Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Grenada Heart Project - Community Health Action to Encourage Healthy Behaviors
Brief Summary: The Grenada Heart Project (GHP) conducted an observational study within a randomly selected adult sample of Grenadians in 2008-2009. The aim of the study was to assess the clinical, biological and psychosocial determinants of the cardiovascular health in Grenada, in order to develop and implement a nationwide cardiovascular health promotion program.

The sample of 2,827 adults was randomly selected from the national electronic voter list. The main outcome measures were self-reported cardiovascular disease and behavioral risk factors, anthropometric measures, blood pressure (BP), point-of-care testing for glucose and lipids, and ankle-brachial index. Analysis of the data revealed prevalence rates of obesity, hypertension and diabetes significantly exceeding those seen in the U.S.

Since the completion of this assessment, an additional effort has contributed significantly to the current project. A parallel community health-promotion project was carried out in Cardona, Spain called the "Cardona Integral Fifty-Fifty" project with 80 subjects. The preliminary results of the Cardona study have a shown that peer motivation may significantly improve healthy behaviors and thus modify cardiovascular risk.

The GHP CHANGE community -based intervention aims to promote positive behaviors and focus more on what creates health, rather than what prevents sickness. It is built on the foundations of social support, assessing whether people going through similar challenges will support each other, work together to identify and address barriers to success, and motivate each other to move forward. In this program we test for the impact of promotion of healthy lifestyle behaviors through peer motivation on blood pressure, physical activity, eating behavior, weight, and smoking.


Options:
A: Arm Label: Psychosocial counselling + Enhanced usual care (EUC); Type: EXPERIMENTAL; Interventions: Behavioral: Psychosocial counselling, Other: Enhanced Usual Care | Arm Label: Enhanced Usual Care (EUC); Type: ACTIVE_COMPARATOR; Interventions: Other: Enhanced Usual Care | Intervention Type: BEHAVIORAL; Name: Psychosocial counselling; Assigned to Arm(s): Psychosocial counselling + Enhanced usual care (EUC) | Intervention Type: OTHER; Name: Enhanced Usual Care; Assigned to Arm(s): Enhanced Usual Care (EUC), Psychosocial counselling + Enhanced usual care (EUC)
B: Arm Label: Narrative Exposure Therapy (FORNET, adapted version); Type: ACTIVE_COMPARATOR; Interventions: Behavioral: FORNET (adapted version) | Arm Label: Waitlist control or treatment as usual; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: FORNET (adapted version); Assigned to Arm(s): Narrative Exposure Therapy (FORNET, adapted version)
C: Arm Label: intervention group; Type: EXPERIMENTAL; Interventions: Other: Education of medical humanities | Arm Label: control group; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: OTHER; Name: Education of medical humanities; Assigned to Arm(s): intervention group
D: Arm Label: Peer Groups; Type: EXPERIMENTAL; Interventions: Behavioral: Peer Groups | Arm Label: Control Arm; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Peer Groups; Assigned to Arm(s): Peer Groups

Answer: D