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The Development and Pilot Testing of an Evidence-Based Cardiovascular Disease Risk-Prevention Program to Promote
Vanessa Duren-Winfield1, Loneke T Blackman Carr2, Georgia A McCauley3
1Department of Healthcare Management, Winston-Salem State University, Winston-Salem, North Carolina.
Insights
A new course for African American college students effectively reduced cardiovascular disease (CVD) risk factors. The "Rams Have HEART" program improved healthy eating and CVD knowledge, proving feasible and beneficial.
Area of Science:
- Public Health
- Health Behavior
- Cardiovascular Health
Background:
- Cardiovascular disease (CVD) is a leading cause of death in the U.S.
- African American (AA) college students face disproportionately high rates of obesity and physical inactivity, key CVD risk factors.
- Few studies specifically target CVD risk reduction in AA college-aged populations.
Purpose of the Study:
- To develop and pilot an evidence-based CVD risk-prevention and intervention course for AA college students.
- To evaluate the feasibility and effectiveness of a 15-week, technology-enhanced course ('Rams Have HEART') in mitigating CVD risk factors.
- To compare the intervention's impact against a control course.
Main Methods:
- Recruited 124 AA college students over two years, divided into intervention (n=61) and control (n=63) groups.
- Assessed CVD risk factors using blood markers and anthropometric measurements at baseline, post-intervention, and follow-up.
- Collected demographic, clinical, and survey data, including physical measures, blood marker analysis, and self-report surveys.
Main Results:
- Mean blood markers for lipid panels and glucose remained within optimal ranges.
- Intervention participants showed increased fruit and vegetable intake and enhanced knowledge of CVD risk factors.
- 86% of students in the intervention course passed, and 100% would recommend it.
Conclusions:
- A healthy lifestyle-behavior CVD intervention course is feasible for AA college students.
- The 'Rams Have HEART' course effectively increased awareness of chronic disease risk factors and prompted positive behavior change.
- This intervention demonstrates potential for optimizing cardiovascular health in this specific demographic.
Objectives:
Cardiovascular disease (CVD) is the leading cause of death in the United States. Among the risk factors for college students, obesity and physical inactivity are disproportionately high among African Americans (AAs), and while studies of the obesity epidemic have increased in recent years, few target AA college-aged students. This study developed and piloted an evidence-based, 15-week, 3-credit hour, CVD risk-prevention and intervention course, Rams Have HEART that used e-learning, web-based technologies, and a mobile application and compared its effects against a control course.
Methods:
Two cohorts were recruited in a two-year period; 124 AA college students voluntarily consented to participate in the study, with n = 63 representing the control group and n = 61 representing the intervention. CVD risk factors were assessed by examining blood markers and anthropometric measurements. Demographic, clinical, and survey data (physical measures, blood marker investigation, and self-report surveys) were collected at baseline, post-intervention, and follow-up over the academic year.
Results:
The mean blood markers for lipid panel and glucose results were within the established optimal range. Intake of fruits and vegetables increased along with knowledge of CVD risk factors; 86% of students enrolled in the intervention passed the course; 100% (n = 61) would recommend it to future students.
Conclusion:
Developing and offering a healthy lifestyle-behavior CVD intervention course to AA college students is feasible and effective in optimizing their awareness of chronic disease risk factors and prompting behavior change.
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