{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T18:07:19Z","timestamp":1788890839616,"version":"build-2803163510"},"reference-count":53,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"National Institute on Minority Health"},{"name":"Health Disparities of the National Institutes of Health","award":["P50MD017342"],"award-info":[{"award-number":["P50MD017342"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Immigrants to the United States often face challenges from limited healthcare access and less healthy environments which contribute to rising obesity and cardiovascular risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the feasibility and effectiveness of a community-based social network intervention for cardiovascular risk reduction among Hispanic and Somali adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A social network-informed, community-based participatory research-derived health promotion intervention was delivered by Hispanic and Somali lay health promoters (HPs) to members of their social networks over 1 year (12 biweekly sessions in months 0-6; 12 biweekly check-ins in months 7-12). Using a closed-cohort stepped wedge cluster randomized design, social networks were randomly assigned to receive the intervention immediately or after a delay of 1 year. Measurements at baseline, 6 months, and 12 months were derived from 6 of the American Heart Association\u2019s \u201cLife\u2019s Simple 7\u201d: BMI, blood pressure, fasting glucose, cholesterol, physical activity and dietary quality (range 0-12, with higher values indicating lower cardiovascular risk). Waist circumference and proportion of participants who achieved &amp;gt;5% body weight loss were also assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four hundred seventy-five participants were enrolled among 51 HPs (29 Hispanic; 22 Somali). There was a statistically significant improvement in cardiovascular risk in the intervention group (n\u2009=\u2009246) compared with controls (n\u2009=\u2009229) at 6 months (0.4 [1.8] vs. \u22120.1 [1.7]; P\u2009=\u2009.03) that was not sustained at 12 months (0.5 [1.9] vs. 0.3 [1.8]; P\u2009=\u2009.38). There was a statistically significant higher proportion of participants who lost &amp;gt;5% of body weight in the intervention group compared with controls at 12 months (37% [15] vs. 18% [7.9]; P\u2009=\u2009.02). Reductions in weight and waist circumference in the intervention group compared with controls did not achieve statistical significance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A social network intervention, delivered by lay HPs was feasible and resulted in a modest improvement of cardiovascular risk and clinically significant weight loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trial Identification Number<\/jats:title>\n                    <jats:p>NCT05136339.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/abm\/kaag020","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T11:20:24Z","timestamp":1776079224000},"source":"Crossref","is-referenced-by-count":0,"title":["Social network intervention for cardiovascular risk reduction among Hispanic and Somali adults: a cluster randomized trial"],"prefix":"10.1093","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6166-3949","authenticated-orcid":false,"given":"Mark L","family":"Wieland","sequence":"first","affiliation":[{"name":"Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic , Rochester, MN 55904,","place":["United States"]},{"name":"Rochester Healthy Community Partnership , Rochester, MN 55904,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luz","family":"Molina","sequence":"additional","affiliation":[{"name":"Rochester Healthy Community Partnership , Rochester, MN 55904,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Goodson","sequence":"additional","affiliation":[{"name":"Rochester Healthy Community Partnership , Rochester, MN 55904,","place":["United States"]},{"name":"Alliance for Chicanos, Hispanics, and Latin Americans , 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Healthy Community Partnership , Rochester, MN 55904,","place":["United States"]},{"name":"Department of Psychiatry and Psychology, Mayo Clinic , Rochester, MN 55904,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abby M","family":"Lohr","sequence":"additional","affiliation":[{"name":"Rochester Healthy Community Partnership , Rochester, MN 55904,","place":["United States"]},{"name":"Department of Quantitative Health Sciences, Division of Epidemiology, Mayo Clinic , Rochester, MN 55904,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane W","family":"Njeru","sequence":"additional","affiliation":[{"name":"Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic , Rochester, MN 55904,","place":["United States"]},{"name":"Rochester Healthy Community Partnership , Rochester, MN 55904,","place":["United 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