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Traditional Heart-Healthy Diet and Medication Adherence in the Norton Sound Region: An 18-Month Telehealth Intervention

Author

Listed:
  • Marily Oppezzo

    (Stanford Prevention Research Center, Department of Medicine, Stanford University, Palo Alto, CA 94304, USA)

  • Mariah Knox

    (Cardiology Department, Alaska Native Tribal Health Consortium, Anchorage, AK 99508, USA)

  • Jordan Skan

    (Cardiology Department, Alaska Native Tribal Health Consortium, Anchorage, AK 99508, USA)

  • Amy Chieng

    (Stanford Prevention Research Center, Department of Medicine, Stanford University, Palo Alto, CA 94304, USA)

  • Maria Crouch

    (Cardiology Department, Alaska Native Tribal Health Consortium, Anchorage, AK 99508, USA
    Department of Psychiatry, Yale School of Medicine, New Haven, CT 06510, USA)

  • Rachael C. Aikens

    (Biomedical Informatics, Stanford University, Stanford, CA 94305, USA)

  • Neal L. Benowitz

    (Division of Cardiology, Department of Medicine, University of California, San Francisco, CA 94158, USA)

  • Matthew Schnellbaecher

    (Cardiology Department, Alaska Native Tribal Health Consortium, Anchorage, AK 99508, USA)

  • Judith J. Prochaska

    (Stanford Prevention Research Center, Department of Medicine, Stanford University, Palo Alto, CA 94304, USA)

Abstract

Introduction. Innovations are needed for preventing cardiovascular disease (CVD) and for reaching diverse communities in remote regions. The current study reports on a telemedicine-delivered intervention promoting a traditional heart-healthy diet and medication adherence with Alaska Native men and women residing in the Norton Sound region of Alaska. Methods. Participants were 299 men and women with high blood pressure or high cholesterol smoking daily who were randomized to receive telemedicine-delivered counseling and printed materials on diet and medication adherence or on smoking and physical activity. Intervention contacts were at baseline and 3-, 6-, and 12-months follow-up, with a final assessment at 18 months. Nutrition outcomes were the ratio of heart-healthy foods and traditional heart-healthy foods relative to all foods reported on a 34-item food frequency questionnaire. Recent and typical adherence for heart medications were self-reported. Results. Intervention effects were significant for the heart-healthy foods ratio at 6 months only ( p = 0.014) and significant for the traditional heart-healthy foods ratio at 6 months only for those aged 47+ ( p = 0.031). For recent and typical medication adherence, there were no significant group differences by time. Discussion. In a remote region of Alaska, telemedicine proved feasible and acceptable for engaging Alaska Native men and women in counseling on CVD risk behaviors. The findings indicate that more touchpoints may be necessary to impart comprehensive lasting change in heart-healthy eating patterns. Medication adherence group differences were not significant; however, medication adherence was high overall.

Suggested Citation

  • Marily Oppezzo & Mariah Knox & Jordan Skan & Amy Chieng & Maria Crouch & Rachael C. Aikens & Neal L. Benowitz & Matthew Schnellbaecher & Judith J. Prochaska, 2022. "Traditional Heart-Healthy Diet and Medication Adherence in the Norton Sound Region: An 18-Month Telehealth Intervention," IJERPH, MDPI, vol. 19(16), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:9885-:d:885330
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    References listed on IDEAS

    as
    1. Jernigan, V.B.B. & Duran, B. & Ahn, D. & Winkleby, M., 2010. "Changing patterns in health behaviors and risk factors related to cardiovascular disease among American Indians and Alaska natives," American Journal of Public Health, American Public Health Association, vol. 100(4), pages 677-683.
    2. Maria Christina Crouch & Jordan Skan & E. J. R. David & Ellen D. S. Lopez & Judith J. Prochaska, 2021. "Indigenizing Quality of Life: The Goodness of Life for Every Alaska Native Research Study," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 16(3), pages 1123-1143, June.
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