Using the Replicating Effective Programs Framework to Adapt a Heart Health Intervention

Area of Science:

• Public Health
• Health Disparities
• Chronic Disease Management

Background:

• Heart disease is the leading cause of death in the U.S.
• African Americans and low-income individuals face disproportionately high heart disease mortality.
• Detroit exhibits twice the national heart disease mortality rate, particularly in its low-income, African American population.

Purpose of the Study:

• To describe the adaptation of the Take PRIDE heart disease self-management intervention for older adults in Detroit.
• To utilize the Replicating Effective Programs (REP) framework for intervention adaptation.
• To address the need for tailored self-management support in underserved communities.

Main Methods:

• Community-academic partnership formed to guide the adaptation process.
• The Replicating Effective Programs (REP) framework was employed to identify stakeholders, core intervention components, and implementation barriers.
• Modifications were made to the REP framework to suit project-specific needs.

Main Results:

• The REP framework proved effective in identifying key stakeholders and intervention elements.
• Barriers to implementation within the target community were identified.
• The REP framework was adapted, facilitating successful tailoring of the Take PRIDE intervention.

Conclusions:

• The Replicating Effective Programs (REP) framework is a flexible and effective tool for adapting evidence-based interventions.
• Successful adaptation of self-management support is crucial for reducing health disparities in heart disease.
• Lessons learned can inform future efforts to expand access to chronic disease self-management for vulnerable populations.