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Impact of Technology-Based Intervention for Improving Self-Management Behaviors in Black Adults with Poor Cardiovascular Health: A Randomized Control Trial

Author

Listed:
  • Tulani Washington-Plaskett

    (Cardiovascular Medicine, Boston University School of Medicine, Boston, MA 02118, USA)

  • Muhammed Y. Idris

    (Department of Medicine, Morehouse School of Medicine, Atlanta, GA 30310, USA)

  • Mohamed Mubasher

    (Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA 30310, USA)

  • Yi-An Ko

    (Department of Biostatistics and Bioinformatics, Rollings School of Public Health, Emory University, Atlanta, GA 30322, USA)

  • Shabatun Jamila Islam

    (Emory Clinical Cardiovascular Research Institute, Emory University, Atlanta, GA 30322, USA)

  • Sandra Dunbar

    (Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, USA)

  • Herman Taylor

    (Department of Medicine, Morehouse School of Medicine, Atlanta, GA 30310, USA
    Cardiovascular Research Institute, Morehouse School of Medicine, Atlanta, GA 30310, USA)

  • Arshed Ali Quyyumi

    (Emory Clinical Cardiovascular Research Institute, Emory University, Atlanta, GA 30322, USA
    Department of Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA)

  • Priscilla Pemu

    (Department of Medicine, Morehouse School of Medicine, Atlanta, GA 30310, USA)

Abstract

Cardiovascular disease (CVD) is the number one killer of adults in the U.S., with marked ethnic/racial disparities in prevalence, risk factors, associated health behaviors, and death rates. In this study, we recruited and randomized Blacks with poor cardiovascular health in the Atlanta Metro area to receive an intervention comparing two approaches to engagement with a behavioral intervention technology for CVD. Generalized Linear Mixed Models results from a 6-month intervention indicate that 53% of all participants experienced a statistical improvement in Life’s Simple 7 (LS7), 54% in BMI, 61% in blood glucose, and 53% in systolic blood pressure. Females demonstrated a statistically significant improvement in BMI and diastolic blood pressure and a reduction in self-reported physical activity. We found no significant differences in changes in LS7 or their constituent parts but found strong evidence that health coaches can help improve overall LS7 in participants living in at-risk neighborhoods. In terms of clinical significance, our result indicates that improvements in LS7 correspond to a 7% lifetime reduction of incident CVD. Our findings suggest that technology-enabled self-management can be effective for managing selected CVD risk factors among Blacks.

Suggested Citation

  • Tulani Washington-Plaskett & Muhammed Y. Idris & Mohamed Mubasher & Yi-An Ko & Shabatun Jamila Islam & Sandra Dunbar & Herman Taylor & Arshed Ali Quyyumi & Priscilla Pemu, 2021. "Impact of Technology-Based Intervention for Improving Self-Management Behaviors in Black Adults with Poor Cardiovascular Health: A Randomized Control Trial," IJERPH, MDPI, vol. 18(7), pages 1-15, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3660-:d:528012
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    References listed on IDEAS

    as
    1. Reijo Siren & Johan G Eriksson & Markku Peltonen & Hannu Vanhanen, 2014. "Impact of Health Counselling on Cardiovascular Disease Risk in Middle Aged Men: Influence of Socioeconomic Status," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-6, February.
    2. Cheryl R Clark & Mark J Ommerborn & DeMarc A Hickson & Kya N Grooms & Mario Sims & Herman A Taylor & Michelle A Albert, 2013. "Neighborhood Disadvantage, Neighborhood Safety and Cardiometabolic Risk Factors in African Americans: Biosocial Associations in the Jackson Heart Study," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-10, May.
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