4114 A Community/Academic Partnership to Implement Nutritional and Social/Behavioral Interventions to reduce Hypertension among Seniors Aging in Place
OBJECTIVES/GOALS: The Rockefeller University CCTS, Clinical Directors Network (CDN), and Carter Burden Network (CBN) received a DHHS-Administration for Community Living Nutrition Innovation grant to test whether implementation of DASH-concordant meals and a program to enhance self-efficacy, could lo...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2020-06-01
|
| Series: | Journal of Clinical and Translational Science |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2059866120002484/type/journal_article |
| _version_ | 1811155024330358784 |
|---|---|
| author | Kimberly Vasquez Andrea Ronning Moufdi Naji Glenis George-Alexander Clewert Sylvester Cameron Coffran Teeto Ezeonu Chamanara Khalida Jonathan N. Tobin Dozene Guishard Rhonda G Kost |
| author_facet | Kimberly Vasquez Andrea Ronning Moufdi Naji Glenis George-Alexander Clewert Sylvester Cameron Coffran Teeto Ezeonu Chamanara Khalida Jonathan N. Tobin Dozene Guishard Rhonda G Kost |
| author_sort | Kimberly Vasquez |
| collection | DOAJ |
| description | OBJECTIVES/GOALS: The Rockefeller University CCTS, Clinical Directors Network (CDN), and Carter Burden Network (CBN) received a DHHS-Administration for Community Living Nutrition Innovation grant to test whether implementation of DASH-concordant meals and a program to enhance self-efficacy, could lower blood pressure among seniors aging in place. METHODS/STUDY POPULATION: CEnR-Nav model to engage stakeholders, enroll seniors age >60 yr., eating 4 meals a week at 2 CBN congregate meal sites; Advisory Committee to facilitate dissemination; menus aligned with Dietary Approaches to Stop Hypertension (DASH) and New York City Department for the Aging (DFTA) nutritional guidelines; interactive sessions for education (nutrition, blood pressure, medication adherence); Omron 10 home BP devices for daily home monitoring. Plate Waste and Meal Satisfaction (Likert scale) to assess taste preference and cost impact. Outcomes: Primary: Change in Systolic BP at Month 1; change in percent with controlled blood pressure. Secondary: change in validated measures of cognitive (e.g. SF-12, PHQ-2), behavioral (Home BP monitoring), nutritional (food frequency) variables, satisfaction, costs. RESULTS/ANTICIPATED RESULTS: Menu alignment required multiple iterations. Plate Waste and Menu Satisfaction tools were developed. Site 1 enrollment began June 2019; educational sessions and home BP monitors and training were provided. Baseline mean blood pressure (Site 1) was 138/79 +20.5; (range: 7% hypertensive crisis, 36% stage 2 hypertension, 22% stage 1 hypertension, 22% elevated, and 13% normal). DASH-aligned meals began October 2019; Meal satisfaction declined briefly, chefs adjusted menus, and meal satisfaction rose to pre-intervention levels. Site 2 enrollment is ongoing; dietary intervention will start in 2020. Primary outcome data (change in BP) will be complete in March 2020. Secondary outcome data on social and behavioral impact of the interventions will also be presented. DISCUSSION/SIGNIFICANCE OF IMPACT: We leveraged our community-academic research partnership to conduct research addressing uncontrolled hypertension, an urgent unmet health need among seniors. The DASH Implementation Study can inform the broader aging services and healthcare community of the potential for congregate nutrition programs to improve cardiovascular health outcomes. |
| first_indexed | 2024-04-10T04:27:10Z |
| format | Article |
| id | doaj.art-4d0fe0356cd141c790d9efed579de0b7 |
| institution | Directory Open Access Journal |
| issn | 2059-8661 |
| language | English |
| last_indexed | 2024-04-10T04:27:10Z |
| publishDate | 2020-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Journal of Clinical and Translational Science |
| spelling | doaj.art-4d0fe0356cd141c790d9efed579de0b72023-03-10T08:51:37ZengCambridge University PressJournal of Clinical and Translational Science2059-86612020-06-014767610.1017/cts.2020.2484114 A Community/Academic Partnership to Implement Nutritional and Social/Behavioral Interventions to reduce Hypertension among Seniors Aging in PlaceKimberly Vasquez0Andrea Ronning1Moufdi Naji2Glenis George-Alexander3Clewert Sylvester4Cameron Coffran5Teeto Ezeonu6Chamanara Khalida7Jonathan N. Tobin8Dozene Guishard9Rhonda G Kost10Rockefeller UniversityRockefeller UniversityCarter Burden NetworkRockefeller UniversityCarter Burden NetworkRockefeller UniversityRockefeller UniversityClinical Directors NetworkRockefeller UniversityCarter Burden NetworkRockefeller UniversityOBJECTIVES/GOALS: The Rockefeller University CCTS, Clinical Directors Network (CDN), and Carter Burden Network (CBN) received a DHHS-Administration for Community Living Nutrition Innovation grant to test whether implementation of DASH-concordant meals and a program to enhance self-efficacy, could lower blood pressure among seniors aging in place. METHODS/STUDY POPULATION: CEnR-Nav model to engage stakeholders, enroll seniors age >60 yr., eating 4 meals a week at 2 CBN congregate