Abstract 16128: Keep Your Heart Healthy: A Community-based Collaboration Shows Progress Toward Ideal Cardiovascular Health in Underserved Chicago Communities
Introduction: AHA’s Life’s Simple 7 (LS7) is an easy guide toward achieving ideal cardiovascular health. However, few large-scale projects have assessed whether the AHA LS7 can have a significant impact in underserved populations. Keep Your Heart Healthy (KYHH) is a collaboration between the Chicago Department of Public Health, Northwestern University Feinberg School of Medicine and community partners aimed at screening and counseling individuals at high risk for CVD in underserved Chicago neighborhoods. Specially trained medical students and community health workers (CHWs) use AHA’s LS7-based assessments to provide screening and counseling. Each participant receives BP screening, BMI, brief counseling, LS7 materials, and a clinical referral if needed.
Methods: Participants’ BP, height, weight and responses to a CVD risk questionnaire based on AHA’s LS7 were recorded at community events. After initial screening, voluntary at risk participants (defined as BP > 120/80 or without a medical home) completed a 4-to-6 week follow-up phone survey conducted by medical students and CHWs to check on their progress toward healthy behavioral changes in AHA’s LS7. Additional follow-ups are in progress.
Results: In 2015, the KYHH program screened/counseled 19,759 adults. Of the total, 52% (10,274) were determined to be at risk. Of those at risk, 28% (2,876) did not have a medical home. When compared to their initial screening, the follow-up survey sample (n = 334) showed statistically significant changes in self-reported physical activity levels (+0.48 days per week of 30-minutes of physical activity [95% CI: 0.09, 0.86]), increased fruit consumption, reduced intake of high-sodium foods and reduced smoking (out of 45 smokers, 20 quit and 15 cut back).
Conclusions: Initial results demonstrate a measurable impact on participants’ lifestyle behavioral goals. The KYHH program is helping to reduce Chicagoans’ risk for cardiovascular disease and connecting to care high-risk individuals without a medical home. Programs like these promise advancement toward reaching the AHA 2020 goals. KYHH represents a replicable, scalable model for other major metropolitan areas. Future plans include evaluating long-term outcomes using clinical data from referred participants.
- Behavior change
- Cardiovascular disease prevention
- 2020 Impact Goals
- Community interventions
- Risk factors
Author Disclosures: S. Havas: None. R. Dahdouh: None. H. Ning: None. B. Tow: None.
- © 2016 by American Heart Association, Inc.