Peer-Led Digital Health Lifestyle Intervention in a Low-Income Community at Risk for Cardiovascular Disease (MYCardio-PEER): Mixed Methods Development and Process Evaluation Study
View abstract on PubMed
Summary
This summary is machine-generated.This study developed MYCardio-PEER, a digital health program combining peer support and mobile technology for cardiovascular disease (CVD) prevention in low-income Malaysian communities. The intervention showed feasibility and improved health indicators, suggesting potential for community-based CVD prevention.
Area Of Science
- Digital Health
- Public Health
- Cardiovascular Disease Prevention
Background
- Low-income populations in Malaysia face barriers to cardiovascular disease (CVD) prevention.
- Digital health technologies offer scalable solutions for promoting heart-healthy behaviors.
- Integrating digital health with community-based peer support can enhance CVD prevention efforts.
Purpose Of The Study
- To describe the development and process evaluation of MYCardio-PEER, a digital health lifestyle intervention for CVD prevention.
- To empower adults at risk for CVD using mobile technology and community-based peer engagement.
- To assess the feasibility and acceptability of a peer-led digital health intervention in a low-income Malaysian community.
Main Methods
- Developed MYCardio-PEER using the MRC Framework for Complex Interventions.
- Validated content through a 2-round Delphi method with experts and community members.
- Conducted an 8-week, pre-post feasibility trial with 30 adults at moderate to high CVD risk, assessing health outcomes and process evaluation.
Main Results
- Participants showed significant reductions in CVD risk score, systolic blood pressure, total cholesterol, and LDL cholesterol.
- Improvements were observed in physical activity levels and dietary behaviors.
- High adherence (82.4%) and satisfaction (85.7% for content, 96.0% for peer leadership) were reported.
Conclusions
- MYCardio-PEER was successfully developed and validated as a peer-led digital health intervention for CVD prevention in a low-income community.
- The intervention demonstrated good feasibility and acceptability.
- Findings suggest the potential of integrating peer support with culturally adapted digital content for community-based CVD prevention.
Related Concept Videos
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Lifestyle factors play a critical role in maintaining overall health and preventing chronic diseases. Key elements, such as regular physical activity, a nutritious diet, and abstinence from smoking, can significantly enhance physical, mental, and emotional well-being while reducing the risk of several life-threatening conditions.
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...

