Research Proposal:

Study of Heart Disease in Riverview, Florida

Timera N. Donald

Department of Public Health, University of North Florida

Instructor: Dr. Emily Moore

 HSC 4730: Public Health Research 

1 December 2020 
 Abstract

Cardiovascular disease is the leading cause of death. There needs be health programs that recruit

subjects that welcome all gender, race and ethical community to approach healthy education.

This programs will offer free education and screening test to subjects who are living in lower

social economic status area. Our study will be gathering data from taken surveys taken by a

group of 18-year-old and older, looking at the comparison of 18-34 age rand and 50 and above

age range. We want to see what group is more at risk for heart disease based on different social

economic Status, wanting to know if it Correlates with Heart Disease in Florida. Over the years

there has been many racial and ethnicity groups were heart disease was one of the leading cause

of death. In this study we want to promote that there are needs to be done to improve the health

care systems and the environment in all areas. There needs to be an increase of diversity of race

and gender to expand data and trails that will be collected. Respondents and subjects need to start

new healthy behavioral patterns to promote good health within the community. We want them to

be educated so the risk of heart disease is decreased. In the study we will include all genders;

male and female who are living in low socioeconomic status that are any race and ethnicity. We

are wanting the most accurate data so we are looking at the age group for this study of

population. We do not want any children involved in this study. During this 15 month process

the study plans to give out surveys that are anonymous for respondents to answer related to heart

disease and current health, contained with information about what is their accessibility to

transportation, and proximity to local grocery stores. The risk for this study is very low, giving

out false information can be leaked to the public and the studies data will not be 100% accurate.

This study will help gain knowledge and information on current conditions and future risk that
that play a part in developing heart disease. This will lead to positive changes in the community

to become healthier.

Social Economic Status Correlating with Heart Disease in Florida: A Literature Review

Heart disease, also known as cardiovascular disease, includes a wide range of conditions that

have an effect on the heart, such as blood vessels that are narrowed or blocked, chest pain and

arrhythmias. Any of these conditions can lead to a heart attack. The risk for heart disease

increases as a person grows older; for example, the average age for a stroke is 65 years old.

Every 36 seconds one person dies from heart disease in the United stated of America, which is 1

in 4 deaths. In Florida, approximately every 2 out of 10 deaths are associated with cardiovascular

disease. Many social determinants can lead to cardiovascular disease in all ages, especially

people over 50 years old.   

Social determinants are different types of characteristics that influence people’s emotion to

change the way they think and act. These determinants can vary from community,

communication, language, government, culture, environment, income and level of education.

Health is a worldwide organization that needs to update policies and improve health care for

everyone by changing the status of these social factors. Gathered evidence and measures were

taken from studies of population samples, such as surveys based on race, age, income, education

level, etc. to determine controlled and uncontrolled risk factors. The major social determinants

that correlate and have risk factors with people who have or had heart disease are education and

environment from having a certain income. The goal of this literature review is to look at the
gathered measures and information to make a change. While getting an understanding of how

income, environment and education play a significant role in developing cardiovascular disease.

Environmental Greenness to Heart Disease

In the research by Kefeng Wang et al., (2019), a specific study examined the relationship

between 4 different types of heart disease and measure of neighborhood greenness. The focus

was on 249 405 Medicare beneficiaries who were 65 years and older that were located in Dade

County, Miami, Florida. The researchers collected data from satellite imagery of the mean block-

level and the 4 heart disease diagnoses, which included ischemic heart disease, acute myocardial

infarction, atrial fibrillation and heart failure. Researchers then ranked people based on

neighborhood income, adjusting sociodemographic and risk factors. According to the study,

individuals that lived in lower income areas had the lowest tertile of greenness while those with

higher income had the highest tertile of greenness. The outcome of the study was that individuals

who lived in the lower income areas are mostly Hispanics, putting them at risk to develop

diabetes mellitus, hypertension, and hyperlipidemia. However, people who live in the higher

income areas are able to reduce the risk of getting all 4 types of heart disease.

