Cbr Intervention Model

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In the United States (U.S.) 117 million adults have chronic diseases, approximately 24.3% of this population has at least one chronic disease and 26% has multiple chronic diseases (Ward, Schiller et al. 2014). Seven of the top 10 causes of deaths in the U.S. are chronic diseases (Statistics 2016). Incidence and mortality rates are different for different racial groups (CDC MMWR, 2013); African Americans (AA) particularly experience higher incidence and mortality rates for chronic diseases like diabetes, cancer and heart disease (CDC, 2013). Furthermore, African Americans in South Carolina (SC) have some of the largest health disparities in the nation (U.S. Department of Health and Human Services Centers for Disease Control and Prevention and…show more content…
Its overall goal was to reduce inflammation in a high risk population. The study was designed using principles of community-based participatory research (CBPR) to engage community partners from the AA faith community. Churches recruited within 40 miles of USC-Columbia campus were randomized as Control and Intervention based on social class and educational level. Participant’s eligibility was based on age with no reported cancer diagnosis or unstable co-morbidities that might limit participation in the intervention. Design of the Healthy Eating and Active Living in the Spirit (HEALS) intervention model was based on other studies (Harmon, Adams et al. 2012, Hebert, Hurley et al. 2012) and included a 12-week healthy diet and PA program combined with stress reduction and followed by monthly booster sessions for an additional 9 months to reinforce and expand on topics introduced in the first phase. The study design also included a 12-month delayed-intervention arm that served as the study’s control group (Hébert et al., 2013). Additional information on participant recruitment, study protocol and data collection are described elsewhere (Hébert, Wirth et al. 2013). Research protocols were approved by the institutional review board of the University of South Carolina (Hébert et al.,…show more content…
6.36, p=0.02), but higher waist-to-hip ratio (mean: 0.88 vs. 0.86, p=0.05). When analysed continuously, a one-unit increase in health messages was associated with a decrease in HbA1c% (p=0.01). No other statistically significant associations were observed for the continuous form of health messages (data not shown). When stratified by intervention status, controls showed a similar pattern of results. However, these findings were not observed among the intervention group. However, those in the intervention group attending churches with more health messages had lower CRP compared to intervention participants in churches with fewer health messages (mean: 1.76 vs. 2.44, p=0.05; Table 2). When CRP was dichotomized (i.e., ≤3.0 vs. >3.0mg/L) the odds ratios between those attending churches with fewer health messages compared to those attending churches with more health messages were as follows: all participants (odds ratio [OR]=2.78, 95% confidence interval [95%CI]=1.19-6.48), intervention (OR=5.86, 95%CI=1.51-22.81), and control (OR=1.27, 95%CI=0.40-4.09; data not
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