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Table 1 CHANGE Program Content and Contactsa

From: Strengthening community-clinical linkages to reduce cardiovascular disease risk in rural NC: feasibility phase of the CHANGE study

Program ContactsProgram Contentb
Counseling Visit 1 [45–60 min duration]▪ Written informed consent (HIPAA consent if clinic patient)
▪ Baseline study measurements (weight, blood pressure, survey)
▪ CVD Risk Score calculation
Taking Medications Module
• What you should know
• Reasons for not taking medication and ways to address
• Local pharmacies
▪ Goal-setting and action planning
▪ Referrals to community resources (as needed)
Counseling Visit 2 [45–60 min duration]Stopping Smoking Module
• What Works (QuitlineNC, Asking for Support, Medicines)
▪ Goal-setting and action planning
▪ Referrals to community resources (as needed)
Counseling Visit 3 [45–60 min duration]Healthy Eating Module
• Nuts, Oils, Dressings and Spreads
• Vegetables, Fruits, Beans and Whole Grains
• Drinks, Desserts, Snacks, and Eating Out
• Fish, Meat, Dairy and Eggs
▪ Goal-setting and action planning
▪ Referrals to community resources (as needed)
Counseling Visit 4 [45–60 min duration]Physical Activity Module
• Walking
• Keep Walking and Moving More
• Stay on Track
• Add Muscle Strengthening
▪ Follow-up measurements and survey administration
Booster Calls 1–3 [15–20 min duration]▪ Check-in on goal progress (successes and challenges related to the topic(s) covered)
▪ Check-in on referrals (actions taken or barriers to following through)
▪ Reminder for next counseling session
  1. aMonthly counseling visits were designed as home visits or in-person visits at a community location selected by the participant. Booster calls were scheduled for 10–14 days after each of the first 3 counseling visits
  2. bContent modules are ordered by highest to lowest potential to reduce CVD risk. No more than 2 topics were covered at each counseling visit
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