The results of the study show neighborhood greenness is associated with less risk of heart

disease. Compared with the lowest tertile of greenness, the highest tertile of greenness was

associated with reduced odds of acute myocardial infarction by 25% (odds ratio, 0.75; 95% CI,

0.63–0.90), ischemic heart disease by 20% (odds ratio, 0.80; 95% CI, 0.77–0.83), heart failure by

16% (odds ratio, 0.84; 95% CI, 0.80–0.88), and atrial fibrillation by 6% (odds ratio, 0.94;

95% CI, 0.87–1.00). (Wang et al., 2019) This study indicates that healthy greenness reduces risk

for conditions that lead to heart disease.

 Income to Heart Disease

Income in a low household has increased heart disease by 37% in lower and middle class

groups. Income determines a community’s opportunity and healthcare services. Socioeconomic

conditions experienced by communities with low incomes resumes to affect their health,

especially ones that are older than 50 and families with children. These low income areas suffer

from poor quality care from customer service and poor health care outcomes from health

providers. Studies show that this behavior comes from extrinsic factors; which are factors that

are out of the clinician’s control that effects the facilities environment and job satisfaction.

(Katherine Tumlinsonnet al., 2019) For example, unreliable electricity, lacking of water, not

enough critical supplies and equipment. In research by (Katherine Tumlinsonnet al., 2019) states

due to many poor facility infrastructures “it can make it difficult to maintain high performance

standards when faced with the reality of not having the necessary tools or resources to deliver

services” People with heart disease in low-come areas have a disadvantage for knowing if they

have heart disease until it is to late. People in these communities have less of a chance of being

screened for heart disease along with risk factor counseling. For example, getting their blood

pressure and cholesterol checked often; counseling to improve their overall health diet. The

overall goal is to help public health improve the quality and equality.

Discussion

The social determinant education level has an impact on people who have or have had heart

disease. It is 52% more likely for low income residents to have heart disease (Lemstra Mark et

al.,2015). Researchers studied 3 different behavior sample groups to see if income had an effect

on families developing unhealthy behavioral risk factors that lead to heart disease. People with

an income of $29,999 or less experience more stress and are most likely to smoke daily with
little to no physical activity. They often do not eat the proper amounts of veggies or drink enough

water. If people in low income housing were educated regarding nutrition, they might be at less

risk of heart disease. Being educated is when one is processing information to attain the

knowledge received in order to behave a certain way. Education can come from schools, homes,

and community. When it comes to “health” and people being healthy or trying to change their

lifestyle to be healthy it is a challenge for them to make that change. Due to the fact they do not

know where to start or where to go. Around the community there needs to easy access to the

resources that are available to help benefit people. People do not have the knowledge of what is

around them to help them so they cannot achieve their goal and the country’s goal; which is to be

healthy. There needs to be more promoting these resources in a way people want to learn more

about the pros of a healthy life style. They need to know what to do and what not to do to stay

healthy even being low income. They need pictures and understandings of what can happen if

they don’t stop bad behavioral risk. Once they get the understanding they has a union they can

take it upon themselves to make the areas around them more aware to healthy options. For

example, neighborhoods can start building their own tress, plants and gardens for fresh fruits and

veggies; to sale at a cheaper rate than inside stores or even for free to people with low income.

There should be more boosting the amount of greenness in those areas will help with population

growth. (Kefeng Wang et al.,2019)

Conclusion

In conclusion, yes socioeconomic status is associated with heart disease in Florida from the

studies and data collected determined that income, environment and education are the top social
determinates that have a large impart on the developing risk for heart disease. People who live in

low income areas lack in opportunities and have disadvantages in healthcare that lead to bad

health behaviors from built up from stress and not being uneducated. Also, where these low-

income areas in Florida they do not have resources they need to live the proper day to day life

style. There needs to be more greenness in the environment in the neighborhoods; this will

promote exercise and garden and plant growing for the community. In schools there needs to be

more education about healthy behavioral habits. Education is very important and has a large

impact. It is important that people overall understand that their health starts with them and they

can make a difference in the overall health care system.

