Please select the eligibility criteria that correspond 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: Inclusion Criteria:

* Age ≥ 16
* GHQ-12 ≥ 6
* Willing to participate in the intervention and research program
* Able to communicate fluently in Nepali and to participate the required visits
* Resident in Dang for the subsequent 10 months

Exclusion Criteria:

* Age \< 16
* GHQ-12 \< 6
* Signs of severe mental health problems (i.e., psychotic features)
* Severe illnesses or conditions requiring immediate attentions( i.e., suicidal)
* Not willing to participate in the intervention and research program
B: Eligibility criteria

* Former participant of an armed group in DR Congo
* Involvement in violent attacks

Inclusion Criteria:

* PTSD diagnosis or AAS sum score of 22 or higher

Exclusion Criteria:

* Acute intoxification (alcohol or other drugs)
* Acute psychotic symptoms
* Sign of cerebro-organic diseases
C: Inclusion Criteria:

* 1 age 18 to 25 years
* 2 junior students majoring in clinical medicine
* 3 no mental diseases previously

Exclusion Criteria:

* Did not meet inclusion criteria
D: Inclusion Criteria:

* Resident of Grenada
* One or more vascular risk factors:

  * Borderline to elevated blood pressure (defined as systolic blood pressure ≥120 mm Hg to SBP \< 160 or diastolic blood pressure ≥ 80 and \< 90 mm Hg)
  * Waist circumference of \>40 inches for men and \>35 inches for women
  * Smoking (active self-reported smoking, of any type of tobacco, at least daily)
  * Physical inactivity (reporting less than 120 min/week of activity)
  * Fasting glucose level \> 100 mg/dl
  * Total Cholesterol \>250 mg/dl, LDL \> 130 mg/dl
  * Fruit/vegetable intake less than 2 servings daily

Exclusion Criteria:

* Unable/unwilling to provide consent
* Age of under 18 or more than 70 years old (inclusive) as of December 2012
* Inability of self-monitoring
* Pregnant women
* Morbidly ill with expectation of death within a year

Answer: D