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CompletedNCT03059472Updated Jan 5, 2022

Strong Hearts for New York: A Rural Heart Disease Prevention Study

An interventional study of Group 1 (Intervention) and Group 2 (Delayed intervention) in Heart Disease, Cardiovascular Disease and Sedentary Lifestyle, sponsored by Cornell University. Completed at 13 sites in United States. Open to female participants aged 40 Years to 99 Years. Per ClinicalTrials.gov, last updated 2022-01-05.

Sponsored by Cornell University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
182
Allocation
Randomized
Ages
40 Years to 99 Years
Sex
Female
01

Study summary

Strong Hearts for New York is a research study which aims to reduce cardiovascular disease (CVD), improve quality of life, and reduce CVD related health care costs in rural communities. Our aim is to better understand how changes in lifestyle can affect the health of rural women and others in their communities.

Read the detailed description

There are notable cardiovascular disease (CVD) disparities among people living in rural settings, particularly medically underserved rural areas. Complex factors such as socioeconomic disadvantage, social and cultural dynamics, geographic distances/barriers, and limited access to healthcare, healthy foods, and/or physical activity opportunities contribute to the issue. The objective of Strong Hearts, Healthy Communities (SHHC) is to reduce rural CVD disparities through civic engagement and implementation of a community-based intervention in 11 underserved New York communities. SHHC builds upon a long-standing collaboration with National Institute of Food and Agriculture cooperative extension educators, who will implement the project. There is limited knowledge about how programs and services can move beyond commonly used individual-level approaches-which have limitations in terms of cost, impact, reach, and sustainability-to effectively reduce rural CVD health disparities using an integrated, multi-level, community-engaged approach. The objective of Strong Hearts, Healthy Communities (SHHC) is to address this gap in knowledge and practice by working with residents, practitioners, health educators, local leadership, and other stakeholders in 11 medically underserved rural communities in New York to test a comprehensive program designed to: a) improve diet and physical activity behaviors, b) promote local built environment resources, and c) shift social norms about active living and healthy eating through civic engagement, capacity building, and community based programming.

RANDOMIZED INTERVENTION AND DELAYED INTERVENTION: In the current phase of the project, the efficacy of the SHHC program curriculum will be evaluated in a 24-week delayed intervention trial. The investigators will compare changes in CVD-related anthropometric, physiologic, behavioral, and psychosocial parameters between subjects in 5 intervention and 6 delayed communities in New York State. In addition, changes in behavior, attitudes, and knowledge among SHHC intervention subjects' "social network" will be evaluated.

02

Conditions studied

  • Heart Disease
  • Cardiovascular Disease
  • Sedentary Lifestyle
  • Overweight
  • Obesity

Keywords

  • physical activity
  • nutrition
  • social network
  • civic engagement
03

In context

Cardiovascular Diseases

4,904 studies on the registry are indexed under Cardiovascular Diseases; 919 are open to participants now.

This study's enrollment of 182 is above the median of 100 across 2,738 interventional studies indexed under Cardiovascular Diseases.

Browse Cardiovascular Diseases studies →

Lead sponsor

Cornell University is the lead sponsor of 96 studies on the registry; 18 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 99 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Body Mass Index (BMI) greater than or equal to 25
  • If BMI is less than 30, not currently physically active
  • Blood pressure is less than 160/100 mm Hg
  • Heart rate is between 60-100 bpm
  • English-speaking
  • Able and willing to obtain physician's approval to participate in intervention starting either in March 2017 or September 2017
  • Willing to participate in assessment activities
  • Willing to make a firm commitment to participate in intervention starting either in Spring or Fall 2017

Exclusion criteria

Exclusion Criteria:

  • BMI less than 25
  • If BMI is less than 30, currently physically active
  • Untreated hypertension
  • Heart rate lower than 60 or higher than 100 bpm
  • Non-English speaking
  • Not able or willing to obtain physician's approval to participate
  • Not interested or willing to participate in assessment activities
  • Not able or willing to make a firm commitment to participate in intervention starting either in Spring or Fall 2017
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
182 participants (actual)

Study arms

  • Experimental
    Group 1 (Intervention)

    Full Intervention participants will meet twice per week for one hour each time, for approximately 6 months. Participants will learn and practice good nutrition and physical activity for improved individual, family and community health.

    Behavioral: Group 1 (Intervention)

  • Experimental
    Group 2 (Delayed intervention)

    Delayed intervention participants will participate in the same activities as Group 1 but 6 months after Group 1.

    Behavioral: Group 2 (Delayed intervention)

Interventions

  • BehavioralGroup 1 (Intervention)

    The investigators will evaluate the efficacy of the SHHC curriculum in a 24-week community-based randomized delayed intervention trial. They will compare changes in CVD-related anthropometric, physiologic, behavioral, and psychosocial parameters between subjects in 5 intervention and 6 delayed intervention communities. In addition, the investigators will evaluate changes in behavior, attitudes, and knowledge among SHHC intervention subjects' "social network".

