scholarly journals mHealth Intervention Promoting Cardiovascular Health Among African-Americans: Recruitment and Baseline Characteristics of a Pilot Study

2018 ◽  
Vol 7 (1) ◽  
pp. e31 ◽  
Author(s):  
LaPrincess C Brewer ◽  
Sarah Jenkins ◽  
Kandace Lackore ◽  
Jacqueline Johnson ◽  
Clarence Jones ◽  
...  
Keyword(s):  
Pilot Study ◽  
African Americans ◽  
Cardiovascular Health ◽  
Mhealth Intervention ◽  
Baseline Characteristics

scholarly journals Improving Cardiovascular Health Among African-Americans Through Mobile Health: the FAITH! App Pilot Study

2019 ◽  
Vol 34 (8) ◽  
pp. 1376-1378 ◽  
Author(s):  
LaPrincess C. Brewer ◽  
Sharonne N. Hayes ◽  
Sarah M. Jenkins ◽  
Kandace A. Lackore ◽  
Carmen Radecki Breitkopf ◽  
...  
Keyword(s):  
Pilot Study ◽  
African Americans ◽  
Mobile Health ◽  
Cardiovascular Health

scholarly journals 4044 A Cardiovascular Health and Wellness Mobile Health Intervention Among Church-going African-Americans: Formative Evaluation of the FAITH! App

2020 ◽  
Vol 4 (s1) ◽  
pp. 53-53
Author(s):  
LaPrincess Brewer ◽  
Ashok Kumbamu ◽  
Christina Smith ◽  
Sarah Jenkins ◽  
Clarence Jones ◽  
...  
Keyword(s):  
Pilot Study ◽  
African Americans ◽  
Focus Groups ◽  
Lifestyle Intervention ◽  
Formative Evaluation ◽  
Cardiovascular Health ◽  
Healthy Lifestyle ◽  
Post Intervention ◽  
Health Promoting Behaviors ◽  
High Level

OBJECTIVES/GOALS: To evaluate the FAITH! (Fostering African-American Improvement in Total Health) App mHealth lifestyle intervention by using post-intervention feedback obtained from participants in our intervention pilot study. METHODS/STUDY POPULATION: We used qualitative methods (focus groups) to elicit post-intervention feedback. Participants who completed the pilot study were recruited to one of two focus groups. Semi-structured focus groups were conducted to explore participants’ views on the app functionality, utility and satisfaction as well as its impact on healthy lifestyle change. Sessions were audio-recorded, transcribed verbatim and qualitative data were analyzed by systematic text condensation thematic analysis. RESULTS/ANTICIPATED RESULTS: Nine individuals participated (N = 4 and N = 5) in each of the two focus groups. Their mean age was 47.9 years (SD 12.1), 67% were women, and all had at least an education level of some college. Six overarching themes emerged from the data: (1) overall impression, (2) content usefulness (3) formatting, (4) implementation, (5) impact and (6) suggestions for improvement. Underpinning the themes was a high level of agreement that the intervention facilitated healthy behavioral change through cultural tailoring, multimedia education modules and social networking. Among the suggestions for improvement were streamlining of app self-monitoring features, personalization based on individual’s cardiovascular risk and attentiveness to nuanced cultural perspectives. DISCUSSION/SIGNIFICANCE OF IMPACT: This formative evaluation found the FAITH! App mHealth lifestyle intervention had high reported satisfaction and impact on the health-promoting behaviors of African-Americans, thereby improving their overall cardiovascular health. The findings provide further support for the acceptability of mHealth interventions among African-Americans. CONFLICT OF INTEREST DESCRIPTION: None.

Improvements in Psychosocial Factors among African Americans using an mHealth Lifestyle Intervention to Promote Cardiovascular Health: the FAITH! App Pilot Study (Preprint)

2021 ◽  
Author(s):  
Jissy Cyriac ◽  
Sarah Jenkins ◽  
Christi A Patten ◽  
Sharonne N Hayes ◽  
Clarence Jones ◽  
...  
Keyword(s):  
Pilot Study ◽  
African Americans ◽  
Psychosocial Factors ◽  
Lifestyle Intervention ◽  
Cardiovascular Health ◽  
Vegetable Intake ◽  
Self Regulation ◽  
Healthy Diet ◽  
Perceived Barriers ◽  
Post Intervention

