Design and rationale of the community-led initiative on cardiovascular disease risk reduction among adults in Baltimore: The EngAGE with heart program

Introduction: Cardiovascular disease (CVD) remains the leading cause of death in the United States, and Black adults are disproportionately affected. Community-engaged strategies that incorporate cultural, environmental, and social contexts offer a promising opportunity for promoting cardiovascular...

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Bibliographic Details
Published in:International Journal of Cardiology. Cardiovascular Risk and Prevention
Main Authors: Thomas Hinneh, Faith Elise Metlock, Ebenezer Kobbie Aryee, Patricia Akyeampong, Janice A. Dugbartey, Katie Shapcott, Paramroup Kaur Thind, Melissa Gong Mitchell, Stephanie D. Adams, Terris King, Yvonne Commodore-Mensah
Format: Article
Language:English
Published: Elsevier 2025-12-01
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772487525001680
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Summary:Introduction: Cardiovascular disease (CVD) remains the leading cause of death in the United States, and Black adults are disproportionately affected. Community-engaged strategies that incorporate cultural, environmental, and social contexts offer a promising opportunity for promoting cardiovascular health equity. This study aims to evaluate the impact of a community-led initiative in reducing CVD risk and improving heart health knowledge and behaviors. Methods: The EngAGE with Heart Program is a community-led, quasi-experimental intervention co-developed with multisectoral partners to improve the cardiovascular health of 200 adults, 25 years or older, who will be recruited from two senior centers and four faith-based organizations in Baltimore. Participants in the program receive structured health education sessions, CVD risk screening, community outreach with follow-up visits for education and counseling on lifestyle modification from community health ambassadors over a 6-month period, and healthy food and nutrition initiatives over the same 6-month period. Primary outcomes include changes in CVD risk, heart disease risk knowledge, and health behaviors after 3 and 6 months. Conclusion: The EngAGE with Heart Program presents a scalable model for community-centered cardiovascular health promotion. It is designed to generate preliminary findings on the impact of community-led initiatives to reduce disparities, improve health behaviors, and foster sustainable partnerships to address CVD risk in underserved communities.
ISSN:2772-4875