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Project Details
Description
PROJECT SUMMARY/ABSTRACT
Compared to all racial/ethnic groups, African-American (AA) adults have the lowest cardiovascular health
(CVH) scores by the American Heart Association (AHA) Life's Essential 8 (LE8; co-developed by study PI), which
has resulted in cardiovascular disease mortality disparities. The LE8 metric includes 4 health behaviors and 4
clinical factors (eg, diet, physical activity [PA], sleep, blood pressure, etc). To address CVH disparities, AHA
endorses integrating socioculturally relevant, mobile health (mHealth) interventions to promote CVH among
underserved populations by leveraging social capital and cross-sector collaboration. However, there is a paucity
of effective, culturally relevant, evidence-based interventions available. Leveraging the FAITH! (Fostering
African-American Improvement in Total Health!) Program, an established community-based participatory
research (CBPR) effort, we co-designed a culturally tailored, CVH mHealth intervention alongside AA community
members. The community-informed FAITH! App was then tested in an NIMHD-funded randomized clinical trial
(RCT), the FAITH! Trial, among participants (N=85) from AA churches in Rochester and Minneapolis-Saint Paul
(MSP), MN. Our study found the FAITH! App resulted in significant improvements in CVH scores and behaviors
(diet, PA).. Participants viewed the app as equitable for CVH education, and suggested integrating
digital/technical support to enhance app features. Our major goal is to engage AA churches to promote CVH and
digital health equity (DHE, “Techquity”) and digital health readiness within these communities through a co-
designed DHE toolkit and Digital Health Advocates (DHAs) network.
The P50 NOSI supplement proposal aligns with the NIMHD Health Disparities Research Framework as
it addresses the multi-faceted nature of CVH disparities and digital health inequities. We propose 3 aims: Aim 1
engagesAA churches to co-design a culturally relevant DHE toolkit. We will use a formative/qualitative research
process in a focus group series with 20 AA community members. Primary outcomes are toolkit acceptability and
satisfaction. Aim 2 will train 20 DHAs in digital health readiness and CVH promotion for integration into an
mHealth intervention. Aim 3 will assess the impact of a community-informed, mHealth intervention (FAITH! App)
with DHA support on CVH among AA adults through a cluster RCT of 150 AA adults. Primary outcome is change
in LE8 score from baseline to 6-months post-randomization. Secondary outcomes include digital health
readiness and psychosocial measures (social support, self-regulation, and perceived barriers to healthy lifestyle).
An established community steering committee will provide input for all activities. Our project is innovative as our
multilevel strategy includes participatory design of a DHE toolkit, scientifically sound DHA training and integration
of a behavioral theory-informed, empirically-supported mHealth lifestyle intervention to influence CVH and DHE
among AAs. If successful, our results can pave the way for use of evidence-based mHealth tools to promote
optimal CVH while addressing the digital divide among AAs.
Status | Active |
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Effective start/end date | 9/24/21 → 6/30/24 |
Funding
- National Institute on Minority Health and Health Disparities: $777,820.00
- National Institute on Minority Health and Health Disparities: $602,495.00
- National Institute on Minority Health and Health Disparities: $4,147,593.00
- National Institute on Minority Health and Health Disparities: $4,074,979.00
- National Institute on Minority Health and Health Disparities: $3,950,082.00
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Administrative Core
National Institute on Minority Health and Health Disparities
7/1/23 → 6/30/24
Project: Research project
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Investigator Development Core
Everson-Rose, S. & Everson-rose, S. S. A.
National Institute on Minority Health and Health Disparities
9/1/21 → 6/30/23
Project: Research project