The Path to Optimal Black Maternal Heart Health: Comparing Two CVD Risk Reduction Interventions (Change of HEART)
Temple University
Summary
The overarching goal of our proposal is to reduce disparities in perinatal cardiovascular disease risk factors among Black women utilizing a community-driven, social ecological framework.
Description
What is this research about? Heart disease (e.g., heart attack, stroke) is a major threat to safe motherhood and is the leading cause of maternal death in the United States, responsible for nearly 50 percent of pregnancy-related deaths among Black women, three times the rate of white women, and is largely preventable. It is well established that eating healthy foods and monitoring blood pressure can help prevent heart disease. While prior studies addressing these individual behaviors have led to some success, a single individual-level approach has not been enough to stop the rising rate of Bla…
Eligibility
- Age range
- 18+ years
- Sex
- Female
- Healthy volunteers
- Yes
Inclusion Criteria: * age ≥18 years * baseline BMI ≥30 kg/m2 and/or diagnosis of HTN (≥130/80 x 2) * gestational age \<24 weeks by last menstrual period * smartphone ownership * self-identification as Black or African American
Interventions
- BehavioralCOH
Incorporates two, evidence-based individual-level interventions (home blood pressure telemonitoring coupled with the interactive obesity treatment approach, that includes nutrition and physical activity text messages with tailored feedback) and an institutional-level intervention (anti-racism training of providers and staff along with patient feedback to inform respectful care).
- BehavioralCOH+
Includes all components of COH plus interpersonal support for Black women by Black women (community doula care, mental health services, and lactation support).
Location
- Temple University/Temple HealthPhiladelphia, Pennsylvania