BACKGROUND African Americans (AAs) continue to have suboptimal cardiovascular health (CVH) related to diet and physical activity (PA) behaviors compared to Whites. Mobile health (mHealth) interventions are a novel platform to improve diet and PA and have the potential to mitigate these disparities. However, these are understudied and underutilized among AAs. OBJECTIVE To examine whether an mHealth lifestyle intervention is associated with improved diet and PA-related psychosocial factors in AAs and whether these changes correlate with changes in diet and PA behaviors. METHODS This study is a retrospective analysis evaluating changes in diet and PA-related psychosocial measures (diet and PA self-regulation, perceived barriers to healthy diet and PA) and behaviors (fruit/vegetable intake, PA) in 45 AA adults (mean age 48.7 [SD 12.9], 73% women) enrolled in the FAITH! App Pilot Study. The intervention is a 10-week, behavioral-theory informed, community-based mHealth lifestyle intervention delivered through a mobile application (app) platform (FAITH! App) that provided participants opportunities to engage with 10 core multimedia education modules focused on CVH, self-assessments of CVH knowledge, a sharing board for social networking, and self-monitoring of daily fruit/vegetable intake and PA. Changes in self-reported diet and PA-related psychosocial variables and behaviors were assessed by electronic surveys collected at baseline and 28-weeks post-intervention. Changes were analyzed in the overall cohort and explored within subgroups based on socio-demographics, baseline electronic health literacy (EHL), and app engagement. Statistical analysis of pre- and post-intervention changes within and between groups were performed via rank-based tests, and correlation of changes between fruit/vegetable intake and PA were assessed via Spearman correlation. RESULTS The overall sample reported decreases in perceived barriers to healthy diet (P<.0001) and improvements in components of diet self-regulation (i.e., fat/calorie intake [P=.01], nutrition tracking [P<.0001]). Improvements in diet self-regulation (increase fruit/vegetable intake, nutrition tracking) had moderate positive correlation to fruit/vegetable intake (r=0.46, r=0.34 respectively). A moderate negative correlation was seen between perceived barriers to healthy diet and fruit/vegetable intake (r=-0.25). Overall, increases in PA self-regulation were observed. No meaningful correlations were found between PA-related psychosocial factors and PA. Subgroup analyses showed improvements in diet and PA self-regulation, perceived barriers to healthy diet, and fruit/vegetable intake among women, those with employment, higher app engagement, and eHealth literacy (all P≤.01). CONCLUSIONS Our findings suggest key diet and PA-related psychosocial factors to potentially target in future mHealth lifestyle interventions aiming to achieve CVH equity in AAs. CLINICALTRIAL clinicaltrials.gov [NCT03084822]

Predictors of Success Using a mHealth Intervention in Adults with Prediabetes: Results of a Pilot Study (Preprint)

2019 ◽  
Author(s):  
Nestoras Mathioudakis ◽  
Estelle Everett ◽  
Noora Al-Hajri ◽  
Mohammed Abusamaan ◽  
Clare Lee ◽  
...  
Keyword(s):  
Pilot Study ◽  
Intervention Program ◽  
Area Deprivation ◽  
Inverse Association ◽  
Small Pilot Study ◽  
Mhealth Intervention ◽  
Increased Risk ◽  
Metabolic Equivalent Of Task ◽  
Mobile Intervention ◽  
The Difference

BACKGROUND About one-third of American adults have prediabetes and are at increased risk of type 2 diabetes. Mobile health (mHealth) technologies provide a scalable approach to diabetes prevention by encouraging physical activity (PA), weight loss, and adherence to a healthy diet in large numbers of patients. OBJECTIVE To identify factors associated with improvements in PA and glycated hemoglobin (A1c) measures among prediabetic adults who received a mobile intervention program (smartphone app in combination with a digital body weight scale) in a previously completed pilot study. METHODS We conducted a post hoc analysis of a 3-month prospective, single-arm, observational study using the Sweetch™ mHealth intervention among adults with prediabetes. Change in A1C was calculated as the difference between the 3-month and baseline A1C measurements and was categorized as decrease vs. no decrease. PA was evaluated using the total minutes and metabolic equivalent of task (MET)-hours per week. Change in MET-hours/week was categorized as increase vs. no increase. Age, sex, race, education, employment status, area deprivation, smartphone usage attitudes, and PA stage of change were compared between groups by outcomes of change in A1C and change in MET-hour/week. RESULTS A total of 37 adults received the final Sweetch mobile intervention and were included in the analysis. 62% were female and 81% were white, with average age of 57 years. The median [IQR] baseline A1C was 6.0% [5.8, 6.2]. A1C measure at 3-month was decreased in 24 (65%) participants when compared to baseline A1C. There was an inverse association between average MET-hours per week and change in A1C. Among participants whose A1C decreased vs. did not decrease, the MET-hours per week in last 2 weeks of study was 18.7 (8.4) and 15.0 (7.1), respectively (P=0.19), and the change in MET-hours per week was 2.1 (7.1) and 4.1(6.1), respectively (P=0.41). There were otherwise no statistically significant differences in participant factors by A1C and PA outcomes. CONCLUSIONS In this small pilot study, Sweetch mHealth intervention achieved comparable A1C response prediabetic adults with different individual, sociodemographic and anthropometric characteristics. CLINICALTRIAL ClincialTrials.gov NCT02896010; https://clinicaltrials.gov/ct2/show/NCT02896010 (Archived by WebCite at http://www.webcitation.org/6xJYxrgse)

