Research Design and Methods in Community Team Lifestyle Immersion Program for Chronic Disease Prevention and Control

Authors

  • Flora Ukoli
  • Jatheender Kumar Meharry Medical College
  • Chike Nzerue
  • Emmanuel Adediran
  • Dontal Johnson
  • Adrian Samuel
  • Stephania Miller-Hughes

Keywords:

Lifestyle Immersion, Blood pressure control, health behavior, community engagement

Abstract

Persisting disparities in the control of chronic diseases are linked to several barriers to health prevention, including cultural norms, insufficient attention to health education, lack of access to physical activity, large serving portions, and excess added sodium and sugar by the food industry and restaurants [1]. In line with lifestyle modifications proposed for several decades [2, 3, 4, 5], the goal of this study is to develop and evaluate the efficacy of a Lifestyle Immersion intervention for chronic disease control. The study will be conducted in two settings, the community and the health facility, thus addressing the individual, interpersonal, and organizational levels. This study introduces the team concept in health behavior modification. It will compare the effectiveness of interventions among participants in the study's intervention arm (Team Arm) and the control group (Individual Arm).

Participants will undergo a 6 month intervention adapted from the Centers for Disease Control and Prevention and the American Heart Association's recommendations for blood pressure control and cardiovascular health. Participants will receive education to increase relevant knowledge and training to develop the necessary skills, in addition to strategies for successfully adhering to LS7 and the DASH [6]. The primary study outcomes are systolic and diastolic blood pressure changes measured at enrollment and follow-up at 6 and 12 months. The secondary outcome measures include LS7 and DASH adherence scores at 6 and 12 months, as well as other pre-specified outcomes such as A1c, which assesses nutritional status at 6 and 12 months. The evidence for the effectiveness of lifestyle modification and the primary outcome of the study is controlling blood pressure through lifestyle modifications and promoting optimal health, particularly concerning African American populations [3, 10].

Author Biographies

  • Flora Ukoli

    Professor, Department of surgery and PI for Community Team Lifestyle Immersion Program for control of chronic disease prevention and control Meharry Medical College Nashville, TN USA. 2025

  • Jatheender Kumar, Meharry Medical College

    Postdoctoral fellow, Department of Surgery Meharry Medical College Nashville, TN, USA. 2025

References

[1]. P.K. Whelton, J. He, L. J. Appel, et. al. National High Blood Pressure Education Program Coordinating Committee. Primary prevention of hypertension: clinical and public health advisory from The National High Blood Pressure Education Program, “JAMA,” Oct 2002 16;288(15):1882-8. PMID: 12377087 DOI: 10.1001/jama.288.15.1882

[2]. S G Sheps. Overview of JNC VI: new directions in the management of hypertension and cardiovascular risk. “American Journal of Hypertension,”1999 Aug;12(8 Pt 2):65S-72S. doi: 10.1016/s0895-7061(99)00111-9. PMID: 10478699

[3]. P. J. Elmer, R. Grimm Jr, B. Laing, et al. Lifestyle intervention: results of the Treatment of Mild Hypertension Study (TOMHS), “ Preview of Medicine,” Jul 1995;24(4):378-88. doi: 10.1006/pmed.1995.1062. PMID: 7479629

[4]. J. He, P. K. Whelton, L. J. Appel, J. Charleston, M. J. Klag. Long-term effects of weight loss and dietary sodium reduction on incidence of hypertension,” Journal of Hypertension,” 2000 Feb;35(2):544-9. PMID: 10679495 DOI: 10.1161/01.hyp.35.2.544

[5]. L. J. Appel, C. M. Champagne, D.W. Harsha, et.al. Writing Group of the premier Collaborative Research Group. Effects of comprehensive lifestyle modification on blood pressure control: main results of the PREMIER clinical trial “JAMA,” Apr 2003 ;289(16):2083-93.

[6]. F. M. Sacks, L. P. Svetkey, W. M. Vollmer, L. J. Appel, et. al. Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. DASH-Sodium Collaborative Research Group, “New England Journal of medicine,” Jan 2001. 4;344(1):3-10. PMID: 11136953 DOI: 10.1056/NEJM200101043440101

[7]. L. Chiavaroli, E. Viguiliouk, S. K. Nishi, et. al. DASH Dietary Pattern and Cardiometabolic Outcomes: An Umbrella Review of Systematic Reviews and Meta-Analyses. Nutrients. Feb 5, 2019 ;11(2):338. doi: 10.3390/nu11020338.

[8]. V. A. F. Villalobos, R. Pedret, et. Al, “Health Quality Life Outcomes,” Sep 14 2018 ;16(1):184. PMID: 30217193 PMCID: PMC6137925 DOI: 10.1186/s12955-018-1008-6

[9]. F. Najihah B. Allam, M. R. Ab Hamid, S. S. Buhari , H. M. Noor, “Journal of Medicine Internet Research,” Mar 15 2021;23(3):e22465. PMID: 33720036 PMCID: PMC8074856 DOI: 10.2196/22465

[10]. B. W. Kong. Community-based hypertension control programs that work, “ Journal of Health Care Poor Underserved,” Nov 1997 ;8(4):409-15. doi: 10.1353/hpu.2010.0031. PMID: 9334533

[11]. S. Mahmood, K.U. Shah, T. M. Khan et al. Non-pharmacological management of hypertension: in the light of current research,” International Journal of Medical Sciences,” 2019;188(2):437-452

[12]. K. Molanorouzi, S. Khoo, T. Morris. Motives for adult participation in physical activity: type of activity, age, and gender,” BMC Public Health,” Jan 2015 31:15:66.

PMID: 25637384 PMCID: PMC4314738 DOI: 10.1186/s12889-015-1429-7

[13]. Y.A Joosten, T.L. Israel, N.A. Williams, et al. Community Engagement Studios: A structured approach to obtaining meaningful input from stakeholders to inform research. “Academy of medicine,” 2015;90(12):1646-1650. PMID: 26107879 PMCID: PMC4654264 DOI: 10.1097/ACM.0000000000000794

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Published

2025-07-26

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How to Cite

Flora Ukoli, Kumar, J., Chike Nzerue, Emmanuel Adediran, Dontal Johnson, Adrian Samuel, & Stephania Miller-Hughes. (2025). Research Design and Methods in Community Team Lifestyle Immersion Program for Chronic Disease Prevention and Control. International Journal of Sciences: Basic and Applied Research (IJSBAR), 77(1), 213-225. https://gssrr.org/JournalOfBasicAndApplied/article/view/17539