Lifestyle Advice in CVD

NCT07672054 | Not Yet Recruiting

• 1 other identifier: UNottingham FMHS 123-0425
• Study Type: observational
• Target: 15
• Locations: 1 country
• Sites: 1

Brief Summary

Individuals living in the UK who are from ethnic minority communities have a higher risk of heart disease and strokes than white individuals. This risk arises from the social determinants of health. These include lifestyle factors such as diet, physical activity and smoking. Improving these lifestyle factors in individuals is an essential part of reducing the chances of heart attacks and stroke. Patients may have diets and lifestyles arising from their cultural and religious backgrounds but receive advice which is not aligned to their own customs and experiences. Receiving advice which is not relevant to their own types of diet and lifestyle customs may create difficulties for patients in managing their heart and circulation health. Moreover, the dissonance between advice given and patient-specific relevance may lead to poorer adherence to the recommendations made to manage their condition. This can lead to poorer health outcomes for these patients. In addition, they may be advised to adopt diets and behaviours which are not appropriate to their cultures and may be also difficult to put into practice. This is important because lifestyle advice aligned to a patient's existing diet, behaviours and cultural beliefs leads to improved control of these health conditions. Learning to provide dietary and lifestyle advice relevant to individual patients needs is an important skill for the clinicians caring for them.

Conditions

Cardio Vascular Disease; Dietary Change; Dietary Behaviors; Diet Habits; Experience; Ethnicity

Keywords

Diet; Cardiovascular disease; Ethnicity; Behavioural change; Modification; Healthcare experience; Healthcare access; Medical education

Outcome Measures

Primary Outcomes (1)

• Needs and beliefs of people from ethnic communities

  Discovering the needs and beliefs of patients from ethnic communities on the role of diet and lifestyle factors in the management of their cardiovascular disease

  6 months

Secondary Outcomes (1)

• Barriers and facilitators to culturally appropriate lifestyle advice

  6 months

Study Arms (1)

Individuals with cardiovascular disease

Individuals from ethnic minority groups with either a personal history of cardiovascular disease or in a caring role for a family member

Behavioral: Experience of healthcare

Interventions

Experience of healthcare BEHAVIORAL

Individual participants from ethnic minority groups who have experience of accessing and receiving culturally appropriate dietary advice following a diagnosis and living with cardiovascular disease and their reflections on the educational needs of healthcare staff and medical students in the dietary needs for people with cardiovascular disease from ethnic minority groups.

Individuals with cardiovascular disease

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

UK-based volunteers living in the community who have a personal history of non-white ethnicity and of cardiovascular disease

You may qualify if:

• Patients over the age of 18 years with a personal history of minority ethnicity (non-white) and a diagnosis of cardiovascular disease

You may not qualify if:

• Patients with a personal history of white ethnicity Patients without a history of cardiovascular disease

Sponsors & Collaborators

• University of Nottingham: lead

Study Sites (1)

Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham Medical School at the Royal Derby Hospital, Derby, United Kingdom. DE22 3DT

Derby, DE22 3DT, United Kingdom

Location

Related Publications (15)

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  PMID: 12171455 BACKGROUND

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  PMID: 32200727 BACKGROUND

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  PMID: 9989541 BACKGROUND

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  PMID: 20124123 BACKGROUND

• Anand S, Bradshaw C, Prabhakaran D. Prevention and management of CVD in LMICs: why do ethnicity, culture, and context matter? BMC Med. 2020 Jan 24;18(1):7. doi: 10.1186/s12916-019-1480-9.

  PMID: 31973762 BACKGROUND

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  PMID: 27215828 BACKGROUND

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  PMID: 36119306 BACKGROUND

• Carbone ET, Rosal MC, Torres MI, Goins KV, Bermudez OI. Diabetes self-management: perspectives of Latino patients and their health care providers. Patient Educ Couns. 2007 May;66(2):202-10. doi: 10.1016/j.pec.2006.12.003. Epub 2007 Feb 27.

  PMID: 17329060 BACKGROUND

• Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, McQueen M, Budaj A, Pais P, Varigos J, Lisheng L; INTERHEART Study Investigators. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet. 2004 Sep 11-17;364(9438):937-52. doi: 10.1016/S0140-6736(04)17018-9.

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• Tariq O, Rosten C, Huber J. Experiences of living with type 2 diabetes in Pakistan: the role of culture and family in physical activity. Int J Equity Health. 2022 Jul 29;21(1):103. doi: 10.1186/s12939-022-01706-4.

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  PMID: 23151392 BACKGROUND

• Sasegbon A, Vasant DH. Understanding racial disparities in the care of patients with irritable bowel syndrome: The need for a unified approach. Neurogastroenterol Motil. 2021 May;33(5):e14152. doi: 10.1111/nmo.14152. Epub 2021 Apr 9.

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  PMID: 36368511 BACKGROUND

MeSH Terms

Conditions

Feeding Behavior; Cardiovascular Diseases

Condition Hierarchy (Ancestors)

Behavior, Animal; Behavior

Study Officials

• John PJ Frain

  Univeristy of Nottingham

  PRINCIPAL INVESTIGATOR

Central Study Contacts

John PJ Frain, MB ChB

CONTACT

+447831338172; john.frain@nottingham.ac.uk

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Clinical Skills and Medical Education

Study Record Dates

• First Submitted: June 22, 2026
• First Posted: June 26, 2026
• Study Start: July 6, 2026
• Primary Completion (Estimated): September 30, 2026
• Study Completion (Estimated): January 31, 2027
• Last Updated: June 26, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)