Research Question/Hypothesis

The researched question that has been purposed is: How does social economic status correlate

with people who have or had heart disease in Riverview, Florida? People who experience lower

social economic status are at a higher risk to develop heart disease than people who tend to live

in higher social economic status areas.

Pilot Study

Has of the 2nd of November, 2020 our group generated a survey that was eleven questions and

was held anonymous. Our study was managed by Professor Dr. Emily Moore and Microsoft

forms. This survey our group created was then sent out to the class to answered and analyzed.

We had a total of fifty-two participants between the ages 18-34 years of age. Our respondents

were able to answer all of our questions that pretend to heart disease and different social

economic factors, such as finances, employment, transportation life style.

 Preliminary Data Summary

Of the survey for our study respondents were, thirty-three (63%) were white or Caucasian,

seven (13%) were African-American, six (11.5%) did not state, four (7.6%) were Asian and two

(3.8%) were Native Hawaiian. Most (83%) of the respondents were between the ages of 18-34.

In our survey respondent’s transportation included, fifty-two (98%) have their car has their

transportation and one (0.2%) uses a bicycle. Of the survey respondents, thirteen (25%) work 11-

20 hours a week, sixteen (30.7%) work 21-30 hours a week, fourteen (26.9%) work 31-40 hour

per week, three (.57%) work 0-1- hours per week and six (11.5%) work 41+ hours a week.

Based on what we found from my preliminary data set, most of the findings were not out the

norm or surprising at all. The data included that 11.5% of respondents work about 41 plus hours

per week. Most of the time workplaces do not allow employs to work over 30 hours a week. You

really do not see a lot of people going over 30 hours a week unless they are higher in

management because 41+ hours are a lot. I found out that most respondents (27%) work around

21-20 hours per week. These findings are the average working hours of most people. There was

one respondent that uses a bicycle for transportation while most people use cars to get to A to B;

to this information this person does not live far from places that are essential to him/her. For

example, work, grocery store, school and etc.

In conclusion, in this data set showed that most respondents (83%) are between the ages 18-34.

While a lot of them live very close to the grocery store that is local to them. The local stores are
around a mile or less, this helps them save time and money. They can go to the store coming

from work without using extra gas going out of their way. Respondents can save even more gas

by walking and getting exercise while making a trip to the store. In conclusion, my findings have

proven that they are beneficial to heart disease.

 Preliminary Data Visualizations

Graph of the frequency of survey respondents to miles to the store

 Graph of the frequency of survey respondents to hours worked

Bar Chart of the frequency of survey respondents for miles to the store
 Bar Chart of the frequency of survey respondents for hours worked

Research Methods

Cross-Section

Is there a correlation between cardiovascular disease and food deserts amongst the population of

people of that are of the age of 50 and over in Riverview, Florida based on economic stability,

neighborhood and environment, and health and healthcare?

Case-control

Our study will be gathering data from taken surveys taken by a group of 18-year-old and older,

looking at the comparison of 18-34 age rand and 50 and above age range. We want to see what

group is more at risk for heart disease based on different social economic Status, wanting to

know if it Correlates with Heart Disease in Florida. We are wanting to develop and promote

healthy habits by providing the community with education and data found by the surveys.

Retrospective
Participants will benefit from the research, they will gain a better understanding of their

condition and the possible risk factors that may have contributed. This will lead to positive

changes within the community that will be beneficial to the health of not just those with heart

disease.

Risk

For the respondents who take the survey, there are also some potential risks of the

procedure. The social and legal risks within the survey could be from participates giving out

false information on their personal survey, which can lead to incorrect data or the survey itself

being leaked for public view. One thing as a study we can provide is to make the survey

confidential, by having an option for anonymous surveys. This would help our procedure be

confidential and keep privacy for the participants taking the survey. Overall, the risk level is very

low, and there are no physical, psychological, or financial risks. 

