The Washington Heights-Inwood Healthy Heart Program: A third generation community-based cardiovascular disease prevention program in a disadvantaged urban setting

1992 ◽  
Vol 21 (2) ◽  
pp. 203-217 ◽  
Author(s):  
Steven Shea ◽  
Charles E. Basch ◽  
Rafael Lantigua ◽  
Howell Wechsler
Keyword(s):  
Cardiovascular Disease ◽  
Disease Prevention ◽  
Prevention Program ◽  
Cardiovascular Disease Prevention ◽  
Urban Setting ◽  
Third Generation ◽  
Community Based ◽  
Washington Heights

scholarly journals Strong Hearts, healthy communities: a rural community-based cardiovascular disease prevention program

2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Rebecca A. Seguin ◽  
Galen Eldridge ◽  
Meredith L. Graham ◽  
Sara C. Folta ◽  
Miriam E. Nelson ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Disease Prevention ◽  
Rural Community ◽  
Prevention Program ◽  
Cardiovascular Disease Prevention ◽  
Community Based ◽  
Healthy Communities

OP139 Attaining Universal Electrocardiographic Diagnosis Coverage Through Telemedicine

2020 ◽  
Vol 36 (S1) ◽  
pp. 1-1
Author(s):  
Pedro Galvan ◽  
José Ortellado ◽  
Ronald Rivas ◽  
Juan Portillo ◽  
Julio Mazzoleni ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Disease Prevention ◽  
Prevention Program ◽  
Sinus Bradycardia ◽  
Universal Coverage ◽  
Left Ventricular ◽  
Cardiovascular Disease Prevention ◽  
Public Hospitals ◽  
Cross Sectional Survey ◽  
Health Technologies

IntroductionInnovative health technologies, like telemedicine, offer advantageous telediagnostic apps that can improve the health care of populations in remote regions. However, evidence on how these developments can enhance universal coverage for electrocardiographic (ECG) diagnosis to support a cardiovascular disease prevention program is limited. The utility of telemedicine for attaining universal coverage for ECG diagnosis according to the national cardiovascular disease prevention program in Paraguay was investigated.MethodsThis cross-sectional survey included adults (aged 19 to 80 years) and children (aged 1 to 18 years) with a medical prescription. The study was carried out by the Telemedicine Unit to evaluate the utility of a telemedicine net for a countrywide detection and prevention program for cardiovascular disease. The results obtained by the tele-ECG net, which was implemented in sixty public hospitals countrywide, were analyzed and used to verify adherence to the cardiovascular prevention program.ResultsBetween 2014 and 2019, 331,418 remote ECG diagnoses were performed. Of these, eighty-two percent (n = 270,539) were in adults and eighteen percent (n = 60,879) were in children. Among the adult diagnoses, the majority (52%) were pathological and included sinus bradycardia (13%), right bundle branch block (6%), left ventricular hypertrophy (5%), and ventricle repolarization disorder (5%). Among the children, only twenty percent of diagnoses pathological and included sinus bradycardia (11%) and sinus tachycardia (4%). The mean rate of adherence to the prevention program was 38.2 per 1,000 diagnoses performed.ConclusionsThe results showed that telemedicine can significantly enhance coverage for universal ECG diagnosis to support cardiovascular disease prevention and health programs. However, before carrying out the systematic implementation of such a program contextualization using the regional epidemiological profile must be performed.

Community-based lifestyle modification workforce: an underutilised asset for cardiovascular disease prevention

2016 ◽  
Vol 22 (4) ◽  
pp. 327 ◽  
Author(s):  
Nerida Volker ◽  
Lauren T. Williams ◽  
Rachel C. Davey ◽  
Thomas Cochrane
Keyword(s):  
Cardiovascular Disease ◽  
Focus Group ◽  
Disease Prevention ◽  
Lifestyle Modification ◽  
Cardiovascular Disease Prevention ◽  
System Response ◽  
Group Discussions ◽  
Community Based ◽  
Allied Health Professionals ◽  
Community Sector

This paper reports on a qualitative study exploring the capacity of the community sector to support a whole-of-system response to cardiovascular disease prevention in primary health care. As a component of the Model for Prevention (MoFoP) study, community-based lifestyle modification providers were recruited in the Australian Capital Territory to participate in focus group discussions; 34 providers participated across six focus groups: 20 Allied Health Professionals (four groups) and 14 Lifestyle Modification Program providers (two groups). Thematic analysis of focus group transcripts was undertaken using a mixed deductive and inductive approach. Participant responses highlight several barriers to their greater contribution to cardiovascular disease prevention. These included that prevention activities are not valued, limited sector linkages, inadequate funding models and the difficulty of behaviour change. Findings suggest that improvements in the value proposition of prevention for all stakeholders would be supported by improved funding mechanisms and increased opportunities to build relationships across health and community sectors.

scholarly journals Qualitative Process Evaluation of a Community-Based Culturally Tailored Lifestyle Intervention for Underserved South Asians

2016 ◽  
Vol 17 (6) ◽  
pp. 802-813 ◽  
Author(s):  
Manasi Jayaprakash ◽  
Ankita Puri-Taneja ◽  
Namratha R. Kandula ◽  
Himali Bharucha ◽  
Santosh Kumar ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Disease Prevention ◽  
Process Evaluation ◽  
Lifestyle Intervention ◽  
South Asians ◽  
Cardiovascular Disease Prevention ◽  
Medically Underserved ◽  
Community Based ◽  
Culturally Tailored ◽  
Study Staff

Introduction. There are few examples of effective cardiovascular disease prevention interventions for South Asians (SAs). We describe the results of a process evaluation of the South Asian Heart Lifestyle Intervention for medically underserved SAs implemented at a community-based organization (CBO) using community-based participatory research methods and a randomized control design (n = 63). Method. Interviews were conducted with 23 intervention participants and 5 study staff using a semistructured interview guide focused on participant and staff perceptions about the intervention’s feasibility and efficacy. Data were thematically analyzed. Results. Intervention success was attributed to trusted CBO setting, culturally concordant study staff, and culturally tailored experiential activities. Participants said that these activities helped increase knowledge and behavior change. Some participants, especially men, found that self-monitoring with pedometers helped motivate increased physical activity. Participants said that the intervention could be strengthened by greater family involvement and by providing women-only exercise classes. Staff identified the need to reduce participant burden due to multicomponent intervention and agreed that the CBO needed greater financial resources to address participant barriers. Conclusion. Community-based delivery and cultural adaptation of an evidence-based lifestyle intervention were effective and essential components for reaching and retaining medically underserved SAs in a cardiovascular disease prevention intervention study.

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