scholarly journals A Community-based Program for Cardiovascular Health Awareness

2005 ◽  
Vol 96 (4) ◽  
pp. 294-298 ◽  
Author(s):  
Larry W. Chambers ◽  
Janusz Kaczorowski ◽  
Lisa Dolovich ◽  
Tina Karwalajtys ◽  
Heather L. Hall ◽  
...  
2020 ◽  
Author(s):  
Janusz Kaczorowski ◽  
Hanaa Moussa ◽  
Marie-Thérèse Lussier ◽  
Magali Girard

Abstract Background: Locally recruited and trained volunteers are a vital component of the Cardiovascular Health Awareness Program (CHAP), a community-based cardiovascular disease prevention program that has been implemented across different settings and targeting different populations. As part of expanding and adapting CHAP to new settings, we conducted a pragmatic cluster randomized controlled trial to implement CHAP targeting elderly residents of subsidized social housing buildings in Québec and Ontario. As there is some evidence that the culture of volunteering might be different for English-speakers than their French-speaking counterparts, our objective was to generate a profile of French-speaking CHAP volunteers and to compare it with English-speaking volunteers in Ontario who participated in an earlier community-based CHAP program and with volunteers in Canada as reported in the Statistics Canada's General Social Survey on Giving, Volunteering and Participating (CSGVP). Methods: A cross-sectional survey was administered online or by telephone to volunteers who participated in at least one CHAP session held in subsidized social housing in Montérégie (Québec, Canada) between March 2018 and June 2019. Results: The response rate was 79% (30/38), majority were female (87%, 26/30), retired or semi-retired (83%; 25/30), almost two-thirds (63%, 19/30) had previous work experience in the healthcare field, and 40% (12/30) had more than 10 years of volunteering experience. These characteristics were similar both to those of general profile of volunteers in Canada and to English-speaking volunteers in Ontario who participated in an earlier pharmacy-based CHAP program. The top 5 reasons for volunteering among French-speaking CHAP volunteers were identical to those reported in CSGVP: making a contribution to the community; using one’s skills and experience; improving one’s sense of well-being or health; exploring one’s own strengths; and networking with or meeting people. The majority of French-speaking CHAP volunteers, like their English counterparts in Ontario, reported a high level of satisfaction with their participation in the program, enjoyed their interaction with participants, and gained new knowledge. Conclusions: French-speaking CHAP volunteers in Quebec share many similarities with English-speaking CHAP volunteers in Ontario and volunteers in Canada in terms of background, motivation, satisfaction and perceived benefits of volunteering.


2021 ◽  
Author(s):  
Janusz Kaczorowski ◽  
Hanaa Moussa ◽  
Marie-Thérèse Lussier ◽  
Magali Girard

Abstract Background: Locally recruited and trained volunteers are a vital component of the Cardiovascular Health Awareness Program (CHAP), a community-based cardiovascular disease prevention program that has been implemented across different settings and targeting different populations. As part of expanding and adapting CHAP to new settings, we conducted a pragmatic cluster randomized controlled trial to implement CHAP targeting French-speaking elderly residents of subsidized social housing buildings in Québec and Ontario. As there is some evidence that the culture of volunteering might be different for English-speakers than their French-speaking counterparts, our objective was to generate a profile of French-speaking CHAP volunteers and to compare it with English-speaking volunteers in Ontario who participated in an earlier community-based CHAP program and with volunteers in Canada as reported in the Statistics Canada's General Social Survey on Giving, Volunteering and Participating (CSGVP). Methods: A cross-sectional survey was administered online or by telephone to French-speaking volunteers who participated in at least one CHAP session held in subsidized social housing in Montérégie (Québec, Canada) between March 2018 and June 2019. Results: The response rate was 79% (30/38), majority were female (87%, 26/30), retired or semi-retired (83%; 25/30), almost two-thirds (63%, 19/30) had previous work experience in the healthcare field, and 40% (12/30) had more than 10 years of volunteering experience. These characteristics were similar both to those of general profile of volunteers in Canada and to English-speaking volunteers in Ontario who participated in an earlier pharmacy-based CHAP program. The top 5 reasons for volunteering among French-speaking CHAP volunteers were identical to those reported in CSGVP: making a contribution to the community; using one’s skills and experience; improving one’s sense of well-being or health; exploring one’s own strengths; and networking with or meeting people. The majority of French-speaking CHAP volunteers, like their English counterparts in Ontario, reported a high level of satisfaction with their participation in the program, enjoyed their interaction with participants, and gained new knowledge. Conclusions: French-speaking CHAP volunteers in Quebec share many similarities with English-speaking CHAP volunteers in Ontario and volunteers in Canada in terms of background, motivation, satisfaction and perceived benefits of volunteering.


