This study is a 12-18 month behavioral intervention study to assess the impact of enrolling individuals a clinical pharmacist run Telehealth education focused on wellness and preventive health strategies. Individuals will be randomized to either a wellness education only model focusing on nutrition, diabetes, hyperlipidemia and hypertension or a wellness education model with personalized preventative medicine strategies for the patient. All participants will complete individual and group based interventions. Individuals will be recruited from target work industries such as health workers, teachers aides and the food industry. We are recruiting individuals who come from urban, semi-rural or rural communities or have additional social determinants of health that indicate social vulnerability. The primary outcome is willingness to participate in preventative medicine strategies to prevent development of chronic medical conditions. The secondary outcome is barriers to preventive medicine strategies including for chronic preventable disease such as nutrition, hypertension, hyperlipidemia, diabetes and medication compliance.
Individuals will be recruited using a community-based participatory research model to identify 360 patients to enter into an 12-18 month clinical pharmacist run, preventative medicine strategies including; health and wellness program delivered via Xavier's clinical pharmacy faculty trained in telehealth medicine using an individually randomized group treatment trial approach based upon industry of recruitment. Participants will be recruited from target high risk industries for respiratory infection: hospitality and food industry, plant workers, nurse's aides, teacher's aides and the beauty industries. Participants will complete a minimum of three individual visits and group informational visits with a target of five sessions total. Both arms of the study will receive health and wellness education around target topics of diabetes, hypertension, hyperlipidemia, nutrition, exercise, herbals and medication compliance. Only the preventative medicine education intervention arm will receive the preventative medicine education including personalized counseling around the target disease states, medication reviews, medication-nutrition reviews and development of a personalized plan. Measures in changes in preventative health behaviors will occur by the clinical pharmacist via patient interviews. The primary outcome will be preventative medicine strategies knowledge preventable chronic diseases such as diabetes, hypertension and hyperlipidemia. The secondary outcome will be assessing barriers for preventive health behaviors. Impact: The implications of this proposed project are to understand health related beliefs and behaviors related to preventative medicine strategies in the context of a general health and wellness model.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
360
Individuals in this arm will complete a personalized telehealth interventions that focus on nutrition, work-life balance, medication compliance, herbals, exercise targets hyperlipidemia, diabetes and hypertension around individual risks for development of the disease state. All educations will be completed one-on-one as well as small group.
Individuals in this arm will complete standardized telehealth interventions that focus on nutrition, work-life balance, mental health, diabetes and hypertension general education. All educations will be completed one-on-one as well as small group.
Xavier University of Louisiana
New Orleans, Louisiana, United States
RECRUITINGWillingness to participate in preventative medicine screening for Diabetes, Hypertension and Hyperlipidemia
Questionnaire derived from Documented preventative medicine strategies; Ordinal Variable: Scale of 1 to 5 (Least Likely to Most Likely)
Time frame: 12 months, completed year 1 of the study.
Participating in Screening for DM, hypertension, hyperlipidemia
Participated in preventative medicine screening activity such as fasting blood glucose, blood pressure check and lipid panels. Binary Variable: Yes or No
Time frame: Through study completion, on average, 12-18 months
Willingness to participate in personalized exercise and nutrition goals to prevent chronic disease
Questionnaire derived from Documented preventative medicine strategies; Ordinal Variable: Scale of 1 to 5 (Least Likely to Most Likely)
Time frame: Through study completion, on average, 12-18 months
Participating in personalized exercise and nutrition goals
After development of personalized exercise and nutrition goals with Telehealth pharmacist, documented participation in activities at least once per week. Data will be recorded monthly as a Binary Variable: Yes or No
Time frame: Monthly through study completion, on average, 12-18 months
Participating in personalized medication compliance for prescription, over the counter, herbals and nutraceuticals related to health promotion
After development of personalized exercise and nutrition goals with Telehealth pharmacist, documented participation in activities at least once per week. Data will be recorded monthly as a Binary Variable: Yes or No
Time frame: Monthly through study completion, on average, 12-18 months
Barriers to preventative medicine strategies
Work place barriers will be assessed as dichotomized variables such as: insurance access, paid time off for illness, work schedules consistent permitting medical appointments, and medication compliance.
Time frame: Through study completion, on average, 12-18 months
Knowledge of personal disease risk (diabetes, hypertension, hyperlipidemia) using standardized education tools
10 question knowledge test, Scored as minimally competent at 70% correct, scored as binary
Time frame: Baseline, after corresponding session, end of program: Through study completion, on average, 12-18 months
Knowledge of risk factors and personal risk for diabetes, hypertension and hyperlipidemia
10 question knowledge test, Scored as minimally competent at 70% correct, scored as binary
Time frame: Baseline, after corresponding session, end of program: Through study completion, on average, 12-18 months
Knowledge of personalized medication compliance for prescription, over the counter, herbals and nutraceuticals related to health promotion
10 question knowledge test, Scored as minimally competent at 70% correct, scored as binary
Time frame: Baseline, after corresponding session, end of program: Through study completion, on average, 12-18 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.