Cardiovascular Risk Reduction Program Aimed at African American Women (The HHER Lifestyle Program) (HHER)
The Heart Healthy and Ethnically Relevant (HHER) Lifestyle Program for Cardiovascular Risk Reduction
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
CVD is the leading cause of death for women in the United States. It affects African American women at a higher rate than it does white women. People at risk for CVD are encouraged to maintain a healthy weight, eat a healthy diet that is low in fat and cholesterol, and increase their physical activity. Heath care centers are excellent places to provide counseling to people on ways to reduce their risk of CVD. In this study, researchers will evaluate the effectiveness of a community health care center-based counseling program aimed at reducing CVD risk factors among African American women from financially disadvantaged backgrounds.
This study will enroll African American women. Participants will be randomly assigned to one of two groups-either a basic program or a comprehensive program. During a routine, scheduled visit with their health care providers, all participants will learn about the importance of increasing physical activity and eating a low fat diet. All participants will also receive educational materials and a community resource guide. In addition to this, participants in the comprehensive program will receive a pedometer and will be asked to keep a daily log of their physical activity and eating habits. Once a month, these same participants will receive telephone calls from a health counselor and a newsletter by mail that encourages them to maintain a healthy lifestyle. All participants will receive home visits from study staff at baseline and Months 6 and 12. During these visits, participants will undergo blood pressure, weight, height, and waist measurements and a blood collection. Participants will complete questionnaires to assess their medical history, diet, and physical activity habits. For 1 week after each visit, participants will wear a physical activity monitor and keep an activity diary.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- African American women
- Able and willing to complete survey instruments and assessment procedures
Exclusion Criteria:
- Physical disability or orthopedic problem that limits physical activity
- Elevated blood pressure (i.e., greater than 160/95 mm Hg)
- Insulin-dependent diabetes
- Pregnant or planning to become pregnant during the study period
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: 1
Participants will take part in the basic educational and counseling program through their community health care center.
|
Participants will receive one session of brief patient-centered physician counseling, along with educational handouts and nurse-assisted guidance with goal-setting.
|
|
Experimental: 2
Participants will take part in the comprehensive educational and counseling program through their community health care center.
|
Participants will receive one session of brief patient-centered physician counseling, along with educational handouts and nurse-assisted guidance with goal-setting.
They will also receive 12 months of telephone counseling and a monthly newsletter.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Hours per week in moderate and vigorous intensity physical activities (MVPA), as measured by the Community Healthy Activities Model Program for Seniors (CHAMPS) Physical Activity Questionnaire
Time Frame: Measured at baseline and Months 6 and 12
|
Measured at baseline and Months 6 and 12
|
|
Weekly consumption frequency of dietary fat and cholesterol, as measured by the New Leaf Dietary Risk Assessment (DRA)
Time Frame: Measured at baseline and Months 6 and 12
|
Measured at baseline and Months 6 and 12
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Body mass index (weight [kg]/height [m2])
Time Frame: Measured at baseline and Months 6 and 12
|
Measured at baseline and Months 6 and 12
|
|
Central adiposity (i.e., waist circumference in inches)
Time Frame: Measured at baseline and Months 6 and 12
|
Measured at baseline and Months 6 and 12
|
|
Total cholesterol (mg/dL)
Time Frame: Measured at baseline and Months 6 and 12
|
Measured at baseline and Months 6 and 12
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Deborah Parra-Medina, PhD, The University of Texas Health Science Center, Houston
Publications and helpful links
General Publications
- Parra-Medina D, Wilcox S, Wilson DK, Addy CL, Felton G, Poston MB. Heart Healthy and Ethnically Relevant (HHER) Lifestyle trial for improving diet and physical activity in underserved African American women. Contemp Clin Trials. 2010 Jan;31(1):92-104. doi: 10.1016/j.cct.2009.09.006. Epub 2009 Sep 22.
- Parra-Medina D, Wilcox S, Salinas J, Addy C, Fore E, Poston M, Wilson DK. Results of the Heart Healthy and Ethnically Relevant Lifestyle trial: a cardiovascular risk reduction intervention for African American women attending community health centers. Am J Public Health. 2011 Oct;101(10):1914-21. doi: 10.2105/AJPH.2011.300151. Epub 2011 Aug 18.
- Wilcox S, Parra-Medina D, Felton GM, Poston MB, McClain A. Adoption and implementation of physical activity and dietary counseling by community health center providers and nurses. J Phys Act Health. 2010 Sep;7(5):602-12. doi: 10.1123/jpah.7.5.602.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 622
- R01HL073001 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Cardiovascular Diseases
-
NCT07067398RecruitingCardiovascular | Cardiovascular Health | Cardiovascular (CV) Risk | Cardiovascular Disease (CVD) Risk Factors
-
NCT07483502Not yet recruitingCardiovascular Surgery | Cardiovascular Diseases (CVD)
-
NCT07497932RecruitingCardiovascular Disease | Cardiovascular Surgery
-
NCT04121741CompletedCardiovascular Diseases | Cardiovascular Risk Factor | Cardiovascular Health
-
NCT03717363CompletedCardiovascular Disease | Cardiovascular Risk Factor
-
NCT06832644RecruitingCardiovascular Risk | Genetic Cardiovascular Risk
-
NCT00983333CompletedCardiovascular Disease | Cardiovascular Risk Factors
-
NCT02038101Unknown
-
NCT02777515Terminated
-
NCT07478354RecruitingCardiovascular Diseases (CVD)
Clinical Trials on Basic Educational and Counseling Program
-
NCT03009617Completed
-
NCT01416545Completed
-
NCT07364123Not yet recruitingKidney Transplantation | Medication Non-Adherence | Renal Transplant Recipients | Immunosuppressive Therapy
-
NCT03125668CompletedQuality of Life | Health Education | Patient Compliance | Warfarin
-
NCT01939821CompletedFecal Incontinence | Staffs' Attitudes
-
NCT05106790Not yet recruitingTreatment Adherence and Compliance