Trial reportThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2013
Promoting heart health in rural women.
Trial report in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers, 1 of them a synthesis that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Rural physical activity interventions in the United States: a systematic review and RE-AIM evaluation.The international journal of behavioral nutrition and physical activity · 2019Pooled it
- Improvements in dietary intake, behaviors, and psychosocial measures in a community-randomized cardiovascular disease risk reduction intervention: Strong Hearts, Healthy Communities 2.0.The American journal of clinical nutrition · 2023Trial
- The Strong Hearts, Healthy Communities Program 2.0: An RCT Examining Effects on Simple 7.American journal of preventive medicine · 2020Trial
- Changes in diet and physical activity resulting from the Strong Hearts, Healthy Communities randomized cardiovascular disease risk reduction multilevel intervention trial.The international journal of behavioral nutrition and physical activity · 2019Trial
- Influencing cardiovascular health habits in the rural, deep south: results of a cluster randomized trial.Health education research · 2019Trial
- Effectiveness of tailored lifestyle interventions, using web-based and print-mail, for reducing blood pressure among rural women with prehypertension: main results of the Wellness for Women: DASHing towards Health clinical trial.The international journal of behavioral nutrition and physical activity · 2014Trial
- Community based interventions for the primary prevention of cardiovascular disease in women living in rural, regional and remote areas: a scoping review.BMC health services research · 2026Article
- A scoping review comparing individual and multi-level physical activity interventions in rural women in the United States.BMC public health · 2025Article
- A Structural Equation Modeling Analysis to Explore Diabetes Self-Care Factors in a Rural Sample.Healthcare (Basel, Switzerland) · 2022Article
- Fatalism, Social Support and Self-Management Perceptions among Rural African Americans Living with Diabetes and Pre-Diabetes.Nursing reports (Pavia, Italy) · 2021Article
- Investigating Relationships Between Hypertension, Sleep, and Cognitive Risk in an Underserved Community.Online journal of rural nursing and health care : the official journal of the Rural Nurse Organization · 2020Article
- Effects of the Strong Hearts, Healthy Communities Intervention on Functional Fitness of Rural Women.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2020Article
- Risk Perception & Risk-Reduction Behavior Model for Blue-Collar Workers: Adapted From the Health Promotion Model.Frontiers in psychology · 2020Article
- Rural stakeholder perceptions about cognitive screening.Aging & mental health · 2019Article
- Evaluation of ¡Vivir Mi Vida! to improve health and wellness of rural-dwelling, late middle-aged Latino adults: results of a feasibility and pilot study of a lifestyle intervention.Primary health care research & development · 2018Article
- An Appalachian Perspective of Alzheimer's Disease: A Rural Health Nurse Opportunity.Online journal of rural nursing and health care : the official journal of the Rural Nurse Organization · 2018Article
- Conceptualising a model to guide nursing and midwifery in the community guided by an evidence review.BMC nursing · 2017Article
- A systematic review of lifestyle interventions for chronic diseases in rural communities.Journal of the Georgia Public Health Association · 2016Article
- Do Modifiable Cardiovascular Risk Factors Differ By Rural Classification in Women Who Enroll in a Weight Loss Intervention?Online journal of rural nursing and health care : the official journal of the Rural Nurse OrganizationArticle
Corrections and comments
- Erratum issuedRovynak, Virginia [corrected to Rovnyak, Virginia]
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
purposeTo compare 2 strategies, stage-matched nursing and community intervention (SMN+CI) and community intervention (CI) alone in changing cardiovascular risk factors in up to 3 behavioral areas: diet, physical activity, and/or smoking among rural women.
methodsA 14-month, multisite randomized controlled trial of 117 rural women was conducted. Transtheoretical model was used in identification of stage of change and development of the SMN+CI nursing interventions. A social-ecological model was used to address issues of rurality in the development of interventions.
findingsThe SMN + CI group was superior on 4 outcomes. There were significant increases in 2 measures of dietary intake; improvement in dietary stage of change for fruits and vegetables; and reduced diastolic blood pressure (DBP) in the SMN + CI group. After log transformation DBP significance was lost. The CI group had a significant reduction in change in total cholesterol; however, significance was lost after control for the initiation of lipid lowering medications. There was a significant reduction in Framingham risk scores pre- to postintervention, regardless of group.
conclusionsThere continues to be a need to improve cardiovascular risk factors in rural women. There should be an exploration of whether intensified dose and fidelity of the intervention strategies of diet and physical activity are effective in improving anthropometric and laboratory values. Further investigation is warranted into factors influencing the pre- to postreduction in Framingham risk scores.
Indexed as
Identifiers
What OpenQuestion holds
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.