Table 1.
Inputs | Activities | Outputs | Participant outcomes | ||
---|---|---|---|---|---|
Short-term | Intermediate | Long-term | |||
City of Detroit residents, community organizations, churches Community Health Awareness Group, Inc. (CHAG): Community Advisory Board (CAG), community health workers (CHW), Nurse Community-Academic Partnership: CHAG & WSU Depts Family Medicine & Public Health Sciences; College of Nursing Resources (Manuals): CDC (2014) CHW Training for Preventing Heart Disease; NHLBI (2008) With Every Heartbeat is Life: for African Americans Funding: Detroit Medical Center Foundation, WSU Cardiovascular Research Institute |
CAG meetings CHW orientation and protocol training WSU IRB Social Behavioral Training (CITI) Health literacy screening Cardiovascular risk assessment Blood pressure (BP) monitoring Risk reduction education/plans Family health history portrait Health referral as needed |
# CHW trained and conducting outreach #Participants consenting #Participants completing baseline and 6-month follow-up assessments % Enrolled at medium to high risk for heart disease %Partici-pating in BP monitoring # Sharing health history with family/significant others and providers |
Increased knowledge heart health and disease risk Increased perception of own risk for CVD Increased understanding family history effects on personal health Increased personal monitoring high BP Participant perceived intervention importance and satisfaction |
Increased client awareness of risk behaviors Increased sharing risk reduction plan with primary care provider Decreased BP readings Increased BP monitoring Increased linkage to primary care provider |
Increased healthy behaviors (dietary, exercise, reduced smoking) Increased controlled high BP Decreased heart disease for Detroit African Americans |
Assumptions/contextual factors:
Funding will be secured throughout the course of the project
CHW staff with outreach skills will facilitate linkage to primary care
Risk reduction planning will be shared with primary care providers