Community-Based Preventative Cardiometabolic Screening and Health Coaching- A Prospective Study
Rush University Medical Center
Summary
The goal of this longitudinal study is to investigate the role of virtual health coaching on mitigation of cardiometabolic disease risk in an underserved, food insecure population. The main questions it aims to answer are: * Does longitudinal, individualized health coaching directed at lifestyle modification reduce patient 10-year risk of heart attack or stroke? * Does longitudinal, individualized health coaching directed at lifestyle modification reduce rates of hypertension, hyperlipidemia, and diabetes? * Does longitudinal, individualized health coaching directed at lifestyle modification improve accessibility to healthcare? Researchers will investigate the effects of regularly scheduled health coaching sessions on composite cardiometabolic risk profile as well as individual modifiable cardiovascular risk factors. Participants will: * Participate in in-person cardiovascular screening, occuring at the time of enrollment, months 3 and 6. * Engage in virtual health coaching sessions to talk about diet, exercise, weight loss, blood pressure and diabetes control, and accessibility to healthcare * Keep a log of their blood pressure
Description
ABSTRACT The high burden of socially driven risk factors prohibits members of low-socioeconomic communities from receiving adequate preventative cardiometabolic care. The Cardiometabolic Health Initiative (CHI) is a health equity organization that deploys mobile, cardiac clinics into local food pantries throughout the West Side of Chicago, engaging a high-risk, food-insecure population. Through physical examinations, point-of-care testing, longitudinal lifestyle counselling and targeted social interventions, CHI brings comprehensive care directly to the disenfranchised. CHI seeks to determine…
Eligibility
- Age range
- 40–75 years
- Sex
- All
- Healthy volunteers
- No
Inclusion: Patient is a participant at a CHI sponsored, community screening event Patient provides informed consent and willingness to participate for the duration of the study English or Spanish speaking Age 40-75 years old At least 1 cardiometabolic risk factor at suboptimal level Defined as one or more of the following at initial screening: Blood Pressure (BP): Systolic BP greater than 130mmHg and/or diastolic BP greater than 80mmHg. Obesity: body mass index (BMI) greater than 30 〖kg/m〗\^2 Dyslipidemia: Total cholesterol greater than 200 mg/dL Triglycerides greater than 150 mg/dL Low…
Interventions
- BehavioralLongitudinal, Individualized Health Coaching
During in-person events and screening - occurring at the initial screening, 3, and 6 months - patients will receive individualized health coaching by on-site physicians and nurse practitioners specializing in lifestyle medicine. Patients will receive virtual health coaching sessions, conducted by medical students and overseen by a licensed health coach, directed at individualized lifestyle modification relevant to the patient's cardiometabolic health profile. Interventions will include but not limited to: changes in diet, exercise, smoking, and drinking status. Patients will receive blood pressure cuffs and will be instructed as to how to measure and keep a log of their blood pressure to be reviewed during health coaching sessions. Sessions will occur biweekly for the first month and monthly for the following 2 months. Sessions will last approximately 15 minutes in length.
Location
- Rush University Medical CenterChicago, Illinois