作者: Nabil Alshurafa , Jo-Ann Eastwood , Joy Toyama , Debra K Moser
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摘要: Cardiovascular disease is the number 1 killer of women. Substantial racial disparities compound problem for Black women (BW) who are particularly vulnerable with higher rates CVD mortality and morbidity compared to other BW exhibit risk factors (RFs) at younger ages have a prevalence greater clustering multiple RFs. The consequences untreated RFs black more severe, increased disability, decreased QOL, rates. purpose this community - based pilot was test feasibility program combining self-care education wireless individualized feedback via unique smartphone designed appeal specifically young YBW. Methods: Using church-based recruitment, 62 (aged 25-45) were randomized treatment (TX)(n=39) control groups (n=23) by church site. TX group participated in 4 interactive classes on RF reduction. Each participant set goals. profiles (waist circumference (WC), BP, lipid panel Cholestech [Alere]), medical history Medical Outcomes Study Adherence Scale assessed prior 3 months later. Participants given smartphones embedded accelerometers WANDA-CVD, an application that delivered prompts messages pilot. obtained transmitted BP measurements wirelessly. To identify effects intervention over time (baseline-3 months), longitudinal mixed model used included interaction outcomes. Results: Significant differences x interactions favoring occurred TC, LDL adherence. (see graphs). Conclusion: These interim data validate implementing reduction combined education/wireless monitoring Further testing large trial warranted determine long-term behavior change cardiac high population.