290974
Working together for ten years: The goodnews (Genes, Nutrition, Exercise, Wellness, and Spiritual Growth) CBPR partnership for reducing CVD
Tuesday, November 5, 2013
: 9:00 a.m. - 9:15 a.m.
Mark J. DeHaven, PhD,
Texas Prevention Institute (TPI), University of North Texas Health Science Center, Fort Worth, TX
PURPOSE: Significant disparities persist in the prevalence, morbidity, and mortality associated with cardiovascular diseases (CVD) and major risk factors based on race and ethnicity; the NIH supports risk factor reduction as the most desirable strategy for reducing CVD morbidity and mortality in high-risk populations. METHODS: The GoodNEWS Program is a community-based participatory research (CBPR) project among twenty eight (28) African-American congregations in Dallas, Texas. The partnership has existed for more than ten (10) years with significant community input and engagement. We recently completed a 3-year randomized NHLBI-funded study, testing the effectiveness of our CBPR partnership on changing eating behavior and increasing physical activity. RESULTS: Baseline data from October 2008 (N=392) indicate that most GoodNEWS participants are overweight (18.7%) or obese (67.3%), and almost one-half (48.3%) have metabolic syndrome. Participants have substantially higher levels of diagnosed disease compared to CDC national averages for African-Americans: heart disease (9.3% vs. 6.1%), diabetes (15.3% vs. 11.8%), high cholesterol (36.3% vs. 14.5%), and high blood pressure (47.5% vs. 31.6%). Eating a diet high in saturated fat was related to being overweight or obese (p<.0001), and being overweight or obese was associated with diabetes (p<.01) and hypertension (p<.0001). At follow-up the intervention group had significant reductions in food energy intake (kcal) at 18 months (p=.01) and 36 months (p=.003). A sustained caloric reduction of -520 kcal at 36 months is very promising. CONCLUSION: The GoodNEWS program demonstrates that a strong community partnership can contribute to reducing CVD risk among African-American adults in the community-congregation setting.
Learning Areas:
Assessment of individual and community needs for health education
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences
Learning Objectives:
Describe a successful CBPR project approach.
Discuss the findings of a successful 10 year CBPR partnership.
Explain how community partnership can increase funding and improve findings.
Keyword(s): Community-Based Health Promotion, Minority Health
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I have been co-investigator on numerous projects and am presently co-investigator on the GoodNEWS CVD NIH-funded prevention research project described in this abstract. I am also presently co-investigator of another NIH-funded CBPR obesity-reduction project located in a high-minority and low-income community. I have been conducting studies in this area of health disparities research for almost 15 years, as PI, Co-PI, or Co-I on numerous projects.
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.
