and a standardized procedure. The average of the three diastolic blood pressure measurements will be calculated. Blood pressure will be categorized according to Joint National Committee recommendations.
Time frame: Baseline, Month 6
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Change in Delta Nutrition Intervention Research Initiative Food Frequency Questionnaire (Delta NIRI FFQ)
Dietary intake of fruits and vegetables will be assessed using the Lower Mississippi Delta Nutrition Intervention Research Initiative food frequency questionnaire (Delta NIRI FFQ). The Delta NIRI FFQ is a 283-item, interviewer administered questionnaire that asks if respondents have had certain food items in the past 24 hours, including foods that are commonly consumed in the southern United States.
Time frame: Baseline, Month 6
Change in Blood Glucose
Blood glucose will be measured as milligrams per deciliter at Baseline, 3 months after the start of the intervention and at the end of the intervention at month 6. Normal, fasting blood glucose levels are between 70 to 100 mg/dL.
Time frame: Baseline, Month 3, Month 6
Change in Distance Walked Daily
The total distance walked daily in miles will be measured by a pedometer or the exercise application for mobile devices.
Time frame: Baseline, Month 3, Month 6
Change in Short Form-12 Health Survey Questionnaire (SF-12) score
The Short Form-12 Health Survey Questionnaire (SF-12) is a measure of general physical and mental health. The SF-12 consists of 12 items with a Likert-type response format that measures quality of life with a Physical Component Summary (PCS) and Mental Component Summary (MCS). Subscales associated with the PCS include physical functioning, role limitations due to physical problems, bodily pain, and general health perceptions. Subscales associated with the MCS include vitality (energy and fatigue), social functioning, role limitations due to emotional problems, and mental health. The total score for each subscale ranges from 0 to 100 and low values represent a poor health state while high values represent a good health state.
Time frame: Baseline, Month 3, Month 6
Change in Stress Management
Participants will report on their stress management monthly via free text responses in an online format.
Time frame: Baseline, then monthly through Month 6
Change in Weight
Participants will report their weight in pounds once per month during the intervention period.
Time frame: Baseline, then monthly through Month 6
Change in Tobacco Use
Participants will report whether or not they have used tobacco once per month during the intervention period.
Time frame: Baseline, then monthly through Month 6