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The purpose of this research study is to design, implement, and evaluate a community level, socio-ecological based CVD prevention intervention using a participatory approach for women in a homogeneous ultra-Orthodox Jewish Hasidic community in Israel. A quasi-experimental, pre-post study design will be utilized, where all community participants will be exposed to intervention components. Pre and post samples will be selected through randomized cluster sampling of pre-existing community groups. It is hypothesized that ultra-Orthodox Jewish Hasidic women exposed to this community intervention will have improved healthy eating behaviors, reduced unhealthy eating behaviors, increased engagement in physical activity and sleep, and reduced risk for obesity (weight, BMI).
The purpose of this research study is to design, implement, and evaluate a community level, socio-ecological based CVD prevention intervention using a participatory approach for women in a homogeneous ultra-Orthodox Jewish Hasidic community in Israel. A quasi-experimental, pre-post study design will be utilized, where all community participants will be exposed to intervention components. Pre and post samples will be selected through randomized cluster sampling of pre-existing community groups (n=239 ). Intervention components will be designed through qualitative and quantitative data collection (focus groups, interviews, and questionnaires) from the target population and implementation will be conducted in partnership with community organizations. Intervention components will include a health newsletter, health workshops, community evening/health project registration, lay leader training, neighborhood exercise groups, community walking programs with pedometers, healthy cooking contest, and school health promotion activities. It is hypothesized that ultra-Orthodox Jewish Hasidic women exposed to this community intervention will have improved healthy eating behaviors, reduced unhealthy eating behaviors, increased engagement in physical activity and sleep, and reduced risk for obesity (weight, BMI).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Community members will be exposed to multiple interventions designed through the participatory approach, integrating the socio-ecological model. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Socio-ecologial, community-based intervention | Other | Intervention components will include a health newsletter, health workshops, community evening/health project registration, lay leader training, neighborhood exercise groups, community walking programs with pedometers, healthy cooking contest, and school health promotion activities. |
| Measure | Description | Time Frame |
|---|---|---|
| Eating behaviors | Eating behaviors will be assesses through self report of specific food item consumption via questionnaire | One year following project completion (4 years later) |
| Engagement in physical activity | Engagement in physical activity will be assesses through self report of minutes engaged in vigorous and moderate physical activity via questionnaire as well as pedometer step count where relevant | One year following project completion (4 years later) |
| Reduced risk for obesity (weight, BMI). | Self report of BMI | One year following project completion (4 years later) |
| Hours of sleep | Hours of sleep will be assesses through self report of average hours slept via questionnaire | One year following project completion (4 years later) |
| Measure | Description | Time Frame |
|---|---|---|
| General Health Self Efficacy | General Health Self Efficacy will be assessed via Ralph Schwarzer's General Health Self Efficacy self report scale, culturally adapted to the population | One year following project completion (4 years later) |
| Spiritual Health Locus of Control |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Donna Zwas, MD, MPH | Hadassah | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15165657 | Background | Oguma Y, Shinoda-Tagawa T. Physical activity decreases cardiovascular disease risk in women: review and meta-analysis. Am J Prev Med. 2004 Jun;26(5):407-18. doi: 10.1016/j.amepre.2004.02.007. | |
| 21798967 | Background | Barton P, Andronis L, Briggs A, McPherson K, Capewell S. Effectiveness and cost effectiveness of cardiovascular disease prevention in whole populations: modelling study. BMJ. 2011 Jul 28;343:d4044. doi: 10.1136/bmj.d4044. |
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| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
| D015438 | Health Behavior |
| ID | Term |
|---|---|
| D001519 | Behavior |
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This is a quasi-experimental, pre-post study.
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|
Spiritual Health Locus of Control will be measured through Holt's Spiritual Health Locus of Control scale, culturally adapted to the population |
| One year following project completion (4 years later) |
| self perceived health status | self perceived health status will be assessed through self report questionnaire | One year following project completion (4 years later) |
| Cardiovascular disease knowledge | Cardiovascular disease knowledge will be assesses through self report questionnaire based on the American Heart Association's knowledge survey items | One year following project completion (4 years later) |
| Stages of Change for targeted health behaviors | Stages of Change for targeted health behaviors will be assesses through self report questionnaire | One year following project completion (4 years later) |
| health parameters of local population | data will be retrieved from local health plans including lipid profile, weight and hemoglobin a1c | 3 years prior to intervention, 2 years after intervention. |
| 3068205 | Background | McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988 Winter;15(4):351-77. doi: 10.1177/109019818801500401. |
| 10488012 | Background | Macaulay AC, Commanda LE, Freeman WL, Gibson N, McCabe ML, Robbins CM, Twohig PL. Participatory research maximises community and lay involvement. North American Primary Care Research Group. BMJ. 1999 Sep 18;319(7212):774-8. doi: 10.1136/bmj.319.7212.774. No abstract available. |
| 19451365 | Background | Horowitz CR, Robinson M, Seifer S. Community-based participatory research from the margin to the mainstream: are researchers prepared? Circulation. 2009 May 19;119(19):2633-42. doi: 10.1161/CIRCULATIONAHA.107.729863. |
| 12444864 | Background | Hu FB, Willett WC. Optimal diets for prevention of coronary heart disease. JAMA. 2002 Nov 27;288(20):2569-78. doi: 10.1001/jama.288.20.2569. |