Cardiovascular Disease Risk in Rural Adults: A Pilot Intervention Study Using Registered Nurse/Community Health Worker Teams.
Background: Cardiovascular disease (CVD) risk reduction programs led by a nurse/community health worker team are effective in urban settings. This strategy has not been adequately tested in rural settings. Objective: A pilot study was conducted to examine the feasibility of implementing an evidence-...
| Publicado en: | Journal of Cardiovascular Nursing Vol. 38; no. 3; pp. 262 - 272 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
May/Jun2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162975762&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162975762 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08894655 0NW jtl: Journal of Cardiovascular Nursing issn: 08894655 maglogo: N pubinfo: dt: May/Jun2023 vid: 38 iid: 3 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 162975762 162975762 162975762 10.1097/JCN.0000000000000928 162975762 ppf: 262 ppct: 10 formats: tig: atl: Cardiovascular Disease Risk in Rural Adults: A Pilot Intervention Study Using Registered Nurse/Community Health Worker Teams. aug: au: Johansson, Patrik Rowland, Sheri A. Schulz, Paula S. Struwe, Leeza Hebert, Luciana Brueggemann, Grant Zimmerman, Lani affil: Patrik Johansson, MD Associate Professor, Washington State University, Seattle. sug: subj: Cardiovascular Risk Factors Prevention and Control Rural Health Health Behavior Implementation Science Medical Practice, Evidence-Based Human Male Female Adult Randomized Controlled Trials Pilot Studies Community Health Workers Registered Nurses Repeated Measures Self-Management Meetings Videoconferencing Descriptive Statistics Comparative Studies Confidence Intervals Lipoproteins, HDL Triglycerides Blood Pressure Determination Healthcare Disparities Random Assignment Funding Source Adult: 19-44 years Male Female ab: Background: Cardiovascular disease (CVD) risk reduction programs led by a nurse/community health worker team are effective in urban settings. This strategy has not been adequately tested in rural settings. Objective: A pilot study was conducted to examine the feasibility of implementing an evidence-based CVD risk reduction intervention adapted to a rural setting and evaluate the potential impact on CVD risk factors and health behaviors. Methods: A 2-group, experimental, repeated-measures design was used; participants were randomized to a standard primary care group (n = 30) or an intervention group (n = 30) where a registered nurse/community health worker team delivered self-management strategies in person, by phone, or by videoconferencing. Outcomes were measured at baseline and at 3 and 6 months. A sample of 60 participants was recruited and retained in the study. Results: In-person (46.3%) and telephone (42.3%) meetings were used more than the videoconferencing application (9%). Mean change at 3 months differed significantly between the intervention and control groups for CVD risk (−1.0 [95% confidence interval (CI), −3.1 to 1.1] vs +1.4 [95% CI, −0.4 to 3.3], respectively), total cholesterol (−13.2 [95% CI, −32.1 to 5.7.] vs +21.0 [95% CI, 4.1–38.1], respectively), and low-density lipoprotein (−11.5 [95% CI, −30.8 to 7.7] vs +19.6 [95% CI, 1.9–37.2], respectively). No between-group differences were seen in high-density lipoprotein, blood pressure, or triglycerides. Conclusions: Participants receiving the nurse/community health worker–delivered intervention improved their risk CVD profiles, total cholesterol, and low-density lipoprotein levels at 3 months. A larger study to explore the intervention impact on CVD risk factor disparities experienced by rural populations is warranted. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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