A Virtual Cardiometabolic Health Program for African Immigrants: The Afro-DPP Program

Johns Hopkins University60 enrolled

Overview

A pilot study titled "A Virtual Cardiometabolic Health Program for African Immigrants (The Afro-DPP Program) will be conducted to address the cardiometabolic of community-dwelling African immigrants who have multiple cardiometabolic risk factors including hypertension, Type 2 Diabetes, high cholesterol, and overweight/obesity. The proposed study will recruit a total of 60 participants and will use a non-equivalent control group design to test the effectiveness of the intervention at two African churches in the Baltimore, Washington, D.C. area. The two churches will be randomly assigned to the intervention or delayed intervention group. At the end of a 6-month follow-up period, the control church will receive the intervention (delayed control group). All participants will receive a Bluetooth-enabled digital scale (Omron Model: BCM-500) that measures body composition including Body Weight, Body Fat percentage, Visceral Fat, Skeletal Muscle percentage, Resting Metabolism and Body Mass Index. A Bluetooth-enabled blood pressure monitor (Omron Model: BP7250) will also be distributed to all participants. All participants will download the Omron Connect app which will allow the participants to sync participants' blood pressure readings and body composition readings into the app. The research team will access these readings to monitor study outcomes and participants progress during the follow-up period.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Diabetes Mellitus

Interventions

The Diabetes Prevention ProgramBEHAVIORAL

The multicomponent intervention will focus on intensive lifestyle modification delivered by the Lifestyle Coach. The Lifestyle Coach of African origin will be responsible for delivering the intensive lifestyle intervention and implementing the adapted diabetes prevention program (DPP) curriculum.

Eligibility

Sex: ALLMin age: 25 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * African immigrants who are aged 25-75 years * Participants who report being uninsured or have no access to a healthcare provider * Have at least two of the following chronic conditions: * Body-mass index ≥ 25 kg/m2 * Self-reported fasting plasma glucose of 95 to 125 mg/d or HbA1c of 5.7-6.5% in the past 6 months * Systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥ 90 mmHg Exclusion Criteria: * Participants who cannot communicate in English * Participants who have cognitive challenges that would restrict them from participation * Participants who have any serious illness that would interfere with participation * Participants who are not members of the churches that are involved in this study

Locations (1)

Johns Hopkins School of Nursing

Baltimore, Maryland, United States

Outcomes

Primary Outcomes

Change in systolic blood pressure over a 6-month period

A Bluetooth-enabled blood pressure monitor (Omron Model: BP7250) will be distributed to all participants. All participants will download the Omron Connect app which will allow them to sync their systolic blood pressure readings (mmHg) into the app.

Time frame: Baseline, 1 month, 3 months, 6 months

Change in diastolic blood pressure over a 6-month period

A Bluetooth-enabled blood pressure monitor (Omron Model: BP7250) will be distributed to all participants. All participants will download the Omron Connect app which will allow them to sync their diastolic blood pressure readings (mmHg) into the app.

Time frame: Baseline, 1 month, 3 months, 6 months

Change in body weight over a 6-month period

All participants will receive a Bluetooth-enabled digital scale (Omron Model: BCM-500) that measures body weight (Kg).

Time frame: Baseline, 1 month, 3 months, 6 months

Change in body fat percentage over a 6-month period

All participants will receive a Bluetooth-enabled digital scale (Omron Model: BCM-500) that measures body fat percentage (%).

Time frame: Baseline, 1 month, 3 months, 6 months

Change in visceral fat over a 6-month period

All participants will receive a Bluetooth-enabled digital scale (Omron Model: BCM-500) that measures Visceral Fat (rating levels 1-59).

Time frame: Baseline, 1 month, 3 months, 6 months

Change in skeletal muscle percentage over a 6-month period

All participants will receive a Bluetooth-enabled digital scale (Omron Model: BCM-500) that measures Skeletal Muscle percentage (%).

Time frame: Baseline, 1 month, 3 months, 6 months

Change in resting metabolism over a 6-month period

All participants will receive a Bluetooth-enabled digital scale (Omron Model: BCM-500) that measures Resting Metabolism (kcal).

Time frame: Baseline, 1 month, 3 months, 6 months

Change in body mass index over a 6-month period

All participants will receive a Bluetooth-enabled digital scale (Omron Model: BCM-500) that measures Body Mass Index (Kg/m\^2).

Time frame: Baseline, 1 month, 3 months, 6 months

Secondary Outcomes

Change in global cardiovascular disease risk

Global cardiovascular disease (CVD) risk will be calculated using the body mass index-based cardiovascular risk score. Higher scores indicate higher CVD risk. Continuous risk scores will be used to classify patients into risk categories according to the Adult Treatment Panel III of the National Cholesterol Education Program (ATPIII): low (\<10%), moderate (10-20%), and high (\>20%).

Time frame: Baseline, 6 months and 12 months

Change in body mass index over a 12-month period

Body mass index (Kg/m\^2) will be calculated using the adult body mass index calculator provided by Centers for Disease Control and Prevention.