GENErating Behavior Change, An Integrative Health Coaching and Genetic Risk Testing Pilot

GENErating Change, An Integrative Health Coaching and Genetic Risk Testing Pilot in Primary Care: A Multidisciplinary Approach to Personalized Medicine Targeting CHD Risk

The purpose of this 4 group (2x2) pilot randomized controlled trial is to test the feasibility and logistics of incorporating genetic risk information (9p21)into standard Coronary Heart Disease (CHD) risk counseling or health coaching intervention (or both) in primary care at 2 Duke Clinics.

Inclusion Criteria:

• age 18+,

• presence of at least one of the following:

  • FPG > 100,
  • HbA1c > 5.7%,
  • diabetic,
  • LDL > 129,
  • triglycerides > 150,
  • total cholesterol > 200,
  • SBP > 130,
  • BMI > 25,

• able to speak and understand English,

• able and willing to give informed consent

Exclusion Criteria:

• diagnosed CHD (MI or documented coronary artery disease),
• inability to ambulate or participate in physical activity,
• serious chronic disease related complications,
• current participation in a risk communication study for chronic disease,