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

Table 1 CHANGE Program Content and Contacts^a

Program Contacts	Program Content^b
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

^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
^bContent modules are ordered by highest to lowest potential to reduce CVD risk. No more than 2 topics were covered at each counseling visit

ISSN: 1471-2458