دورية أكاديمية
أعرض في EDS

Child Health Promotion in Underserved Communities: The FAMILIA Trial.

التفاصيل البيبلوغرافية
العنوان: Child Health Promotion in Underserved Communities: The FAMILIA Trial.
المؤلفون: Fernandez-Jimenez R; Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York; Centro Nacional de Investigaciones Cardiovasculares, Madrid, Spain; CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain. Electronic address: https://twitter.com/rodrigo_fjez., Jaslow R; Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York., Bansilal S; Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York., Santana M; Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York., Diaz-Munoz R; Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York., Latina J; Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York., Soto AV; Mount Sinai Medical Center, Miami Beach, Florida., Vedanthan R; Department of Population Health, NYU School of Medicine, New York, New York., Al-Kazaz M; Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York., Giannarelli C; Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York., Kovacic JC; Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York., Bagiella E; Center for Biostatistics, Icahn School of Medicine at Mount Sinai, New York, New York., Kasarskis A; Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York., Fayad ZA; Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York., Hajjar RJ; Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York., Fuster V; Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York; Centro Nacional de Investigaciones Cardiovasculares, Madrid, Spain. Electronic address: valentin.fuster@mountsinai.org.
المصدر: Journal of the American College of Cardiology [J Am Coll Cardiol] 2019 Apr 30; Vol. 73 (16), pp. 2011-2021.
نوع المنشور: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Elsevier Biomedical Country of Publication: United States NLM ID: 8301365 Publication Model: Print Cited Medium: Internet ISSN: 1558-3597 (Electronic) Linking ISSN: 07351097 NLM ISO Abbreviation: J Am Coll Cardiol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [New York, N.Y.] : Elsevier Biomedical, [c1983-
مواضيع طبية MeSH: Child Welfare*, Cardiovascular Diseases/*prevention & control , Health Education/*organization & administration , Health Promotion/*organization & administration , Poverty/*statistics & numerical data, Child, Preschool ; Cluster Analysis ; Female ; Health Behavior ; Humans ; Linear Models ; Male ; Medically Underserved Area ; New York City ; Primary Prevention/methods ; Program Development ; Program Evaluation ; Schools/organization & administration
مستخلص: Background: Preschool-based interventions offer promise to instill healthy behaviors in children, which can be a strategy to reduce the burden of cardiovascular disease later. However, their efficacy in underserved communities is not well established.
Objectives: The purpose of this study was to assess the impact of a preschool-based health promotion educational intervention in an underserved community.
Methods: This cluster-randomized controlled study involved 15 Head Start preschools in Harlem, New York. Schools and their children were randomized 3:2 to receive either a 4-month (50 h) educational intervention to instill healthy behaviors in relation to diet, physical activity, body/heart awareness, and emotion management; or their standard curriculum (control). The primary outcome was the change from baseline in the overall knowledge, attitudes, and habits (KAH) score of the children at 5 months. As secondary outcomes, we evaluated the changes in KAH subcomponents and emotion comprehension. Linear mixed-effects models were used to test for intervention effects.
Results: The authors enrolled 562 preschool children age 3 to 5 years, 51% female, 54% Hispanic/Latino, and 37% African-American. Compared with the control group, the mean relative change from baseline in the overall KAH score was ∼2.2 fold higher in the intervention group (average absolute difference of 2.86 points; 95% confidence interval: 0.58 to 5.14; p = 0.014). The maximal effect was observed in children who received >75% of the curriculum. Physical activity and body/heart awareness components, and knowledge and attitudes domains, were the main drivers of the effect (p values <0.05). Changes in emotion comprehension trended toward favoring intervened children.
Conclusions: This multidimensional school-based educational intervention may be an effective strategy for establishing healthy behaviors among preschoolers from a diverse and socioeconomically disadvantaged community. Early primordial prevention strategies may contribute to reducing the global burden of cardiovascular disease. (Family-Based Approach in a Minority Community Integrating Systems-Biology for Promotion of Health [FAMILIA]; NCT02343341).
(Copyright © 2019 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.)
التعليقات: Comment in: J Am Coll Cardiol. 2019 Apr 30;73(16):2022-2024. (PMID: 31023423)
معلومات مُعتمدة: S10 OD018522 United States OD NIH HHS
فهرسة مساهمة: Keywords: attitude; diet; emotions; exercise; health promotion; vulnerable populations
سلسلة جزيئية: ClinicalTrials.gov NCT02343341
تواريخ الأحداث: Date Created: 20190427 Date Completed: 20200303 Latest Revision: 20200303
رمز التحديث: 20231215
DOI: 10.1016/j.jacc.2019.01.057
PMID: 31023422
قاعدة البيانات: MEDLINE
الوصف
تدمد:1558-3597
DOI:10.1016/j.jacc.2019.01.057