Rebecca A Seguin1, Meredith L Graham2, Galen Eldridge3, Miriam E Nelson4, David Strogatz5, Sara C Folta6, Lynn Paul7. 1. Cornell University, Division of Nutritional Sciences, 412 Savage Hall, Ithaca, NY 14853, USA. Electronic address: rs946@cornell.edu. 2. Cornell University, Division of Nutritional Sciences, 413 Savage Hall, Ithaca, NY 14853, USA. Electronic address: mlg22@cornell.edu. 3. Cornell University, Division of Nutritional Sciences, 413 Savage Hall, Ithaca, NY 14853, USA. Electronic address: ge77@cornell.edu. 4. Hampshire College, 893 West St, Amherst, MA 01002, USA; Tufts University, Friedman School of Nutrition, 150 Harrison Ave, Boston, MA 02111, USA. Electronic address: miriamnelson@hampshire.edu. 5. Bassett Research Institute, One Atwell Rd, Cooperstown, NY 13326, USA. Electronic address: david.strogatz@bassett.org. 6. Tufts University, Friedman School of Nutrition, 150 Harrison Ave, Boston, MA 02111, USA. Electronic address: sara.folta@tufts.edu. 7. Montana State University Extension, 322 Reid Hall, Bozeman, MT 59717, USA.
Abstract
BACKGROUND:Rural midlife and older women have high rates of cardiovascular disease (CVD) risk factors and lower access to healthy living resources. The Strong Hearts, Healthy Communities (SHHC) intervention, tailored to the needs of rural women, demonstrated effectiveness on many outcomes. The purpose of the Strong Hearts for New York (SHNY) study is to evaluate the efficacy of an enhanced version of the curriculum (SHHC-2.0). METHODS: SHNY is a randomized controlled efficacy intervention, comparing participants receiving the SHHC-2.0 curriculum with a delayed intervention control group. SHHC, informed by formative research, includes core elements from three evidence-based programs. Changes based on extensive outcome and process evaluation data were made to create SHHC-2.0. Classes will meet twice weekly for 24 weeks and include individual, social, and environmental components. Overweight women age 40 and over will be recruited from 11 rural, medically underserved communities in New York; data will be collected at baseline and 12, 24, 36, and 48 weeks across individual, social, and environmental levels. Primary outcome is body weight. Secondary outcomes include Simple 7 (composite CVD risk score), anthropometric, physiologic, biochemical, physical activity, and dietary intake measures; healthy eating and exercise self-efficacy and attitudes; and self-efficacy of the social network of participants. DISCUSSION: The aims of this study are to evaluate the efficacy of the enhanced SHHC-2.0 program for participants, changes among participants' social networks, and the difference in outcomes when participants are and are not provided with technological tools (Fitbit and body composition scale).
RCT Entities:
BACKGROUND: Rural midlife and older women have high rates of cardiovascular disease (CVD) risk factors and lower access to healthy living resources. The Strong Hearts, Healthy Communities (SHHC) intervention, tailored to the needs of rural women, demonstrated effectiveness on many outcomes. The purpose of the Strong Hearts for New York (SHNY) study is to evaluate the efficacy of an enhanced version of the curriculum (SHHC-2.0). METHODS:SHNY is a randomized controlled efficacy intervention, comparing participants receiving the SHHC-2.0 curriculum with a delayed intervention control group. SHHC, informed by formative research, includes core elements from three evidence-based programs. Changes based on extensive outcome and process evaluation data were made to create SHHC-2.0. Classes will meet twice weekly for 24 weeks and include individual, social, and environmental components. Overweight women age 40 and over will be recruited from 11 rural, medically underserved communities in New York; data will be collected at baseline and 12, 24, 36, and 48 weeks across individual, social, and environmental levels. Primary outcome is body weight. Secondary outcomes include Simple 7 (composite CVD risk score), anthropometric, physiologic, biochemical, physical activity, and dietary intake measures; healthy eating and exercise self-efficacy and attitudes; and self-efficacy of the social network of participants. DISCUSSION: The aims of this study are to evaluate the efficacy of the enhanced SHHC-2.0 program for participants, changes among participants' social networks, and the difference in outcomes when participants are and are not provided with technological tools (Fitbit and body composition scale).
Authors: F E Thompson; V Kipnis; A F Subar; S M Krebs-Smith; L L Kahle; D Midthune; N Potischman; A Schatzkin Journal: Am J Clin Nutr Date: 2000-06 Impact factor: 7.045
Authors: Cora L Craig; Alison L Marshall; Michael Sjöström; Adrian E Bauman; Michael L Booth; Barbara E Ainsworth; Michael Pratt; Ulf Ekelund; Agneta Yngve; James F Sallis; Pekka Oja Journal: Med Sci Sports Exerc Date: 2003-08 Impact factor: 5.411
Authors: Rebecca A Seguin-Fowler; David Strogatz; Meredith L Graham; Galen D Eldridge; Grace A Marshall; Sara C Folta; Kristin Pullyblank; Miriam E Nelson; Lynn Paul Journal: Am J Prev Med Date: 2020-05-07 Impact factor: 5.043