title: Project həli?dx(w)/Healthy Hearts Across Generations: development and evaluation design of a tribally based cardiovascular disease prevention intervention for American Indian families.
abstract: American Indian and Alaska Native (AIAN) populations are disproportionately at risk for cardiovascular disease (CVD), diabetes, and obesity, compared with the general US population. This article describes the həli?dx(w)/Healthy Hearts Across Generations project, an AIAN-run, tribally based randomized controlled trial (January 2010-June 2012) designed to evaluate a culturally appropriate CVD risk prevention program for AI parents residing in the Pacific Northwest of the United States. At-risk AIAN adults (n = 135) were randomly assigned to either a CVD prevention intervention arm or a comparison arm focusing on increasing family cohesiveness, communication, and connectedness. Both year-long conditions included 1 month of motivational interviewing counseling followed by personal coach contacts and family life-skills classes. Blood chemistry, blood pressure, body mass index, food intake, and physical activity were measured at baseline and at 4- and 12-month follow-up times.
authors.affiliation: Indigenous Wellness Research Institute, School of Social Work, University of Washington, 4101 15th Ave NE, Seattle, WA 98105, USA. kw5@uw.edu
authors.forename: Karina L
authors.initials: KL
authors.lastname: Walters
authors.forename: June
authors.initials: J
authors.lastname: LaMarr
authors.forename: Rona L
authors.initials: RL
authors.lastname: Levy
authors.forename: Cynthia
authors.initials: C
authors.lastname: Pearson
authors.forename: Teresa
authors.initials: T
authors.lastname: Maresca
authors.forename: Selina A
authors.initials: SA
authors.lastname: Mohammed
authors.forename: Jane M
authors.initials: JM
authors.lastname: Simoni
authors.forename: Teresa
authors.initials: T
authors.lastname: Evans-Campbell
authors.forename: Karen
authors.initials: K
authors.lastname: Fredriksen-Goldsen
authors.forename: Sheryl
authors.initials: S
authors.lastname: Fryberg
authors.forename: Jared B
authors.initials: JB
authors.lastname: Jobe
mesh_terms: D000293:Adolescent; D000328:Adult; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000208:ethnology / Q000517:prevention & control*; D055812:Community-Based Participatory Research / Q000379:methods / Q000458:organization & administration; D003159:Community-Institutional Relations; D054521:Cultural Competency; D005195:Family Relations / Q000208:ethnology; D006801:Humans; D007198:Indians, North American; D004930:Inuit; D008019:Life Style / Q000208:ethnology; D008297:Male; D062405:Motivational Interviewing; D015205:Northwestern United States / Q000453:epidemiology; D010290:Parents / Q000193:education*; D012307:Risk Factors; D055815:Young Adult