243753 Findings from The GoodNEWS (Genes, Nutrition, Exercise, Wellness and Spiritual Growth) Trial: Reducing CVD risk in African-American congregations

Tuesday, November 1, 2011: 3:30 PM

Mark J. DeHaven, Ph D , Family Medicine and Texas Prevention Institute (TPI), University of North Texas Health Science Center, Fort Worth, TX
Jenny Jeonghee Lee, PhD, MPH, CHES , Department of Health, Physical Education, and Exercise Science, College of Education and Health Professions, Columbus State University, Columbus, GA
Nora Gimpel, MD , Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, TX
Jo Ann Carson, PhD, RD, LD , Clinical Nutrition, University of Texas Southwestern Medical Center, Dallas, TX
James DeLemos, MD , Division of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX
Sue Pickens, MEd , Strategic Planning, Parkland Hospital, Dallas, TX
Maria Ramos-Roman, MD , Division of Endocrinology, University of Texas Southwestern Medical Center, Dallas, TX
Rev. Chris Simmons, MTh , Cornerstone Baptist Church, Dallas, TX
Tiffany Powell, MD , Division of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX
Kamakki Banks, MD , Division of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX
Background: Although cardiovascular diseases (CVD) are the leading cause of death among Americans, significant disparities persist in CVD prevalence, morbidity, and mortality based on race and ethnicity. While the National Institutes of Health (NIH) recognizes the value of lifestyle modifications for reducing CVD risk, few studies have examined risk factor reduction among the poor and ethnic minorities. Methods: The GoodNEWS Trial is a community-based participatory research (CBPR) CVD risk reduction cluster randomized trial among 18 African-American predominantly middle and low-income congregations participating in the GoodNEWS Lifestyle Enhancement Program. The trial is funded by the National Heart, Lung and Blood Institute (NHLBI, RO1 HL087768). Primary outcomes are level of physical activity (7-Day Physical Activity Recall (PAR)) and saturated fat intake (Diet History Questionnaire (DHQ)); secondary outcomes are BMI, LDL, HDL, HgA1c, and blood pressure. Data analysis includes bivariate and multinomial logistic regression, Student t-test, and Chi-square. Results: Participants (n=392; 18-70 years) have significantly higher levels of disease than national averages for African-American adults: heart disease (9.3%), diabetes (15.3%), high cholesterol (36.3%), and high blood pressure (47.5%). Most are overweight or obese (86%) and BMI is associated with diabetes (p=.01) and hypertension (p=.0001) co-morbidities. Although there were few significant differences between treatment and control participants at 18-months, treatment participants improved HDL (p=.005), caloric intake (p=.001), saturated fat intake (p=.001), and HgA1c (p=.04). Conclusions: A faith-health collaborative program successfully reduced CVD among a sample of African-American adults with higher than average levels of disease; implications of preliminary findings will be discussed.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Social and behavioral sciences

Learning Objectives:
Describe the components of a multidimensional lifestyle enhancement program conducted in the faith community. Discuss the preliminary outcomes of a five-year clinical trial to reduce risk factors for cardiovascular disease. Explain study findings in the context of community-based disease prevention programs in African-American faith communities.

Keywords: Community-Based Health Promotion, Faith Community

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator on this NIH National Heart, Lung and Blood Institute (NHLBI) 5-year clinical trial designed to reduce risk factors for CVD, and a CBPR researcher with more than 15 years experience working in the faith-based setting.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.