Online Program

Mobile Screenings - Opening Doors to Improving Cardiovascular Health in High-Risk Communities

Monday, November 2, 2015

Valerie Mitchell, Division of Intramural Research - Cardiovascular and Pulmonary Branch, National Heart Lung and Blood Institute, Bethesda, MD
Marlene Peters-Lawrence, RN, Division of Intramural Research - Hematology Branch, National Heart Lung and Blood Institute, Bethesda, MD
Gwenyth Wallen, PhD, Warren Grant Magnuson Clinical Center, National Institutes of Health, Bethesda, MD
Leah Yingling, BS, Division of Intramural Research - Cardiovascular and Pulmonary Branch, National Heart Lung and Blood Institute, Bethesda, MD
Alyssa Todaro-Brooks, BS, Clinical Center, National Institutes of Health, Bethesda, MD
Johnetta Saygbe, BS, Office of the Director, National Institutes of Health, Bethesda
Dana Sampson, MBA, Office of the Director, National Institutes of Health, Bethesda, MD
Allan Johnson, PhD, Nutritional Sciences, Howard University, Washington, DC
Tiffany Powell-Wiley, MD, MPH, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, MD
Poor cardiovascular health disproportionately affects populations with limited clinical care access.  Interventions targeting cardiovascular health can be developed for high-risk populations using community-based participatory research (CBPR).  Community partnerships can be beneficial in creating a tailored method of engaging community members from high-risk neighborhoods to improve cardiovascular health.  A CBPR partnership between our National Institutes of Health research group and organizations representing Washington, DC communities with the highest obesity rates and where physical activity (PA) and healthy nutrition resources are most limited (Wards 5, 7, and 8), developed a community advisory board in 2012. This advisory board, DC Cardiovascular Health and Obesity Collaborative (DC CHOC), includes faith-based organizations and community leaders from healthcare, non-profit organizations, higher education, and local government. DC CHOC meets quarterly providing feedback on design, recruitment and implementation of a health and needs assessment.  To determine cardiovascular health factors, assess bio-psychosocial/environmental barriers to behavior change, and test tools for promoting PA and nutrition in the community, DC CHOC recommended conducting mobile screenings at Ward 5, 7, and 8 churches.  Approximately 100 participants enrolled at four churches from September 2014-February 2015 (NCT: NCT01927783).   We will describe partnerships that helped design screenings for efficient participant engagement, identify screening volunteers, and involve community members as point-persons for further recruitment.  After reviewing DC CHOC’s feedback on preliminary assessment findings, proposed targets for a behavioral health intervention will be presented.  Thus, community partnerships led to ‘mobile screenings’, a successful first step in developing a cardiovascular health intervention in high-risk Washington, DC communities.

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

Learning Objectives:
Discuss how community partnerships with leaders of faith-based organizations, health advocates, community members, and academic leaders from area universities identified an intervention strategy promoting cardiovascular health that is compatible with the culture and life circumstances of the target community in Washington D.C. Describe how community partnerships led to the development of a health and needs assessment to identify specific tools that may be utilized in a community-based health behavior change intervention targeting cardiovascular health in high-risk communities in Washington D.C. Explain how mobile cardiovascular screening services in high-risk communities were designed using clearly defined processes so members of the community gain awareness of their cardiovascular health.

Keyword(s): Community-Based Research (CBPR), Heart Disease

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator of an NIH-funded intramural protocol for the Cardiovascular Health and Needs Assessment in Washington D.C. - Development of a Community-Based Behavioral Weight Loss Intervention (Protocol 13-H-0183). Among my scientific interests are the development of community-based interventions to improve cardiovascular health in at-risk populations.
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.