Journal article
Comparative Effectiveness of Behavioral Interventions for Cardiovascular Risk Reduction in Latinos A Systematic Review
The Journal of cardiovascular nursing, Vol.37(4), pp.324-340
07/01/2022
DOI: 10.1097/JCN.0000000000000806
PMCID: PMC8556412
PMID: 33938534
Abstract
Background Latinos, the fastest growing ethnic minority group in the United States, are at a high risk for cardiovascular disease (CVD). However, little is known about effective strategies to reduce CVD risk in this population. Objective The aim of this study was to systematically review and synthesize evidence from randomized controlled trials that examined the effectiveness of behavioral interventions to reduce CVD risk in Latinos living in the United States. Methods Four electronic databases were searched for relevant peer-reviewed English- and Spanish-language articles published between January 1, 2000, and December 31, 2019. Four reviewers independently completed article screening, data abstraction, and quality appraisal. At least 2 reviewers completed data abstraction and quality appraisal for each article, and a third reviewer was assigned to settle disagreements. Data on study characteristics and outcomes were abstracted. Results We retrieved 1939 articles. After applying inclusion/exclusion criteria, 17 articles were included. Most interventions were led by community health workers (n = 10); 2 family-based interventions were identified. None of the included studies was nurse led. Behavioral factors were assessed across all included studies, whereas only 4 studies reported on psychosocial outcomes. Improvements were observed in dietary habits and psychosocial outcomes. Findings for physical activity and biological outcomes were mixed. We identified no differences in outcomes based on intervention modalities used or the role of those who led the interventions. Conclusion Existing evidence is mixed. Future research should assess the effectiveness of understudied treatment modalities (including nurse-led, mobile health, and family-based interventions) in reducing CVD risk in Latinos.
Details
- Title: Subtitle
- Comparative Effectiveness of Behavioral Interventions for Cardiovascular Risk Reduction in Latinos A Systematic Review
- Creators
- Leah Estrada - Columbia UniversityJasmine Solano - Columbia UniversityMeghan Reading Turchioe - University of North Carolina at Chapel HillYamnia Cortes - University of North Carolina at Chapel HillBilly A. Caceres - Columbia University
- Resource Type
- Journal article
- Publication Details
- The Journal of cardiovascular nursing, Vol.37(4), pp.324-340
- DOI
- 10.1097/JCN.0000000000000806
- PMID
- 33938534
- PMCID
- PMC8556412
- NLM abbreviation
- J Cardiovasc Nurs
- ISSN
- 0889-4655
- eISSN
- 1550-5049
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 17
- Grant note
- K01HL146965; R25HL105444 / National Heart, Lung, and Blood Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) P30NR016587 / Center of Excellence at the Columbia University School of Nursing - National Institute of Nursing Research K99NR019124 / National Institute of Nursing Research; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR) K23MD014767 / National Institute on Minority Health and Health Disparities; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD)
- Language
- English
- Date published
- 07/01/2022
- Academic Unit
- Nursing
- Record Identifier
- 9984446531902771
Metrics
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