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. 2023 Oct 24;2023(10):CD014722. doi: 10.1002/14651858.CD014722.pub2

Latina 2019.

Study characteristics
Methods Study design: RCT
Duration of study: not specified
Country: Grenada
Income classification: upper‐middle‐income country from 1997
Geographical scope: island of Grenada, parishes of St David's, St Andrew's, St George's, St John's, and St Mark's
Healthcare setting: local parishes
Participants 1. Age: 18‐95; mean (SD): 51.4 (14.5)
2. Gender: both
3. Socioeconomic background: not specified
4. Educational background: not specified
Inclusion criteria:
a. resident of Grenada;
b. one or more vascular risk factors.
Exclusion criteria:
a. unable/unwilling to provide consent;
b. age of under 18 or more than 70 years old;
c. inability to self‐monitor;
d. pregnant women;
e. morbidly ill with the expectation of death within a year.
Note: considerations on baseline scores not applicable for this study
Stated purpose: to test the effectiveness of peer support strategy for CV risk reduction in the island of Grenada
Interventions Name: Grenada Heart Project
Title/name of PW and number: peer leaders (number not specified)
1. Selection: selected from motivated individuals willing to undergo additional training from the research staff to moderate the peer groups and take attendance at group meetings
2. Educational background: not specified
3. Training: 3‐hour training session on leadership and communication skills in addition to the relevant healthy behaviour promotion
4. Supervision: visits to each group were made by the project administrator in Grenada.
5. Incentives/remuneration: not specified
Prevention type: universal – all residents of the community were eligible for inclusion.
Intervention details: all participants received a series of educational lectures at time of enrolment. The intervention group was organized into groups of 8–12 individuals in their local parish. The peer group meetings were planned to meet monthly for 1 year, to promote 150 minutes weekly of physical activity, consumption of at least five fruits and vegetables daily, smoking cessation, and blood pressure management. Some of the specific topics discussed included low‐salt diet and hypertension, diabetes prevention, coping strategies for stress, and smoking cessation. Leaders were able to adapt themes for each meeting to their particular interest.
Control: usual care – series of educational lectures at the time of enrolment on the themes of motivation to change, physical activity, healthy diet, smoking cessation, blood pressure, and stress management. Upon consenting, participants received a blank notebook and health literacy materials/brochures provided by the American Heart Association. Participants were asked to self manage for 1 year.
Outcomes Participants’outcomes of interest for this review
  1. Quality of life – Short Form Health Survey 36 (SF‐36)


Carers’outcomes of interest for this review
Nil
Economic outcomes
Nil
Time points: baseline, post‐intervention (< 1 month)
Notes Source of funding: this study was funded by the Louis B Mayer Foundation. V.F. is a recipient of funding from the American Heart Association under grant No 14SFRN20490315. R.F.‐J. is a recipient of funding from the European Union Horizon 2020 research and innovation programme under the Marie Skłodowska‐Curie grant agreement No 707642. The CNIC is supported by the Instituto de Salud Carlos III (ISCIII), the Ministerio de Ciencia, Innovación y Universidades (MCNU) and the Pro CNIC Foundation, and is a Severo Ochoa Center of Excellence (SEV‐2015‐0505).
Notes on validation of instruments (screening and outcomes): not reported
Additional information: none
Handling the data: not applicable
Prospective trial registration number: NCT02428920