A Hybrid Implementation-Effectiveness Study of a Community Health Worker-Delivered Intervention to Reduce Cardiovascular Disease Risk in a Rural, Underserved Non-Hispanic Black Population: The CHANGE Study.

ABSTRACT:

Purpose

To evaluate the implementation and effectiveness of the Carolina Heart Alliance Networking for Greater Equity (CHANGE) Program, an adapted evidence-based cardiovascular disease risk reduction intervention delivered by Community Health Workers (CHW) to rural adults.

Design

Hybrid implementation-effectiveness study with a pre-post design.

Setting

North Carolina Federally Qualified Health Center and local health department in a rural, medically underserved area.

Sample

Participants (n = 255) included 87% Non-Hispanic Black with a mean age of 57 years; 84% had diagnosed hypertension, 55% had diabetes, and 65% had hypercholesterolemia.

Intervention

A CHW-delivered, low-intensity, 4-month behavioral lifestyle intervention promoting a southern-style Med

SUBMITTER: Samuel-Hodge CD 

PROVIDER: S-EPMC9198395 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature