American Indians have a high prevalence of stroke risk factors, including hypertension, smoking, obesity, and Type 2 diabetes. We will implement FITSMI, a household-based intervention that encourages Native participants of all ages to set goals that will reduce the stroke risk of household members. The study facilitator will use a talking circle format to elicit household goals. Text messages will reinforce these goals during the intervention period.

Participating households will be randomized to receive either FITSMI or a control condition (educational brochures only). We will determine the effectiveness of FITSMI by comparing the two randomized groups with regard to:

  1. Reductions in stroke risk factors among household members ages 45 years and older
  2. Reductions in blood pressure and smoking among household members aged 11to 44 years.

Funding Agency: National Heart, Lung, and Blood Institute
Project Name: Innovative Multigenerational Household Intervention to Reduce Stroke and CVD (R01HL122148)
Project Years: 2014-2018
Partners: Three tribal communities in the Southwest and Midwest
Site Principal Investigator: Dr. Dedra Buchwald, Lonnie Nelson, PhD