Expanded Population Health Model Evaluation
- Conditions
- Chronic DiseaseQuality of Life
- Interventions
- Behavioral: Expanded Population Health Model
- Registration Number
- NCT06044831
- Lead Sponsor
- Baylor Research Institute
- Brief Summary
This study will evaluate the impact of a comprehensive wellness and social determinants of health intervention on cardiovascular health in a community setting of the Bonton neighborhood. Participants will not be assigned to intervention activities, but health and wellbeing indicators will be collected in relation to how they choose to participate in activities over the year.
- Detailed Description
The specific aims of this study are to 1) evaluate whether a population health model integrated into a community setting improves cardiometabolic health and quality of life in adults 18 years or older and 2) evaluate which programs and services provide the most impact for specific sub-groups of individuals, e.g., elderly, individuals with diabetes, etc.
Participants will receive programs from the existing population health model from Baylor Scott \& White Health and Wellness Center with additional programs from a local community organization. Individuals will complete study measures at baseline, 6 months, and 12 months.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 300
- Age 18 years or older
- Ability to alter diet and/or physical activity
- Willing to participate in a 12-month study
- Willing and able to participate in programs at Bonton Farms
- Cannot have participated in an intensive lifestyle change program (Group Lifestyle Balance, Health Eating and Lifestyle Program, or first cohort of apprenticeship) in the last 6 months or have attended more than two weeks of an intensive lifestyle change program
- Cannot be diagnosed with a terminal illness
- Cannot be pregnant or planning to get pregnant in the next 12 months
- Below the age of 18 years
- Unable to alter diet and physical activity due to medical condition
- Not willing to participate in a 12-month study
- Not willing and unable to participate in programs at Bonton Farms
- Participated in an intensive lifestyle change program (Group Lifestyle Balance, Health Eating and Lifestyle Program, or first cohort of Bonton Farms' apprenticeship) or has attended more than two weeks of an intensive lifestyle change
- Be diagnosed with a terminal illness
- Currently pregnant or planning to get pregnant in the next 12 months
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Expanded Population Health Access Expanded Population Health Model Participants living in the neighborhood with access to expanded population health model.
- Primary Outcome Measures
Name Time Method Cardiovascular Health Score Baseline and 6 Months Life's Essential 8 composite score includes 8 metrics used to measure cardiovascular health. The metrics are diet, physical activity, nicotine exposure, sleep health, body mass index, blood lipids, blood glucose, and blood pressure. Each individual metric is scored 0-100 based on clinical thresholds and the composite score is the unweighted, aggregate of all the metrics. Scores 0-49 are considered low cardiovascular health, 50-79 moderate cardiovascular health, and 80-100 high cardiovascular health.
Centers for Disease Control and Prevention Health Related Quality of Life Scale Baseline and 6 Months Measured by self report with Centers for Disease Control and Prevention Health Related Quality of Life Scale. Two modules (Healthy Days and Healthy Days Symptoms) are assessed in 9 items. Only the items in the Healthy Days Module produces a score and it is the sum of healthy and unhealthy days. A higher sum is associated with mental distress or activity limitation.
- Secondary Outcome Measures
Name Time Method Cardiovascular Health Score 12 Months Life's Essential 8 composite score includes 8 metrics used to measure cardiovascular health. The metrics are diet, physical activity, nicotine exposure, sleep health, body mass index, blood lipids, blood glucose, and blood pressure. Each individual metric is scored 0-100 based on clinical thresholds and the composite score is the unweighted, aggregate of all the metrics. Scores 0-49 are considered low cardiovascular health, 50-79 moderate cardiovascular health, and 80-100 high cardiovascular health.
Metabolic Syndrome Baseline, 6 Months, and 12 Months Measured by the presence of three or more elevated factors from waist circumference, triglycerides, high density lipoprotein cholesterol, blood pressure, and A1C.
Centers for Disease Control and Prevention Health Related Quality of Life Scale 12 Months Measured by self report with Centers for Disease Control and Prevention Health Related Quality of Life Scale. Two modules (Healthy Days and Healthy Days Symptoms) are assessed in 9 items. Only the items in the Healthy Days Module produces a score and it is the sum of healthy and unhealthy days. A higher sum is associated with mental distress or activity limitation.
Services utilization Baseline, 6 Months, and 12 Months Measured by self-report survey.
Perceived Stress Scale Baseline, 6 Months, and 12 Months Measured by self-report with Perceived Stress Scale with 10 items. Each item is scored 0-4. A higher sum score indicates higher perceived stress.
Center for Epidemiologic Studies Depression Scale 10 Baseline, 6 Months, and 12 Months Measured by self-report with Center for Epidemiologic Studies Depression Scale 10 with 10 items. Each item is scored 0-4. A sum of 10 or higher indicates depressive symptoms.
Medical Outcomes Study Social Support Survey Baseline, 6 Months, and 12 Months Measured by self-report with Medical Outcomes Study Social Support Survey. This instrument includes 4 subscales (Emotional/informational Support, Tangible Support, Affectionate Support, Positive Social Interaction) with 18 items. Each item is scored 1-5. A higher subscale average indicates greater social support. Additionally, an overall support index can also be calculated by taking the average of the 18 items included in subscales and the score for Question 13. A higher score on the overall support index indicates greater social support.
Motivation and Attitudes Toward Changing Health Baseline, 6 Months, and 12 Months Measured by self-report with Motivation and Attitudes Toward Changing Health. This instrument includes 3 subscales (Willingness, Worthwhile, and Ability) with a total of 9 items. Each item is scored 1-5. A higher subscale average indicates one or more of the following: 1) greater willingness to do things to manage health, 2) more likely to view benefits of change as worthwhile, and/or 3) feeling more capable of making and sustaining change.
Brief Resilience Scale Baseline, 6 Months, and 12 Months Measured by self-report with Brief Resilience Scale with 6 items. Each item is scored 1-5. A higher sum score indicate higher resiliency.
Trial Locations
- Locations (1)
Baylor Scott & White Health and Wellness Center
🇺🇸Dallas, Texas, United States