2021 ◽  
Vol 12 ◽  
pp. 215013272110298
Author(s):  
Susan M. Devaraj ◽  
Bonny Rockette-Wagner ◽  
Rachel G. Miller ◽  
Vincent C. Arena ◽  
Jenna M. Napoleone ◽  
...  

Introduction The American Heart Association created “Life’s Simple Seven” metrics to estimate progress toward improving US cardiovascular health in a standardized manner. Given the widespread use of federally funded Diabetes Prevention Program (DPP)-based lifestyle interventions such as the Group Lifestyle Balance (DPP-GLB), evaluation of change in health metrics within such a program is of national interest. This study examined change in cardiovascular health metric scores during the course of a yearlong DPP-GLB intervention. Methods Data were combined from 2 similar randomized trials offering a community based DPP-GLB lifestyle intervention to overweight/obese individuals with prediabetes and/or metabolic syndrome. Pre/post lifestyle intervention participation changes in 5 of the 7 cardiovascular health metrics were examined at 6 and 12 months (BMI, blood pressure, total cholesterol, fasting plasma glucose, physical activity). Smoking was rare and diet was not measured. Results Among 305 participants with complete data (81.8% of 373 eligible adults), significant improvements were demonstrated in all 5 risk factors measured continuously at 6 and 12 months. There were significant positive shifts in the “ideal” and “total” metric scores at both time points. Also noted were beneficial shifts in the proportion of participants across categories for BMI, activity, and blood pressure. Conclusion AHA-metrics could have clinical utility in estimating an individual’s cardiovascular health status and in capturing improvement in cardiometabolic/behavioral risk factors resulting from participation in a community-based translation of the DPP lifestyle intervention.


Author(s):  
Erkan Konca ◽  
Egemen Ermiş ◽  
Necati Alp Erilli ◽  
Aydan Ermiş

Cardiovascular diseases, one of the important health problems of our day, seriously threaten human health. For this reason, it is very important to raise awareness about cardiovascular health from childhood and to develop behaviors accordingly. The aim of this study is to find out cardiovascular health awareness in students between the ages of 7 and 16 during the pandemic. 216 students continuing their education in the city centre of Sivas, Turkey participated in the study. A survey form on socio-demographic characteristics of the students and Children’s Cardiovascular Health Promotion Attitude Scale (CCHPAS) were used in the study. Demographic characteristics were collected online with a 9-question form. KMO value (0.741) was found to be moderate. Bartlett Sphericity test (p=0.00) was found to be significant. The fact that these two values are significant shows that the survey is suitable for factor analysis. 4 factors were determined as a result of factor analysis. These 4 factors explain 60% of the variance. No statistically significant difference was found in both total scale and 4 factors in terms of gender (p>0.05). While no statistically significant difference was found for the first factor in terms of the state of having social media account (p>0.05), significant difference was found for the other factors and total scale score (p<0.05). It was also examined whether there were differences between factors and total scale score in terms of age groups, and while no statistically significant difference was found in terms of Factor 1, Factor 2 and Factor 4 (p>0.05), difference was found in terms of Factor 3 and total scale scores (p<0.05). As a result of the study, it was found that the participants had good level of awareness about cardiovascular health. <p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0896/a.php" alt="Hit counter" /></p>


2020 ◽  
Author(s):  
Nadia Deville-Stoetzel ◽  
Janusz Kaczorowski ◽  
Gina Agarwal ◽  
Marie-Thérèse Lussier ◽  
Magali Girard