scholarly journals Lactate levels as a marker of tissue hypoperfusion in acute heart failure patients seen in the emergency department: a pilot study

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Kori Sauser ◽  
Lora Alkhawam ◽  
Linda Pierchala ◽  
Peter S. Pang
Keyword(s):  
Heart Failure ◽  
Emergency Department ◽  
Pilot Study ◽  
Acute Heart Failure ◽  
Tissue Ischemia ◽  
Tissue Hypoperfusion ◽  
Baseline Characteristics ◽  
Lactate Levels ◽  
Elevated Lactate ◽  
Mean Heart Rate

Acute heart failure (AHF) may lead to subclinical tissue ischemia due to hypoperfusion from inadequate forward flow or congestion. The aim of the present study is to test whether lactate levels are elevated in emergency department (ED) patients with AHF. A prospective pilot study of ED AHF patients was conducted. Venous lactate level was measured at baseline and 6-12 hours after initial draw. Of the 50 patients enrolled, mean age was 65.3 years, 68% were male. Only 7 (14%) had an elevated lactate on either draw, with no differences in baseline characteristics between patients with and without elevated lactate. Patients with an elevated lactate had a higher mean heart rate (99 <em>vs</em> 81, P=0.03) and trended toward an increased rate of abnormal initial temperature (57 <em>vs</em> 23%, P=0.06). In this pilot study, only a minority of acute HF patients had an elevated lactate on presentation.

Abstract 14398: African Americans With Transthyretin Cardiac Amyloidosis Have a Lower Prevalence of Atrial Fibrillation but Increased Thromboembolic Events Than Caucasians

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Lindsey R Mitrani ◽  
Silvia Vilches ◽  
Roberta Mussinelli ◽  
Francesco Salinaro ◽  
Jeffeny De Los Santos ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
African Americans ◽  
Cardiac Amyloidosis ◽  
Thromboembolic Events ◽  
Lower Prevalence ◽  
Common Cause ◽  
Major Bleed ◽  
Baseline Characteristics ◽  
Ischemic Attack

Background: African Americans (AA) have a higher rate of stroke and of stroke-related death compared with Caucasians (Cau). Paradoxically, atrial fibrillation (AF), a common cause of stroke, affects twice as many Cau compared with AA. Transthyretin cardiac amyloidosis (ATTR-CA) is commonly associated with AF and strokes. We hypothesized that AF race-related patterns in the general population would exist in patients with ATTR-CA with increased thromboembolic events in the AA population. Methods: Patients with ATTR-CA (n=615) at four international centers were retrospectively identified. We compared baseline characteristics, presence of atrial fibrillation, and outcomes of thromboembolic events (stroke, transient ischemic attack, and peripheral embolism) and major bleed between AA and Cau. Results: Of 615 patients, 545 (88.6%) identified as Cau, and 70 (11.4%) as AA. As shown in table 1, Cau patients were diagnosed with AF more often than AA (p <0.01), while AA were younger and more often had ATTRv disease (p <0.01). Both prevalent and incident thromboembolic events were more common in AA than Cau. Major bleeding was more prevalent at baseline for AA with no difference was shown in follow-up, though AA had more often labile INR (p<0.01). AA more frequently had no anticoagulation compared with Cau (p<0.01) Over a median of 26 months, 24 Cau (4.4%) had thromboembolic events compared with 10 (14.3%) AA (p <0.01). Conclusions: These data suggest that while Cau with ATTR-CA more often have AF than AA, thromboembolic events are more common in the AA population. Whether these data relate to mechanism of disease or disparities in healthcare is yet to be determined

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