Abstract MP64: Heart to Heart Connections Benefit Behavior Change
Cardiovascular disease is the number 1 killer of women. Substantial racial disparities compound the problem for Black women (BW) who are particularly vulnerable with higher rates of CVD mortality and morbidity compared to other women. BW exhibit risk factors (RFs) at younger ages and have a higher prevalence and greater clustering of multiple CVD RFs. The consequences of untreated CVD RFs for black women are more severe, with increased disability, decreased QOL, and higher mortality rates. The purpose of this community - based pilot was to test the feasibility of a program combining self-care education with wireless individualized feedback via a unique smartphone designed to appeal specifically to young YBW.
Methods: Using church-based recruitment, 62 young BW (aged 25-45) were randomized to treatment (TX)(n=39) and control groups (n=23) by church site. The TX group participated in 4 interactive self-care classes on CVD RF reduction. Each participant set individualized goals. RF profiles (waist circumference (WC), BP, lipid panel by Cholestech [Alere]), medical history and the Medical Outcomes Study Adherence Scale were assessed prior to classes and 3 months later. Participants were given smartphones with embedded accelerometers and WANDA-CVD, an application that delivered prompts and messages specifically for this pilot. Participants obtained and transmitted BP measurements wirelessly. To identify the effects of the intervention over time (baseline-3 months), a longitudinal mixed model was used that included treatment by time interaction for outcomes.
Results: Significant differences in time x treatment interactions favoring the TX group occurred in TC, LDL and adherence. (see graphs).
Conclusion: These interim pilot data validate the feasibility of implementing a risk reduction program of combined education/wireless monitoring and feedback in YBW. Further testing in a large randomized trial is warranted to determine long-term effects on behavior change and cardiac RFs in this high risk population.
Author Disclosures: J. Eastwood: B. Research Grant; Modest; AHA Clinical Research. N. Alshurafa: None. J. Toyama: None. D.K. Moser: None.
This research has received full or partial funding support from the American Heart Association, Western States Affiliate (California, Nevada & Utah).
- © 2015 by American Heart Association, Inc.