Translating a heart disease lifestyle intervention into the community: the South Asian Heart Lifestyle Intervention (SAHELI) study; a randomized control trial

Kandula, Namratha R.; Dave, Swapna S.; Chavez, Peter John D. De; Bharucha, Himali; Patel, Yasin; Seguil, Paola; Kumar, Santosh; Baker, David W.; Spring, Bonnie; Siddique, Juned

doi:10.1186/s12889-015-2401-2

Cited by 87 publications

(112 citation statements)

References 54 publications

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“…The study team conducted FGDs to obtain a broad range of community beliefs 6 about lifestyle behaviours among South Asian Americans. FGDs were stratified by sex and age (25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39) or 40+ years) to create homogeneous groups of participants, minimise hierarchy development that may reduce data quality and enable structured analytical comparisons. 6 Trained moderators, matched to participants' sex, used a semistructured interview guide to elicit conversation around lifestyle behaviours, barriers and motivators for exercise and healthy eating, and feedback on possible programme components.…”

Section: Formative Qualitative Researchmentioning

confidence: 99%

Tailoring lifestyle programmes for diabetes prevention for US South Asians

2020

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ObjectiveThe purpose of this study was to develop and test the feasibility of a culturally tailored Diabetes Prevention Programme (DPP) for US South Asians, a large population with high diabetes risk.DesignThe South Asian Health and Prevention Education (SHAPE) study included: (1) focus group discussions with South Asian adults to understand views of lifestyle behaviours and diabetes prevention; (2) modification of the US DPP for South Asians and (3) a pilot, pre–post study to test the feasibility and impact of delivering the culturally tailored programme.SettingThe study was conducted in Atlanta, Georgia, USA. Focus group discussions and intervention classes were held at locations within the community (eg, South Asian restaurants, a public library, university classrooms, a South Asian owned physical therapy studio).ParticipantsThe focus group discussions (n=17 with 109 individuals) included adults aged 25 years of older who self-identified as South Asian. Groups were stratified by age (25–40 years or older than 40 years) and sex. The SHAPE pilot study included 17 (76.5% male with a mean age of 46.9±12 years) South Asian adults aged 25 years or older with pre-diabetes and body mass index (BMI) >22 kg/m2.ResultsFormative data from 17 focus group discussions and a community board guided the modification of the DPP curriculum to reflect cultural food preferences and include tools to leverage social support, create a stronger foundation in exercise and overcome culturally specific barriers. The SHAPE pilot study included 17 South Asian adults with pre-diabetes and BMI >22 kg/m2. There were positive changes in participants’ weight, waist circumference, blood pressure, plasma lipids, HbA1c and other cardiometabolic markers postintervention and 55% of participants regressed to normoglycaemia.ConclusionThese results provide important information on the barriers faced by US South Asians in participating in ‘standard’ lifestyle change programs, indicate the feasibility of culturally tailored programmes and show positive impact of a culturally tailored programme for diabetes prevention in the South Asian population.

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Section: Formative Qualitative Researchmentioning

confidence: 99%

Tailoring lifestyle programmes for diabetes prevention for US South Asians

2020

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“…Knowledge on unhealthy behavior pattern of people with metabolic syndrome is considered crucial for creating a tailored lifestyle intervention program and a tailored regimen might help patients with metabolic syndrome to be motivated to change unhealthy behaviors [11,12]. The purpose of this study was to investigate the clustering pattern of four major lifestyle risk factors—smoking, heavy drinking, poor diet, and physical inactivity—among people with metabolic syndrome in South Korea.…”

Section: Introductionmentioning

confidence: 99%

Clustering of four major lifestyle risk factors among Korean adults with metabolic syndrome

Ha¹,

Choi²,

Lee³

2017

PLoS ONE

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The purpose of this study was to investigate the clustering pattern of four major lifestyle risk factors—smoking, heavy drinking, poor diet, and physical inactivity—among people with metabolic syndrome in South Korea. There were 2,469 adults with metabolic syndrome aged 30 years or older available with the 5th Korean National Health and Nutrition Examination Survey dataset. We calculated the ratio of the observed to expected (O/E) prevalence for the 16 different combinations and the prevalence odds ratios (POR) of four lifestyle risk factors. The four lifestyle risk factors tended to cluster in specific multiple combinations. Smoking and heavy drinking was clustered (POR: 1.86 for male, 4.46 for female), heavy drinking and poor diet were clustered (POR: 1.38 for male, 1.74 for female), and smoking and physical inactivity were also clustered (POR: 1.48 for male). Those who were male, younger, low-educated and living alone were much more likely to have a higher number of lifestyle risk factors. Some helpful implications can be drawn from the knowledge on clustering pattern of lifestyle risk factors for more effective intervention program targeting metabolic syndrome.

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“…SAHELI intervention was designed utilizing the intervention model (Figure 1). Although SAHELI did not show a difference in physical activity or saturated fat intake, which were the primary outcomes, between the intervention and control group, the results did find a significantly greater reduction in weight (−1.5 kg) and hemoglobin A1c (−0.43%) (Kandula et al, 2015), which are the two identified intermediate CVD risk factors (Figure 1). Through this process evaluation, participant burden was identified as a deterrent in ensuring accurate dietary recall and in maintaining continuity of intervention through telephone counseling.…”

Section: Discussionmentioning

confidence: 95%

Qualitative Process Evaluation of a Community-Based Culturally Tailored Lifestyle Intervention for Underserved South Asians

Jayaprakash

Puri-Taneja

Kandula

et al. 2016

Health Promotion Practice

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Introduction: There are few examples of effective cardiovascular disease (CVD) prevention interventions for South Asians (SAs). We describe the results of a process evaluation of the South Asian Heart Lifestyle Intervention (SAHELI) for medically-underserved SAs implemented at a community-based organization (CBO) using community-based participatory research (CBPR) methods and a randomized control design (n=63). Methods: Interviews were conducted with 23 intervention participants and 5 study staff using a semi-structured interview guide focused on participant and staff perceptions about the intervention’s feasibility and efficacy. Data was thematically analyzed. Results: Intervention success was attributed to: trusted CBO setting, culturally concordant study staff and culturally-tailored experiential activities. Participants said that these activities helped increase knowledge and behavior change. Some participants, especially men, found that self-monitoring with pedometers, helped motivate increased physical activity. Participants said that the intervention could be strengthened by greater family involvement and by providing women-only exercise classes. Staff identified the need to reduce participant burden due to multi-component intervention and agreed that the CBO needed greater financial resources to address participant barriers. Conclusion: Community-based delivery and cultural-adaptation of an evidence-based lifestyle intervention were effective and essential components for reaching and retaining medically underserved SAs in a CVD prevention intervention study.

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Translating a heart disease lifestyle intervention into the community: the South Asian Heart Lifestyle Intervention (SAHELI) study; a randomized control trial

Cited by 87 publications

References 54 publications

Tailoring lifestyle programmes for diabetes prevention for US South Asians

Tailoring lifestyle programmes for diabetes prevention for US South Asians

Clustering of four major lifestyle risk factors among Korean adults with metabolic syndrome

Qualitative Process Evaluation of a Community-Based Culturally Tailored Lifestyle Intervention for Underserved South Asians

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