  • BehavioralGroup 2 (Delayed intervention)

    The investigators will evaluate the efficacy of the SHHC curriculum in a 24-week community-based randomized delayed intervention trial. They will compare changes in CVD-related anthropometric, physiologic, behavioral, and psychosocial parameters between subjects in 5 intervention and 6 delayed intervention communities. In addition, the investigators will evaluate changes in behavior, attitudes, and knowledge among SHHC intervention subjects' "social network".

06

What researchers measure

Primary outcomes

  1. Change in body weight

    Time frame: Baseline to 24 weeks

Secondary outcomes

  1. Changes in body weight

    Time frame: Baseline to 48 weeks

  2. Changes in blood pressure

    Time frame: Baseline to 24 weeks, 48 weeks

  3. Changes in blood lipids

    Time frame: Baseline to 24 weeks, 48 weeks

  4. Changes in c-reactive protein

    Time frame: Baseline to 24 weeks, 48 weeks

  5. Changes in hemoglobin A1C

    Time frame: Baseline to 24 weeks, 48 weeks

  6. Changes in waist circumference

    Time frame: Baseline to 24 weeks, 48 weeks

  7. Changes in hip circumference

    Time frame: Baseline to 24 weeks, 48 weeks

  8. Changes in 7 day accelerometry

    Time frame: Baseline to 24 weeks, 48 weeks

  9. Changes in 7 day dietary recall

    Time frame: Baseline to 24 weeks, 48 weeks

  10. Changes in healthy eating self-efficacy assessed by questionnaire

    Time frame: Baseline to 24 weeks, 48 weeks

  11. Changes in exercise self-efficacy assessed by questionnaire

    Time frame: Baseline to 24 weeks, 48 weeks

  12. Changes in healthy eating attitudes of social network of participants assessed by questionnaire

    Time frame: Baseline to 24 weeks, 48 weeks

  13. Changes in exercise attitudes of social network of participants assessed by questionnaire

    Time frame: Baseline to 24 weeks, 48 weeks

  14. Changes in healthy eating self-efficacy of social network of participants assessed by questionnaire

    Time frame: Baseline to 24 weeks, 48 weeks

  15. Changes in exercise self-efficacy of social network of participants assessed by questionnaire

    Time frame: Baseline to 24 weeks, 48 weeks

07

Study locations

13 sites
  • Clyde
    Clyde, New York 14433, United States
  • Cobleskill
    Cobleskill, New York 12043, United States
  • Cooperstown
    Cooperstown, New York 13326, United States
  • Dolgeville and Little Falls
    Dolgeville, New York 13329, United States
  • Hamilton
    Hamilton, New York 13346, United States
  • Hartwick
    Hartwick, New York 13348, United States
  • Herkimer, Mohawk and Ilion
    Herkimer, New York 13350, United States
  • Ithaca
    Ithaca, New York 14853, United States
  • Seguin Research Lab, Cornell University
    Ithaca, New York 14853, United States
  • Milford
    Milford, New York 13807, United States
  • Morrisville
    Morrisville, New York 13408, United States
  • Newark
    Newark, New York 14513, United States
  • Sharon Springs
    Sharon Springs, New York 13459, United States
08

References and documents

Publications

  • Seguin-Fowler RA, Eldridge GD, Rethorst CD, Graham ML, Demment M, Strogatz D, Folta SC, Maddock JE, Nelson ME, Ha S. Improvements and Maintenance of Clinical and Functional Measures Among Rural Women: Strong Hearts, Healthy Communities-2. 0 Cluster Randomized Trial. Circ Cardiovasc Qual Outcomes. 2022 Nov;15(11):e009333. doi: 10.1161/CIRCOUTCOMES.122.009333. Epub 2022 Nov 15. PubMed 36378768 ↗
  • Seguin-Fowler RA, Strogatz D, Graham ML, Eldridge GD, Marshall GA, Folta SC, Pullyblank K, Nelson ME, Paul L. The Strong Hearts, Healthy Communities Program 2.0: An RCT Examining Effects on Simple 7. Am J Prev Med. 2020 Jul;59(1):32-40. doi: 10.1016/j.amepre.2020.01.027. Epub 2020 May 7. PubMed 32389532 ↗
  • Pullyblank K, Strogatz D, Folta SC, Paul L, Nelson ME, Graham M, Marshall GA, Eldridge G, Parry SA, Mebust S, Seguin RA. Effects of the Strong Hearts, Healthy Communities Intervention on Functional Fitness of Rural Women. J Rural Health. 2020 Jan;36(1):104-110. doi: 10.1111/jrh.12361. Epub 2019 Mar 13. PubMed 30865324 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 5, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03059472
Lead sponsor
Cornell University
Collaborators
Montana State University, Tufts University, Bassett Healthcare, Cornell Cooperative Extension
Responsible party
Sponsor
First posted
Feb 23, 2017
Start date
Mar 31, 2017
Primary completion
Feb 28, 2019
Completion
Feb 28, 2019
Last update
Jan 5, 2022

Study contacts

Rebecca Seguin, PhD
principal investigator · Cornell University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2022. You cannot join it, but the record below documents what was studied.

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