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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Mary J. Boylan, MD, Thoracic & Cardiovascular Surgery, St.Mary's/Duluth Clinic Health System, 400 East Third Street, Duluth, MN 55805, Colleen M. Renier, BS, Division of Education & Research, St. Mary's/Duluth Clinic Health System, 5AV2ME, 400 E 3rd St, Duluth, MN 55805, 218-786-3834, mboylan@smdc.org, Irina V. Haller, PhD, MS, Division of Education and Research, St. Mary's/Duluth Clinic Health System, 400 East 3rd Street, Duluth, MN 55805, and Julie Knuths, MSN, RN, Community Health, St. Mary's/Duluth Clinic Health System, 400 East 3rd Street, Duluth, MN 55805.
OBJECTIVE: To test and implement a primary prevention community-based program for reducing cardiovascular (CV) risk factors in women.
METHODS: Participants were recruited through community contacts (parish/temple nurses, universities/colleges, clinics, and local employers). Study activities took place outside the hospital setting. The project had two phases: 1) one-year group-randomized intervention-control study, to evaluate the educational program; and 2) a pre-post intervention model. Phase-one (N=433, ages 20-50) contained baseline and end-of-phase screenings; intervention (IG) and control group randomization; feed-back of CV risk assessment results; mid-phase progress evaluation; and IG educational sessions and post-education support. Screenings included CV risk factor assessment (physical measurements, blood pressure, total cholesterol and fasting plasma glucose), testing knowledge about CV disease in women, and assessment of modifiable CV risk factors: physical activity level, stress, and tobacco exposure. At the screening checkout each woman met with research staff to review her findings. Phase-two (N=461, ages 20-60) contained baseline and end-of-phase screenings; expanded educational opportunities with general and focused sessions on woman's heart health, menopause, diet, stress reduction, exercise; and mid-phase progress evaluation.
RESULTS: Phase-one IG women were more likely to set goals in areas of stress management, diet, and exercise at mid-phase and sustain these changes through end-of-phase (p<.05). The proportion of women with abnormal laboratory values was significantly reduced (p<.05). There were no group differences in laboratory measurement changes. Phase-two results will be available at the time of presentation.
CONCLUSION: Comprehensive community-based screening and review decreases women's risk for CV disease. Education and one-on-one follow-up significantly changes behavior.
Learning Objectives: After hearing this presentation, the participant will be able to
Keywords: Women's Health, Community-Based Health Promotion
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.