Tailoring Chronic Disease Interventions to Meet Specific Needs of Women: A Case Example of a Hypertension Program
Background: Women have a unique risk profile for cardiovascular disease (CVD) due to underlying sociocultural and biological determinants. Current CVD prevention and treatment interventions, however, largely remain agnostic to the influences of an individual’s sex assigned at birth or gender identit...
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| Format: | Article |
| Language: | English |
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Mary Ann Liebert
2025-01-01
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| Series: | Women's Health Reports |
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| Online Access: | https://www.liebertpub.com/doi/10.1089/whr.2024.0139 |
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| author | Caroline A. Dancu Julie Schexnayder Hayden B. Bosworth Allison Lewinski Abigail Shapiro Tiera Lanford Courtney White Clark Bevanne Bean-Mayberry Leah L. Zullig Jennifer M. Gierisch Karen M. Goldstein |
| author_facet | Caroline A. Dancu Julie Schexnayder Hayden B. Bosworth Allison Lewinski Abigail Shapiro Tiera Lanford Courtney White Clark Bevanne Bean-Mayberry Leah L. Zullig Jennifer M. Gierisch Karen M. Goldstein |
| author_sort | Caroline A. Dancu |
| collection | DOAJ |
| description | Background: Women have a unique risk profile for cardiovascular disease (CVD) due to underlying sociocultural and biological determinants. Current CVD prevention and treatment interventions, however, largely remain agnostic to the influences of an individual’s sex assigned at birth or gender identity. This study describes a process for tailoring existing evidence-based interventions to the biological and sociocultural determinants of health for women. Methods: This study adapted the Team-supported, Electronic Health Record (EHR)-leveraged, Active Management (TEAM) CVD preventative care intervention designed for telehealth-based remote hypertension (HTN) care in rural Veterans. Tailoring choices were informed by a 12-month process including a focused literature review, qualitative interviews with women’s health experts, and feedback from providers and women Veterans on existing intervention materials. Results: Literature review and qualitative interview findings informed the modification of patient- and provider-facing TEAM materials. Patient-facing material modifications included the addition of information relevant to sex-specific CVD risk factors, addressing gender-related barriers to CVD risk reduction, and including diverse visual representation and inclusive language. Provider-facing materials were modified through a new EHR template to comprehensively address sex-specific CVD risk factors. These changes resulted in individualized care plans to better address gaps in HTN management among women. Conclusion: Tailoring existing evidence-based interventions is an achievable and practical strategy to incorporate the sociocultural and biological determinants of CVD health specific to women. This approach could be used to adapt other programs and interventions designed to address health conditions that occur among both men and women but which are sensitive to important biological and sociocultural determinants. These findings highlight the broad discourse on sex- and gender-sensitive health care interventions and advocate for the integration of these interventions into routine clinical practice. |
| format | Article |
| id | doaj-art-5759c3b341e64dde90922aa4be26f865 |
| institution | DOAJ |
| issn | 2688-4844 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Women's Health Reports |
| spelling | doaj-art-5759c3b341e64dde90922aa4be26f8652025-08-20T03:09:57ZengMary Ann LiebertWomen's Health Reports2688-48442025-01-016123924810.1089/whr.2024.0139Tailoring Chronic Disease Interventions to Meet Specific Needs of Women: A Case Example of a Hypertension ProgramCaroline A. Dancu0Julie Schexnayder1Hayden B. Bosworth2Allison Lewinski3Abigail Shapiro4Tiera Lanford5Courtney White Clark6Bevanne Bean-Mayberry7Leah L. Zullig8Jennifer M. Gierisch9Karen M. Goldstein10San Francisco School of Nursing, University of California, San Francisco, California, USA.University of Alabama School of Nursing, Birmingham, Alabama, USA.Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.Background: Women have a unique risk profile for cardiovascular disease (CVD) due to underlying sociocultural and biological determinants. Current CVD prevention and treatment interventions, however, largely remain agnostic to the influences of an individual’s sex assigned at birth or gender identity. This study describes a process for tailoring existing evidence-based interventions to the biological and sociocultural determinants of health for women. Methods: This study adapted the Team-supported, Electronic Health Record (EHR)-leveraged, Active Management (TEAM) CVD preventative care intervention designed for telehealth-based remote hypertension (HTN) care in rural Veterans. Tailoring choices were informed by a 12-month process including a focused literature review, qualitative interviews with women’s health experts, and feedback from providers and women Veterans on existing intervention materials. Results: Literature review and qualitative interview findings informed the modification of patient- and provider-facing TEAM materials. Patient-facing material modifications included the addition of information relevant to sex-specific CVD risk factors, addressing gender-related barriers to CVD risk reduction, and including diverse visual representation and inclusive language. Provider-facing materials were modified through a new EHR template to comprehensively address sex-specific CVD risk factors. These changes resulted in individualized care plans to better address gaps in HTN management among women. Conclusion: Tailoring existing evidence-based interventions is an achievable and practical strategy to incorporate the sociocultural and biological determinants of CVD health specific to women. This approach could be used to adapt other programs and interventions designed to address health conditions that occur among both men and women but which are sensitive to important biological and sociocultural determinants. These findings highlight the broad discourse on sex- and gender-sensitive health care interventions and advocate for the integration of these interventions into routine clinical practice.https://www.liebertpub.com/doi/10.1089/whr.2024.0139cardiovascular risksex- and gender-tailoringVeterans |
| spellingShingle | Caroline A. Dancu Julie Schexnayder Hayden B. Bosworth Allison Lewinski Abigail Shapiro Tiera Lanford Courtney White Clark Bevanne Bean-Mayberry Leah L. Zullig Jennifer M. Gierisch Karen M. Goldstein Tailoring Chronic Disease Interventions to Meet Specific Needs of Women: A Case Example of a Hypertension Program Women's Health Reports cardiovascular risk sex- and gender-tailoring Veterans |
| title | Tailoring Chronic Disease Interventions to Meet Specific Needs of Women: A Case Example of a Hypertension Program |
| title_full | Tailoring Chronic Disease Interventions to Meet Specific Needs of Women: A Case Example of a Hypertension Program |
| title_fullStr | Tailoring Chronic Disease Interventions to Meet Specific Needs of Women: A Case Example of a Hypertension Program |
| title_full_unstemmed | Tailoring Chronic Disease Interventions to Meet Specific Needs of Women: A Case Example of a Hypertension Program |
| title_short | Tailoring Chronic Disease Interventions to Meet Specific Needs of Women: A Case Example of a Hypertension Program |
| title_sort | tailoring chronic disease interventions to meet specific needs of women a case example of a hypertension program |
| topic | cardiovascular risk sex- and gender-tailoring Veterans |
| url | https://www.liebertpub.com/doi/10.1089/whr.2024.0139 |
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