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Impact of Technology-Based Intervention for Improving Self-Management Behaviors in Black Adults with Poor

Tulani Washington-Plaskett1, Muhammed Y Idris2, Mohamed Mubasher3

  • 1Cardiovascular Medicine, Boston University School of Medicine, Boston, MA 02118, USA.

International Journal of Environmental Research and Public Health
|April 30, 2021
PubMed

Insights

This study shows that health coaches improve cardiovascular health (CVH) in Black adults using technology. Interventions improved key metrics like blood pressure and blood glucose, reducing future cardiovascular disease (CVD) risk.

Area of Science:

  • Public Health
  • Cardiology
  • Health Technology

Background:

  • Cardiovascular disease (CVD) is a leading cause of death in the U.S.
  • Significant ethnic and racial disparities exist in CVD prevalence, risk factors, and outcomes.
  • Targeting at-risk populations with effective interventions is crucial for health equity.

Purpose of the Study:

  • To compare two engagement approaches for a behavioral intervention technology for CVD.
  • To assess the effectiveness of technology-enabled self-management in improving cardiovascular health (CVH) among Black adults.
  • To identify factors influencing intervention success in at-risk urban neighborhoods.

Main Methods:

  • Recruitment and randomization of Black adults with poor CVH in the Atlanta Metro area.
  • A 6-month behavioral intervention using technology, with two engagement strategies.
  • Statistical analysis using Generalized Linear Mixed Models to evaluate changes in Life's Simple 7 (LS7) metrics, BMI, blood glucose, and blood pressure.

Main Results:

  • 53% of participants showed statistically significant improvement in LS7, 54% in BMI, 61% in blood glucose, and 53% in systolic blood pressure.
  • Females showed significant improvements in BMI and diastolic blood pressure, but a reduction in physical activity.
  • Health coaches significantly improved overall LS7 in participants from at-risk neighborhoods, correlating to a 7% lifetime reduction in incident CVD.

Conclusions:

  • Technology-enabled self-management, supported by health coaches, can effectively manage selected CVD risk factors in Black adults.
  • Interventions show promise in improving key CVH metrics and reducing long-term CVD risk.
  • Addressing health disparities requires culturally tailored, technology-assisted interventions in community settings.

Keywords:
BlacksCVDLife’s Simple 7behavioral intervention technologyequityhealth disparities

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