Набор по приглашению NCT07168044

A Community Cardiovascular Disease Risk Reduction Program in Older Adults Engaged in Congregate Nutrition Services (CAN-DO)

Без фазы С лечением Cardiovascular Risk Reduction Cardiovascular Risk

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: CAN-DO.
Кому может быть актуально: Состояния в реестре: Cardiovascular Risk Reduction, Cardiovascular Risk. Базовые параметры: от 60 лет · Все.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: США
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Обзор

Investigators plan to test the effect of a Cardiovascular disease (CVD) risk reduction program targeted to improve nutrition and self-management of chronic cardiovascular conditions among older adults participating in congregate meal programs offered at community senior centers.

Подробное описание

This project proposes utilizing community health workers (CHWs) to deliver targeted health programming to participants in congregate meal programs as part of the Title III-C Nutrition Services Program. By integrating a targeted intervention into these community settings, this proposal aims to enhance individual health outcomes and support healthy nutrition among older adults. This approach prioritizes an evidence based, responsive, community-based solution to the increasingly complex health needs of this expanding population, fostering healthier aging and more resilient communities.

The purpose of this study is to examine the feasibility of a CVD risk reduction program targeted to improve nutrition and self-management of chronic cardiovascular conditions among older adults participating in congregate meal programs offered at community senior centers. The specific aim is to examine the feasibility of a CVD risk reduction program (CAN-DO) delivered to older adults participating in a congregate meal program. The rates of recruitment, retention, acceptance, and participant satisfaction of the intervention protocol, and processes for training and engaging a CHW for intervention delivery in preparation for a larger, fully powered trial will be assessed. Secondary aims will include health outcomes that indicate promise of the intervention's potential effect on cardiovascular risk reduction and will include measurement of hemoglobin A1c, lipid panel, blood pressure, body anthropometrics and nutritional intake (food frequency questionnaire, diet quality with HEI (healthy eating index) scoring, Veggie Meter scores as an indicator of adherence to intervention). These risk factor outcomes will be measured at baseline, 18 weeks (intermediate feasibility) and at 30 weeks to evaluate long term feasibility of the project among older adults participating in a congregate meal program.

Вмешательства

Поведенческое CAN-DO
usual programing offered as part of the congregate meal program plus 18 weekly group education sessions related to CVD risk reduction and nutrition.

Первичные конечные точки

Proportion of eligible individuals who enroll in the study [Срок оценки: 6 months]
Number of participants enrolled at each timepoint [Срок оценки: Baseline, week 18, and week 30]
Change in Veggie Meter scores [Срок оценки: Baseline, week 18, and week 30]
Participant Satisfaction with intervention [Срок оценки: 30 weeks]

Вторичные конечные точки (6)

Change in hemoglobin A1c [Срок оценки: baseline, 18 weeks and 30 weeks]
Change in total cholesterol per lipid panel [Срок оценки: Baseline, 18 and 30 weeks]
Change in systolic blood pressure [Срок оценки: baseline, 18 and 30 weeks]
Change in diastolic blood pressure [Срок оценки: baseline, 18 and 30 weeks]
Change in waist circumference [Срок оценки: baseline, 18 and 30 weeks]
Change in diet quality using an HEI index score [Срок оценки: baseline, 18 and 30 weeks]

Критерии участия

Критерии включения

community dining site with a minimum of 20 or more congregate meal program participants.
≥ 60 years of age
registered meal program participant at the community dining site
speak English