Evidence map›Paper›PMID 19781665›Full record

Trial reportContemporary clinical trials2010

Heart Healthy and Ethnically Relevant (HHER) Lifestyle trial for improving diet and physical activity in underserved African American women.

Deborah Parra-Medina, Sara Wilcox, Dawn K Wilson, Cheryl L Addy, Gwen Felton, Mary Beth Poston

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00860444 (The Heart Healthy and Ethnically Relevant), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00860444 phase3completednot on this map

The Heart Healthy and Ethnically Relevant (HHER) Lifestyle Program for Cardiovascular Risk Reduction

TypeinterventionalSponsorThe University of Texas Health Science Center at San AntonioRan2005 to 2008Enrolled266ConditionsCardiovascular DiseasesArmsBasic Educational and Counseling Program, Comprehensive Educational and Counseling Program
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  16. Low-intensity walking activity is associated with better health.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2014
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Deborah Parra-MedinaInstitute for Health Promotion Research, University of Texas Health Science Center at San Antonio, San Antonio, TX 78230, USA. parramedina@uthscsa.edu
Sara Wilcox
Dawn K Wilson
Cheryl L Addy
Gwen Felton
Mary Beth Poston

Funding

The HHER Lifestyle Program for CVD Risk ReductionR01HL073001 · NHLBI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI PARRA-MEDINA, DEBORAH M. · 2004 to 2007
$2.3M
NHLBI NIH HHS R01 HL073001NHLBI NIH HHS R01HL073001
6 · The paper itself

Abstract

backgroundAfrican American women are at increased risk for CVD morbidity and mortality relative to white women. Physical inactivity and poor dietary habits are modifiable health behaviors shown to reduce CVD risk. Community health centers have the potential to reach large numbers of African Americans to modify their risk for CVD, yet few lifestyle counseling interventions have been conducted in this setting.

methodsThe HHER Lifestyle trial is a randomized controlled trial to compare the effects of a standard care intervention (provider counseling, nurse goal setting, and educational materials) to a comprehensive intervention (standard care intervention plus 12 months of telephone counseling and tailored print materials) on changes in physical activity and dietary fat consumption in financially disadvantaged African American women at 6 and 12 months. Secondary outcomes are body mass index, central adiposity, and total cholesterol. Potential mediators of outcome are self-efficacy for overcoming barriers, social support, and decisional balance.

resultsAfrican American women (N=266; 130 standard care, 136 comprehensive intervention) 35 years and older from nine clinics within two community health centers were enrolled. Most participants were overweight or obese with existing chronic health conditions.

conclusionThe HHER Lifestyle trial is unique in that it targets financially disadvantaged African American women from community health centers, incorporates a standard care intervention into a routine clinical appointment, and includes a comprehensive process evaluation. The design will permit further research examining the added effect of regular telephone counseling and tailored print materials to a primary care provider and nurse intervention.

Indexed as

Black or African AmericanCounselingExercisePamphletsTelephoneVulnerable PopulationsCardiovascular DiseasesCombined Modality TherapyDietary FatsFeeding BehaviorFemaleFollow-Up StudiesHumansLife StyleMiddle AgedObesityDietary Fats

Identifiers

PMID19781665
PMCPMC2818166

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.