Impact of School-Based Health Behavioral Intervention on Awareness, Practice Pattern of Healthy Lifestyle, and Cardiometabolic Risk Factors among School Children of Shimla: A Cluster-Randomized, Intervention Study

2021 ◽  
Author(s):  
Anjali Mahajan ◽  
Prakash C. Negi ◽  
Sunita Gandhi ◽  
Dinesh Sharma ◽  
Neelam Grover
Keyword(s):  
Risk Factors ◽  
Behavioral Intervention ◽  
School Children ◽  
Cardiometabolic Risk ◽  
Intervention Study ◽  
Healthy Lifestyle ◽  
School Based ◽  
Randomized Intervention ◽  
Cluster Randomized ◽  
Randomized Intervention Study

Improving attitudes towards children with disabilities in a school context: a cluster randomized intervention study

2010 ◽  
Vol 52 (10) ◽  
pp. e236-e242 ◽  
Author(s):  
EMMANUELLE GODEAU ◽  
CÉLINE VIGNES ◽  
MARIANE SENTENAC ◽  
VIRGINIE EHLINGER ◽  
FÉLIX NAVARRO ◽  
...  
Keyword(s):  
Children With Disabilities ◽  
Intervention Study ◽  
School Context ◽  
Randomized Intervention ◽  
Cluster Randomized ◽  
Randomized Intervention Study

scholarly journals Pro-vegetarian food patterns and cardiometabolic risk in the PREDIMED-Plus study: a cross-sectional baseline analysis

2021 ◽  
Author(s):  
Alejandro Oncina-Cánovas ◽  
Jesús Vioque ◽  
Sandra González-Palacios ◽  
Miguel Ángel Martínez-González ◽  
Jordi Salas-Salvadó ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Cardiovascular Risk ◽  
Cardiometabolic Risk ◽  
Intervention Study ◽  
Meat Products ◽  
Food Groups ◽  
Cross Sectional ◽  
Food Patterns ◽  
Randomized Intervention ◽  
Randomized Intervention Study

Abstract Purpose We explored the cross-sectional association between the adherence to three different provegetarian (PVG) food patterns defined as general (gPVG), healthful (hPVG) and unhealthful (uPVG), and the cardiometabolic risk in adults with metabolic syndrome (MetS) of the PREDIMED-Plus randomized intervention study. Methods We performed a cross-sectional analysis of baseline data from 6439 participants of the PREDIMED-Plus randomized intervention study. The gPVG food pattern was built by positively scoring plant foods (vegetables/fruits/legumes/grains/potatoes/nuts/olive oil) and negatively scoring, animal foods (meat and meat products/animal fats/eggs/fish and seafood/dairy products). The hPVG and uPVG were generated from the gPVG by adding four new food groups (tea and coffee/fruit juices/sugar-sweetened beverages/sweets and desserts), splitting grains and potatoes and scoring them differently. Multivariable-adjusted robust linear regression using MM-type estimator was used to assess the association between PVG food patterns and the standardized Metabolic Syndrome score (MetS z-score), a composed index that has been previously used to ascertain the cardiometabolic risk, adjusting for potential confounders. Results A higher adherence to the gPVG and hPVG was associated with lower cardiometabolic risk in multivariable models. The regression coefficients for 5th vs. 1st quintile were − 0.16 (95% CI: − 0.33 to 0.01) for gPVG (p trend: 0.015), and − 0.23 (95% CI: − 0.41 to − 0.05) for hPVG (p trend: 0.016). In contrast, a higher adherence to the uPVG was associated with higher cardiometabolic risk, 0.21 (95% CI: 0.04 to 0.38) (p trend: 0.019). Conclusion Higher adherence to gPVG and hPVG food patterns was generally associated with lower cardiovascular risk, whereas higher adherence to uPVG was associated to higher cardiovascular risk.

scholarly journals Rationale and design of reGional network for Acute Myocardial Infarction (GAMI): protocol for a Prospective Cluster-randomized Intervention study of STEMI management

2021 ◽  
Author(s):  
Yibo He ◽  
Jin Liu ◽  
Liwei Liu ◽  
Feier Song ◽  
Ming Ying ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Public Education ◽  
Intervention Study ◽  
Regional Network ◽  
Network Construction ◽  
Randomized Intervention ◽  
Cluster Randomized ◽  
Randomized Intervention Study ◽  
Regional Intervention

Abstract BackgroundTimely revascularization is essential for ST-segment elevation myocardial infarction (STEMI) patients to reduced mortality rate. However, it's seldom achieved due to patient and medical system-level barriers in China, especially in the rural area. It's needed to establish a regionally coordinated network to promote the early revascularization rate for STEMI patients.MethodsRegional network for Acute Myocardial Infarction (GAMI) is a multi-center, prospective, intervention study with regional intervention. It was carried out in 8 centers by 1:1 cluster randomization in south China with diverse economic and medical levels since 2016. The regional intervention were carried out in the intervention centers, which consisted of intensive public education and regional network construction for STEMI treatment, including community and online propaganda to raised patients' awareness of the treatment for STEMI and establishment of regional clinic-EMS-PCI transfer network for timely primary revascularization. Consecutive acute STEMI patients were enrolled for assessment of regional intervention according to the key performance indicators. The primary study endpoint was reperfusion rate, and secondary endpoints included change of pre-hospital delay, changes of in-hospital delay time and in-hospital outcomes. All patients were followed up for more than 1 year.DiscussionThe GAMI study is a prospective cluster-randomized intervention study, which would provide helpful evaluation of the effectiveness of enhanced public education and regional network construction on regional STEMI treatmentTrial registration: Clinical Trials, NCT03928119. Registered , 25 April, 2019， https://clinicaltrials.gov/ct2/show/NCT03928119?id=NCT03928119&draw=2&rank=1

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