meal sites; Advisory Committee to facilitate dissemination; menus aligned with Dietary Approaches to Stop Hypertension (DASH) and New York City Department for the Aging (DFTA) nutritional guidelines; interactive sessions for education (nutrition, blood pressure, medication adherence); Omron 10 home BP devices for daily home monitoring. Plate Waste and Meal Satisfaction (Likert scale) to assess taste preference and cost impact. Outcomes: Primary: Change in Systolic BP at Month 1; change in percent with controlled blood pressure. Secondary: change in validated measures of cognitive (e.g. SF-12, PHQ-2), behavioral (Home BP monitoring), nutritional (food frequency) variables, satisfaction, costs. RESULTS/ANTICIPATED RESULTS: Menu alignment required multiple iterations. Plate Waste and Menu Satisfaction tools were developed. Site 1 enrollment began June 2019; educational sessions and home BP monitors and training were provided. Baseline mean blood pressure (Site 1) was 138/79 +20.5; (range: 7% hypertensive crisis, 36% stage 2 hypertension, 22% stage 1 hypertension, 22% elevated, and 13% normal). DASH-aligned meals began October 2019; Meal satisfaction declined briefly, chefs adjusted menus, and meal satisfaction rose to pre-intervention levels. Site 2 enrollment is ongoing; dietary intervention will start in 2020. Primary outcome data (change in BP) will be complete in March 2020. Secondary outcome data on social and behavioral impact of the interventions will also be presented. DISCUSSION/SIGNIFICANCE OF IMPACT: We leveraged our community-academic research partnership to conduct research addressing uncontrolled hypertension, an urgent unmet health need among seniors. The DASH Implementation Study can inform the broader aging services and healthcare community of the potential for congregate nutrition programs to improve cardiovascular health outcomes.https://www.cambridge.org/core/product/identifier/S2059866120002484/type/journal_article |
| spellingShingle | Kimberly Vasquez Andrea Ronning Moufdi Naji Glenis George-Alexander Clewert Sylvester Cameron Coffran Teeto Ezeonu Chamanara Khalida Jonathan N. Tobin Dozene Guishard Rhonda G Kost 4114 A Community/Academic Partnership to Implement Nutritional and Social/Behavioral Interventions to reduce Hypertension among Seniors Aging in Place Journal of Clinical and Translational Science |
| title | 4114 A Community/Academic Partnership to Implement Nutritional and Social/Behavioral Interventions to reduce Hypertension among Seniors Aging in Place |
| title_full | 4114 A Community/Academic Partnership to Implement Nutritional and Social/Behavioral Interventions to reduce Hypertension among Seniors Aging in Place |
| title_fullStr | 4114 A Community/Academic Partnership to Implement Nutritional and Social/Behavioral Interventions to reduce Hypertension among Seniors Aging in Place |
| title_full_unstemmed | 4114 A Community/Academic Partnership to Implement Nutritional and Social/Behavioral Interventions to reduce Hypertension among Seniors Aging in Place |
| title_short | 4114 A Community/Academic Partnership to Implement Nutritional and Social/Behavioral Interventions to reduce Hypertension among Seniors Aging in Place |
| title_sort | 4114 a community academic partnership to implement nutritional and social behavioral interventions to reduce hypertension among seniors aging in place |
| url | https://www.cambridge.org/core/product/identifier/S2059866120002484/type/journal_article |
| work_keys_str_mv | AT kimberlyvasquez 4114acommunityacademicpartnershiptoimplementnutritionalandsocialbehavioralinterventionstoreducehypertensionamongseniorsaginginplace AT andrearonning 4114acommunityacademicpartnershiptoimplementnutritionalandsocialbehavioralinterventionstoreducehypertensionamongseniorsaginginplace AT moufdinaji 4114acommunityacademicpartnershiptoimplementnutritionalandsocialbehavioralinterventionstoreducehypertensionamongseniorsaginginplace AT glenisgeorgealexander 4114acommunityacademicpartnershiptoimplementnutritionalandsocialbehavioralinterventionstoreducehypertensionamongseniorsaginginplace AT clewertsylvester 4114acommunityacademicpartnershiptoimplementnutritionalandsocialbehavioralinterventionstoreducehypertensionamongseniorsaginginplace AT cameroncoffran 4114acommunityacademicpartnershiptoimplementnutritionalandsocialbehavioralinterventionstoreducehypertensionamongseniorsaginginplace AT teetoezeonu 4114acommunityacademicpartnershiptoimplementnutritionalandsocialbehavioralinterventionstoreducehypertensionamongseniorsaginginplace AT chamanarakhalida 4114acommunityacademicpartnershiptoimplementnutritionalandsocialbehavioralinterventionstoreducehypertensionamongseniorsaginginplace AT jonathanntobin 4114acommunityacademicpartnershiptoimplementnutritionalandsocialbehavioralinterventionstoreducehypertensionamongseniorsaginginplace AT dozeneguishard 4114acommunityacademicpartnershiptoimplementnutritionalandsocialbehavioralinterventionstoreducehypertensionamongseniorsaginginplace AT rhondagkost 4114acommunityacademicpartnershiptoimplementnutritionalandsocialbehavioralinterventionstoreducehypertensionamongseniorsaginginplace |