Efficacy of a culturally tailored mobile health lifestyle intervention on cardiovascular health among African Americans with preexisting risk factors: The FAITH! Trial
Background African Americans have a higher prevalence of cardiovascular risk factors, leading to higher cardiovascular disease mortality than White adults. Our culturally tailored mobile health (mHealth) lifestyle intervention ( FAITH! App ) has previously demonstrated efficacy in promoting ideal ca...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-11-01
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| Series: | Digital Health |
| Online Access: | https://doi.org/10.1177/20552076241295305 |
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| author | Mathias Lalika Sarah Jenkins Sharonne N Hayes Clarence Jones Lora E Burke Lisa A Cooper Christi A Patten LaPrincess C Brewer |
| author_facet | Mathias Lalika Sarah Jenkins Sharonne N Hayes Clarence Jones Lora E Burke Lisa A Cooper Christi A Patten LaPrincess C Brewer |
| author_sort | Mathias Lalika |
| collection | DOAJ |
| description | Background African Americans have a higher prevalence of cardiovascular risk factors, leading to higher cardiovascular disease mortality than White adults. Our culturally tailored mobile health (mHealth) lifestyle intervention ( FAITH! App ) has previously demonstrated efficacy in promoting ideal cardiovascular health in African Americans. Methods We conducted a secondary analysis from a cluster randomized controlled trial among African-Americans from 16 churches in Minnesota that compared the FAITH! App to a delayed intervention control group. A subgroup of participants with ≥ 1 diagnosis of overweight/obesity, hyperlipidemia, hypertension, or diabetes was examined. The primary outcome was a change in LS7 score—a measure of cardiovascular health ranging from poor to ideal (range 0–14 points)—at 6-months post-intervention. Results The analysis included 49 participants (intervention group: n = 20; mean age 58.8 years, 75% female; control group: n = 29, mean age 52.5 years, 76% female) with no significant baseline differences in cardiovascular risk factors. Compared to the control group, the intervention group showed a greater increase in LS7 score across all cardiovascular risk factors at 6-months post-intervention, with statistically significant differences among those with overweight/obesity (intervention effect 1.77, p < 0.0001) and 2+ or 3+ cardiovascular risk factors (1.00, p = 0.03; 1.09, p = 0.04). The intervention group demonstrated a higher increase in the percentage of participants with intermediate or ideal LS7 scores than the control group, although these differences were not statistically significant. Conclusions Our culturally tailored mHealth lifestyle intervention was associated with significant increases in LS7 scores among African Americans with preexisting cardiovascular risk factors, suggesting its efficacy in improving cardiovascular health among this population. |
| format | Article |
| id | doaj-art-b56fc61f6dff4277900245d3dc84374d |
| institution | Kabale University |
| issn | 2055-2076 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Digital Health |
| spelling | doaj-art-b56fc61f6dff4277900245d3dc84374d2024-11-18T09:03:19ZengSAGE PublishingDigital Health2055-20762024-11-011010.1177/20552076241295305Efficacy of a culturally tailored mobile health lifestyle intervention on cardiovascular health among African Americans with preexisting risk factors: The FAITH! TrialMathias Lalika0Sarah Jenkins1Sharonne N Hayes2Clarence Jones3Lora E Burke4Lisa A Cooper5Christi A Patten6LaPrincess C Brewer7 Department of Cardiovascular Medicine, , Rochester, MN, USA Division of Clinical Trials and Biostatistics, Department of Quantitative Health Sciences, , Rochester, MN, USA Department of Cardiovascular Medicine, , Rochester, MN, USA Hue-Man Partnership, Minneapolis, MN, USA School of Nursing and Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA Department of Medicine, , Baltimore, MD, USA Department of Psychiatry and Psychology, , Rochester, MN, USA Department of Cardiovascular Medicine, , Rochester, MN, USABackground African Americans have a higher prevalence of cardiovascular risk factors, leading to higher cardiovascular disease mortality than White adults. Our culturally tailored mobile health (mHealth) lifestyle intervention ( FAITH! App ) has previously demonstrated efficacy in promoting ideal cardiovascular health in African Americans. Methods We conducted a secondary analysis from a cluster randomized controlled trial among African-Americans from 16 churches in Minnesota that compared the FAITH! App to a delayed intervention control group. A subgroup of participants with ≥ 1 diagnosis of overweight/obesity, hyperlipidemia, hypertension, or diabetes was examined. The primary outcome was a change in LS7 score—a measure of cardiovascular health ranging from poor to ideal (range 0–14 points)—at 6-months post-intervention. Results The analysis included 49 participants (intervention group: n = 20; mean age 58.8 years, 75% female; control group: n = 29, mean age 52.5 years, 76% female) with no significant baseline differences in cardiovascular risk factors. Compared to the control group, the intervention group showed a greater increase in LS7 score across all cardiovascular risk factors at 6-months post-intervention, with statistically significant differences among those with overweight/obesity (intervention effect 1.77, p < 0.0001) and 2+ or 3+ cardiovascular risk factors (1.00, p = 0.03; 1.09, p = 0.04). The intervention group demonstrated a higher increase in the percentage of participants with intermediate or ideal LS7 scores than the control group, although these differences were not statistically significant. Conclusions Our culturally tailored mHealth lifestyle intervention was associated with significant increases in LS7 scores among African Americans with preexisting cardiovascular risk factors, suggesting its efficacy in improving cardiovascular health among this population.https://doi.org/10.1177/20552076241295305 |
| spellingShingle | Mathias Lalika Sarah Jenkins Sharonne N Hayes Clarence Jones Lora E Burke Lisa A Cooper Christi A Patten LaPrincess C Brewer Efficacy of a culturally tailored mobile health lifestyle intervention on cardiovascular health among African Americans with preexisting risk factors: The FAITH! Trial Digital Health |
| title | Efficacy of a culturally tailored mobile health lifestyle intervention on cardiovascular health among African Americans with preexisting risk factors: The FAITH! Trial |
| title_full | Efficacy of a culturally tailored mobile health lifestyle intervention on cardiovascular health among African Americans with preexisting risk factors: The FAITH! Trial |
| title_fullStr | Efficacy of a culturally tailored mobile health lifestyle intervention on cardiovascular health among African Americans with preexisting risk factors: The FAITH! Trial |
| title_full_unstemmed | Efficacy of a culturally tailored mobile health lifestyle intervention on cardiovascular health among African Americans with preexisting risk factors: The FAITH! Trial |
| title_short | Efficacy of a culturally tailored mobile health lifestyle intervention on cardiovascular health among African Americans with preexisting risk factors: The FAITH! Trial |
| title_sort | efficacy of a culturally tailored mobile health lifestyle intervention on cardiovascular health among african americans with preexisting risk factors the faith trial |
| url | https://doi.org/10.1177/20552076241295305 |
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