Community Team Lifestyle Immersion Program for Chronic Disease Prevention and Control
Meharry Medical College
Summary
This project is focuses on reducing the risk and progression of hypertension among a population that records high incidence of hypertension and other chronic ailments such as heart disease, diabetes, kidney failure, and obesity, with similar control measures. Several clinical trials over the last five decades have emphasized the importance of supportive lifestyle modification in the control of chronic disease that include a healthy diet, physical activity, quitting tobacco use, reducing alcohol use to the minimum, self-management of the disease, and adequate sleep. Study participants will receive motivation and skill development support in additional to specific nutrition, physical fitness, and self-management counselling from certified experts. This intervention incorporates elements of the American Heart Association prescription for health, Life's Simple 7 (LS7) lifestyle modification, the Dietary Approaches to preventing Hypertension (DASH) eating plan. After receiving these interventions, participants will be contacted at 3-months, 6-months, and 12-months for follow-up. They will complete similar surveys to be compared to determine impact on their hypertension. This intervention is complementary to usual pharmaceutical hypertension management.
Description
African Americans continue to bear disproportionate chronic disease morbidity and mortality, and tend to report lower benefits from clinical trials that include lifestyle modifications in addition to pharmaceutical management. This project uses hypertension as an index case for other chronic ailments such as heart disease, diabetes, kidney failure, and obesity, especially as their control measures are similar. Several clinical trials over the last five decades have emphasized the importance of supportive lifestyle modification in the control of chronic disease that include a healthy diet, phys…
Eligibility
- Age range
- 30–80 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Reside in Davidson and surrounding counties of Tennessee. * At least 30 years old. * At increased risk for developing hypertension (already diagnosed or a strong family history). * Be able to consent. * Not planning to move from this study area in 12 months after enrollment. Exclusion Criteria: * Does not reside in Davidson and surrounding counties. * Less than 30 years old, or older than 80 years. * Not at assessed increased risk for hypertension.
Interventions
- BehavioralLifestyle Immersion Intervention that will address Nutrition, Physical Fitness, and BP Self-Monitoring3 Elements:
1. : Two distinct groups will be enrolled: * Those diagnosed with hypertension: BP \>=140/90, within the last 2 years. * Those with BP \>=130/80. Not yet diagnosed with hypertension. 2. . Intervention: Comprehensive and integrated intervention components * Implemented by 3 certified experts (Dietician, Fitness Trainer, Cardiologist) * Modules: Education, Demonstration, Practical skill development sessions. 3. . Intervention is based on American Hearts Association Life's Simple 7. The nutrition aspect will follow the DASH Diet plan.
Location
- Meharry Medical CollegeNashville, Tennessee