Miami Healthy Heart Initiative a Behavioral Study on Cardiovascular Risk Factors

Launched by UNIVERSITY OF MIAMI · Jun 28, 2010

Keywords

ClinConnect Summary

Disparities in the epidemiology of cardiovascular disease (CVD) risk factors among Latinos have been extensively described; however, traditional medical models of CVD risk reduction have not been very effective in Latinos. One promising strategy is the use of community-based community health workers (CHWs). CHWs have long been used in Latin-America as an integral part of their health care delivery system. Further, preliminary data from our prior pilot diabetes self-management CHW program have shown improvements in lipids. However, because of a lack of effectiveness data from studies using r...

Gender

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Eligibility criteria

• Inclusion Criteria:
• • Adult patients age 35-70 years
• • Receiving care at ACC clinic (2 visits with a primary care provider in the previous year)
• • Living in Miami-Dade county (based on zip codes)
• • Had a hemoglobin A1C done within the past year, with the latest value being \>=8.0
• Exclusion Criteria:
• • Patients whose Primary Doctor believes are not appropriate candidates for participation
• • Type 1 diabetics (identified by Primary Doctor or those with diabetes diagnosed when under age 25).
• • Patients who do not self identify as Hispanic
• • Any life-threatening or extreme medical comorbidity
• • Having a diabetes diagnosis for less than a year
• • Planning to move out of the neighborhood during the next year
• • Participation in any other CVD or diabetes intervention study
• • Arm circumference of greater than 47 cm (oscillometric cuffs do not give accurate readings)