Preventative Screening and Health Coaching in a Food Insecure Population

Summary

The goal of this longitudinal study is to investigate the role of virtual health coaching on mitigation of cardiometabolic disease risk in an underserved, food insecure population. The main questions it aims to answer are: * Does longitudinal, individualized health coaching directed at lifestyle modification reduce patient 10-year risk of heart attack or stroke? * Does longitudinal, individualized health coaching directed at lifestyle modification reduce rates of hypertension, hyperlipidemia, and diabetes? * Does longitudinal, individualized health coaching directed at lifestyle modification improve accessibility to healthcare? Researchers will investigate the effects of regularly scheduled health coaching sessions on composite cardiometabolic risk profile as well as individual modifiable cardiovascular risk factors. Participants will: * Participate in in-person cardiovascular screening, occuring at the time of enrollment, months 3 and 6. * Engage in virtual health coaching sessions to talk about diet, exercise, weight loss, blood pressure and diabetes control, and accessibility to healthcare * Keep a log of their blood pressure

Eligibility

Inclusion:

* Patient is a participant at a CHI sponsored, community screening event
* Patient provides informed consent and willingness to participate for the duration of the study
* English or Spanish speaking
* Age 40-75 years old
* At least 1 cardiometabolic risk factor at suboptimal level, defined as one or more of the following at initial screening:
* Systolic BP greater than 130mmHg and/or diastolic BP greater than 80mmHg.
* Body mass index (BMI) greater than 30 〖kg/m〗\^2
* Total cholesterol greater than 200 mg/dL
* Triglycerides greater than 150 mg/dL
* Low density lipoprotein (LDL) greater than 130 mg/dL
* High density lipoprotein (HDL) less than 40 mg/dL in men or less than 50 mg/dL in women
* Hemoglobin A1c greater than or equal to 5.7%
* 10-year ASCVD score greater than 5%
* Access to a telehealth compatible device

Exclusion:

* Adults unable to provide informed consent or unwilling to participate for study duration
* Speaks language other than English or Spanish
* Younger than 40 years old or older than 75 years old
* All cardiometabolic risk factors at optimal levels
* No telehealth compatible device
* Pregnant patients

Conditions9

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