Evaluating BSW HWC's Population Health Model Expansion at Bonton Farms: A Place-Based Quasi-Experimental Study Linking Medical and Social Services
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 300
- 试验地点
- 2
- 主要终点
- Cardiovascular Health Score
研究概览
简要总结
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.
详细描述
The specific aims of this study are to 1) evaluate whether a population health model integrated into a community setting improves cardiovascular 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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
Expanded Population Health Access
Participants living in the neighborhood with access to expanded population health model.
干预措施: Expanded Population Health Model (Behavioral)
结局指标
主要结局
Cardiovascular Health Score
时间窗: 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
时间窗: 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.
次要结局
- Cardiovascular Health Score(12 Months)
- Metabolic Syndrome(Baseline, 6 Months, and 12 Months)
- Centers for Disease Control and Prevention Health Related Quality of Life Scale(12 Months)
- Services utilization(Baseline, 6 Months, and 12 Months)
- Perceived Stress Scale(Baseline, 6 Months, and 12 Months)
- Center for Epidemiologic Studies Depression Scale 10(Baseline, 6 Months, and 12 Months)
- Medical Outcomes Study Social Support Survey(Baseline, 6 Months, and 12 Months)
- Motivation and Attitudes Toward Changing Health(Baseline, 6 Months, and 12 Months)
- Brief Resilience Scale(Baseline, 6 Months, and 12 Months)
研究者
Kevin Sykes
Director of Clinical Research
Baylor Research Institute