Abstract Background: The Cardiovascular Health Awareness Program (CHAP) was originally developed and evaluated as a community-based cardiovascular disease (CVD) prevention program in small to medium size communities in Ontario. Recently, CHAP has been adapted to target older individuals living in 14 social housing buildings in Ontario (7) and Quebec (7). The participation rates in the 10-months program varied across buildings in Quebec from 23.5% to 49.1%. Social network analysis (SNA) has been successfully used to assess and strengthen participation in health promotion programs. We applied SNA methods to investigate whether interpersonal relationships between tenants within buildings influence the participation in CHAP. Methods: We used sociometric questionnaires and complete network analysis, supplemented by qualitative interviews to examine relational dynamics of two buildings in Quebec with a low and a high attendance rates. All residents of the two buildings were eligible to be interviewed for the sociometric questionnaire. The participants for the qualitative part of the study were selected at random. Results: In total, 69 seniors participated in the study, including qualitative interviews. Among study participants selected for qualitative interviews, 10 attended almost all CHAP sessions, 10 attended once and 12 did not attend any. Quantitative results helped to identify well-known and appreciated local leaders. In building 1 which had a high attendance rate (34.3%), there was a main leader (In-degree or ‘named by others’ frequency 23.2%) who attended all sessions. In building 2 which had a low attendance rate (23.9%), none of the leaders had participated in CHAP sessions. Qualitative analysis showed that tenants who did not attend CHAP sessions (or other activities in the building) generally preferred to avoid conflicts, retaliation and gossip and did not want to get involved in clans and politics within the buildings. Conclusion: In order to increase attendance at CHAP sessions among residents of subsidized housings for seniors, we identified 4 potential strategies: increase participant confidentiality; deploy community peer-networks to enhance recruitment; pair attendants to ensure their future participation; intervene through an opinion leader or through bridging individuals.


PLoS ONE ◽  
2018 ◽  
Vol 13 (9) ◽  
pp. e0201802 ◽  
Author(s):  
Simone Dahrouge ◽  
Janusz Kaczorowski ◽  
Lisa Dolovich ◽  
Michael Paterson ◽  
Lehana Thabane ◽  
...  

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Gina Agarwal ◽  
Magali Girard ◽  
Ricardo Angeles ◽  
Melissa Pirrie ◽  
Marie-Thérèse Lussier ◽  
...  

Abstract Background The Cardiovascular Health Awareness Program (CHAP) uses volunteers to provide cardiovascular disease (CVD) and diabetes screening in a community setting, referrals to primary care providers, and locally available programs targeting lifestyle modification. CHAP has been adapted to target older adults residing in social housing, a vulnerable segment of the population. Older adults living in social housing report poorer health status and have a higher burden of a multitude of chronic illnesses, such as CVD and diabetes. The study objective is to evaluate whether there is a reduction in unplanned CVD-related Emergency Department (ED) visits and hospital admissions among residents of social seniors’ housing buildings receiving the CHAP program for 1 year compared to residents in matched buildings not receiving the program. Methods/design This is a pragmatic, cluster randomized controlled trial in community-based social (subsidized) housing buildings in Ontario and Quebec. All residents of 14 matched pairs (intervention/control) of apartment buildings will be included. Buildings with 50–200 apartment units with the majority of residents aged 55+ and a unique postal code are included. All individuals residing within the buildings at the start of the intervention period are included (intention to treat, open cohort). The intervention instrument consists of CHAP screens for high blood pressure using automated blood pressure monitors and for diabetes using the Canadian Diabetes Risk (CANRISK) assessment tool. Monthly drop-in sessions for screening/monitoring are held within a common area of the building. Group health education sessions are also held monthly. Reports are sent to family doctors, and attendees are encouraged to visit their family doctor. The primary outcome measure is monthly CVD-related ED visits and hospitalizations over a 1-year period post randomization. Secondary outcomes are all ED visits, hospitalizations, quality of life, cost-effectiveness, and participant experience. Discussion It is anticipated that CVD-related ED visits and hospitalizations will decrease in the intervention buildings. Using the volunteer-led CHAP program, there is significant opportunity to improve the health of older adults in social housing. Trial registration ClinicalTrials.gov,NCT03549845. Registered on 15 May 2018. Updated on 21 May 2019.


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