Improving cardiovascular health in black men through a 24-week community-based team lifestyle change intervention: The black impact pilot study
Key result
Black Impact community program boosts Life's Simple 7 scores by ~1 point in Black men.
- MD 0.93
- 95% CI 0.40, 1.46
- P<0.001
- n=74
Why the study?
Black men have the lowest national levels of AHA Life's Simple 7 cardiovascular health scores, prompting evaluation of a community-based team lifestyle change program.
Does a 24-week community-based team lifestyle change program improve cardiovascular health scores (Life's Simple 7) in Black adult males?
Population
74 Black adult males from a large Midwestern city
Comparison
Black Impact 24-week community-based team lifestyle change program
Design
Single-arm pilot study
Follow-up
24 weeks
Authors
Discussion
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Member takes
Implication
May support community programs for Black men; hypothesis-generating and requires RCTs before practice change.
Structured PICO
Does a 24-week community-based team lifestyle change program improve cardiovascular health scores (Life's Simple 7) in Black adult males?
P
Population
74 Black adult males from a Midwestern city participated in a 24-week community-based lifestyle change program to improve cardiovascular health.
I
Intervention
Black Impact, a 24-week community-based team lifestyle change program adapted from the Diabetes Prevention Program and AHA's Check, Change, Control Blood Pressure Self-Management Program.
O
Outcome
Change in American Heart Association's Life's Simple 7 (LS7) score (range 0-14) from baseline to 12 and 24 weeks.surrogate
Main Result
Mean Difference: 0.93 (95% CI 0.4–1.46)
p-value: p=<0.001
A 24-week community-based lifestyle intervention significantly improved cardiovascular health metrics (Life's Simple 7 scores) in Black men.
Limitations
- Single-arm pilot program lacking a randomized control group
- Single-arm pilot design
- Lack of randomization
Cite This Study
Joseph et al. (2022) studied Suboptimal cardiovascular health (n=74). Black Impact community-based team lifestyle change program vs. Baseline was evaluated on Change in Life's Simple 7 (LS7) score from baseline to 24 weeks (MD 0.93, 95% CI 0.40, 1.46, p=<0.001). The Black Impact 24-week community-based lifestyle program significantly increased the Life's Simple 7 cardiovascular health score in Black men by 0.93 points (95% CI 0.40-1.46; p<0.001).