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Karim B, Jergel A, Bai S, Bradley K, Arconada Alvarez SJ, Gilmore AK, Greenleaf M, Kottke MJ, Parsell M, Patterson S, Sotos-Prieto M, Zeichner E, Gooding HC. Incorporating Cardiovascular Risk Assessment into Adolescent Reproductive Health and Primary Care Visits. J Pediatr Adolesc Gynecol 2024:S1083-3188(24)00207-9. [PMID: 38599564 DOI: 10.1016/j.jpag.2024.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Revised: 03/04/2024] [Accepted: 03/28/2024] [Indexed: 04/12/2024]
Abstract
STUDY OBJECTIVE This study aimed to evaluate the usability and feasibility of incorporating a cardiovascular risk assessment tool into adolescent reproductive health and primary care visits. DESIGN, SETTING, AND PARTICIPANTS We recruited 60 young women ages 13-21 years to complete the HerHeart web-tool in 2 adolescent clinics in Atlanta, GA. MAIN OUTCOME MEASURES Participants rated the tool's usability via the Website Analysis and Measurement Inventory (WAMMI, range 0-95) and their perceived 10-year and lifetime risk of cardiovascular disease (CVD) on a visual analog scale (range 0-10). Participants' perceived risk, blood pressure, and body mass index were measured at baseline and 3 months after enrollment. Health care providers (HCP, n = 5) completed the WAMMI to determine the usability and feasibility of incorporating the HerHeart tool into clinical practice. RESULTS Adolescent participants and HCPs rated the tool's usability highly on the WAMMI with a median of 79 (interquartile range [IQR] 65, 84) and 76 (IQR 71, 84). At the baseline visit, participants' median perceived 10-year risk of a heart attack was 1 (IQR 0, 3), and perceived lifetime risk was 2 (IQR 0, 4). Immediately after engaging with the tool, participants' median perceived 10-year risk was 2 (IQR 1, 4.3), and perceived lifetime risk was 3 (IQR 1.8, 6). Thirty-one participants chose to set a behavior change goal, and 12 participants returned for follow-up. Clinical metrics were similar at the baseline and follow-up visits. CONCLUSION HerHeart is acceptable to young women and demonstrates potential for changing risk perception and improving health habits to reduce risk of CVD. Future research should focus on improving retention in studies to promote cardiovascular health within reproductive health clinics.
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Affiliation(s)
- Brianna Karim
- Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia
| | - Andrew Jergel
- Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia
| | - Shasha Bai
- Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia
| | - Kolbi Bradley
- Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia
| | - Santiago J Arconada Alvarez
- Georgia Clinical and Translational Science Alliance, Emory University, Atlanta, Georgia; Emory University School of Medicine, Atlanta, Georgia
| | - Amanda K Gilmore
- Department of Health Policy & Behavioral Sciences, School of Public Health, Georgia State University, Atlanta, Georgia
| | - Morgan Greenleaf
- Georgia Clinical and Translational Science Alliance, Emory University, Atlanta, Georgia; Emory University School of Medicine, Atlanta, Georgia
| | - Melissa J Kottke
- Jane Fonda Center, Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia
| | - Maren Parsell
- Georgia Clinical and Translational Science Alliance, Emory University, Atlanta, Georgia; Emory Healthcare, Emory University, Atlanta, Georgia
| | - Sierra Patterson
- Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
| | - Mercedes Sotos-Prieto
- Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain; CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain; IMDEA Food Institute, CEI UAM+CSIC, Madrid, Spain; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
| | | | - Holly C Gooding
- Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia.
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Agbonlahor O, Rai J, Mattingly D, Hart J, Walker K. Cardiovascular disease risk perceptions and tobacco use among Appalachian youth. POPULATION MEDICINE 2021. [DOI: 10.18332/popmed/143749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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