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Complete Health Improvement Program (CHIP) (formerly the Coronary Health Improvement Project)

An Evidence-Based Practice

Description

The Complete Health Improvement Program (CHIP), formerly known as the Coronary Health Improvement Project, is a lifestyle intervention to reduce coronary risk factor levels. The program has been implemented in community-based, worksite-based, and medical settings. Community-based programming consists of 18 45-minute video lectures and a 45-minute class discussion. Worksite-based programming consists of 18 25-minute video lectures and 25-minute class discussions. The medical program is customized for specific disease groups. Educational sessions include nutrition workshops, food demonstrations, physical activity, and breakout sessions with physicians, nutritionists, and nurses. Following the initial programming, participants can attend monthly alumni meetings. Participants receive an individualized heart health screening report and referrals to health care providers.

Goal / Mission

The goal of the CHIP lifestyle intervention is to lower blood cholesterol, hypertension, and blood sugar levels and reduce excess weight.

Impact

CHIP has over 55,000 graduates worldwide and sustains adherence to the program guidelines through an active "ClubCHIP" member support organization.

Results / Accomplishments

In a pre- and post-test cohort study at six worksites in Rockford, IL, employees were evaluated at baseline and following 8 weeks of programming. Participants significantly improved healthful lifestyle knowledge (p < 0.01). All sites individually and collectively demonstrated significant reductions in body weight (p = 0.0001), body mass index (p = 0.0001), systolic and diastolic blood pressure (p's < 0.02), total cholesterol (p = 0.002), low-density lipoprotein cholesterol (p = 0.002), triglycerides (p = 0.04), and fasting blood glucose (p = 0.03). Men demonstrated greater improvement than women, and individuals who began with a higher baseline risk experienced the greatest reductions.

Over 25 peer-reviewed publications demonstrate significant reductions in chronic disease risk factors among CHIP participants. Visit http://www.chiphealth.com/About-CHIP/Scientific-Publications/ for more details on the most up-to-date results.

About this Promising Practice

Organization(s)
CHIP
Primary Contact
Complete Health Improvement Program (CHIP), USA offices
Lifestyle Medicine Institute, LLC
25805 Barton Rd, Bldg. A, Ste. 106
Loma Linda, CA 92354
(909) 796-7676
office@chiphealth.com
http://www.chiphealth.com
Topics
Health / Heart Disease & Stroke
Health / Physical Activity
Health / Wellness & Lifestyle
Organization(s)
CHIP
Source
Journal of Occupational and Environmental Medicine
Date of implementation
2000
Location
Rockford, IL
For more details
http://www.chiphealth.com/About-CHIP/Scientific-Pu...
http://www.ncbi.nlm.nih.gov/pubmed/12227675?itool=...
Target Audience
Adults

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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