Article Impact Level: HIGH Data Quality: STRONG Summary of Journal of Public Health Management & Practice, 30, S62–S70. https://doi.org/10.1097/PHH.0000000000001925 Dr. Jianping Daniels et al.
Points
- The research evaluated the impact of program interventions on cardiovascular disease among low-income, uninsured Nebraska women aged 40 to 64 years, using a pre- and post-comparison approach.
- Among 2649 participants, 82.2% were overweight, 50.3% had hypertension, 52.7% had high cholesterol, 20.7% had diabetes, 22.5% were current smokers, and 56.4% had multiple risk factors.
- 57.3% of participants attended at least one lifestyle intervention session, with 65.8% completing at least three sessions.
- Statistical analysis showed improvements in hypertension control and self-management, weight loss (24.1% lost at least 5 pounds), and increased adherence to healthy eating and physical activity.
- The Nebraska program effectively improved chronic health conditions and reduced cardiovascular disease risks, highlighting the success of community-based interventions in enhancing health outcomes for underserved populations.
Summary
The research aimed to assess the impact of program interventions on cardiovascular disease among low-income Nebraska women without health insurance. Using a pre- and post-comparison approach, the study employed statistical tests such as paired t-test and McNemar’s test to analyze changes following the interventions. The participants included Nebraska women aged 40 to 64 with household incomes up to 225% of the Federal Poverty Level.
Among the 2649 participants, a significant portion exhibited health risk factors: 82.2% were overweight, 50.3% had hypertension, 52.7% had high cholesterol, 20.7% had diabetes, 22.5% were current smokers, and 56.4% had multiple risk factors. Notably, 57.3% of participants engaged in at least one lifestyle intervention session, with 65.8% completing at least three sessions. The statistical analysis revealed positive outcomes, including improved hypertension control and self-management, weight loss (24.1% losing at least 5 pounds), and enhanced adherence to healthy eating habits and physical activity.
The study concluded that the Nebraska program benefited participants, leading to improved chronic health conditions and reduced cardiovascular disease risks. By leveraging a network of community–clinical linkages and engaging in lifestyle interventions facilitated by medical providers and community health workers, participants experienced positive changes in their health status. These findings underscore the effectiveness of comprehensive, community-based interventions in enhancing health outcomes and reducing the burden of cardiovascular diseases among underserved populations.
Link to the article: https://journals.lww.com/jphmp/fulltext/2024/07001/outcome_evaluation_of_a_public_health_intervention.10.aspx
References Daniels, J., Leypoldt, M., Dillon, C., Sweazy, A., & Crane, J. (2024). Outcome Evaluation of a Public Health Intervention on Cardiovascular Disease (CVD) Prevention Among Women Aged 40-64 with Low Incomes in Nebraska. Journal of Public Health Management & Practice, 30, S62–S70. https://doi.org/10.1097/PHH.0000000000001925