Longitudinal

The study would take place for about 15 months

Data Analysis (subsection)

In our study I plan on looking at our data comparing and contrasting graphs, bar chats and etc.

from collected data from the study’s survey. I will be looking at what and how has

socioeconomic have such an impact on certain areas. Our study will be continuing to prove the

relationship it has with the risk of developing heart disease. We are looking to see what group is

more at risk for heart disease caused by social economic status and what needs to change.

Data Dissemination Plan

Our study will be giving information out in community health programs to address the risk and

lack of opportunities that are given in certain areas. We are wanting to educate the community

about the risk of heart disease and ways to prevent it. Our study will be presented in conferences

and government to promote that no matter what socioeconomic is affecting your health there is

always a way to maintain health. There needs to be healthy habits program around all

communities; like getting free screening and labs ran.

References

Al-Turk, B., Harris, C., Nelson, G., Smotherman, C., Palacio, C., & House, J. (2018).
Poverty, a risk factor overlooked: A cross-sectional cohort study comparing poverty rate
and cardiovascular disease outcomes in the state of florida. Journal of Investigative
Medicine : The Official Publication of the American Federation for Clinical Research,
66(3), 693-695. doi:10.1136/jim-2017-000621

A., Evans, M. K., & Zonderman, A. B. (2016). Race, Neighborhood Economic Status, Income
Inequality and Mortality. PLOS ONE, 11(5), e0154535.
https://doi.org/10.1371/journal.pone.01545358

Anderson, L. M. (n.d.). Community coalition‐driven interventions to reduce

health disparities among racial and ethnic minority populations. Cochrane Database of
Systematic Reviews, 6.

Barbour, N., Zhang, Y., & Mannering, F. (2020). An exploratory analysis of the role of
socio-demographic and health-related factors in ridesourcing behavior. Journal of
Transport & Health, 16. https://doi.org/10.1016/j.jth.2020.100832

Batty, G. D. (2002). Physical activity and coronary heart disease in older adultsA
systematic review of epidemiological studies. European Journal of Public Health, 12(3),
171-176. doi:10.1093/eurpub/12.3.171

Berk-Clark, C., Doucette, E., Rottnek, F., Manard, W., Prada, M. A., Hughes, R.,
Lawrence, T., & Schneider, F. D. (2018). Do Patient-Centered Medical Homes Improve
Health Behaviors, Outcomes, and Experiences of Low-Income Patients? A Systematic
Review and Meta-Analysis. Health Services Research, 53(3), 1777.

Brown, R. L. (2015). Perceived Stigma Among People With Chronic Health Conditions:
The Influence of Age, Stressor Exposure, and Psychosocial Resources. Research on
Aging, 37(4), 335.

Carson, A. P., Rose, K. M., Catellier, D. J., Diez-Roux, A. V., Muntaner, C., & Wyatt, S.
B. (2009). Employment Status, Coronary Heart Disease, and Stroke Among Women.
Annals of Epidemiology, 19(9), 630–636.
https://doi.org/10.1016/j.annepidem.2009.04.008

Chiara Ardito, Roberto Leombruni, Michele Mosca, Massimiliano Giraudo, & Angelo
d’Errico. (2017). Scar on my heart: effects of unemployment experiences on coronary
heart disease. International Journal of Manpower, 38(1), 62–92.
https://doi.org/10.1108/IJM-02-2016-0044

Craddock, J. C., Pignataro, R. M., & Daramola, C. O. (2016). Athletic Trainers and the
National Health Agenda: Promoting Health Behavior Change. Clinical Kinesiology
(Online Edition), 44–51.

GOLDWATER, L. J. (1953). Heart disease in relation to employment. Journal of the

National Medical Association, 45(1), 21–24.

Katherine Tumlinson, Dilshad Jaff, Barbara Stilwell, Dickens Otieno Onyango, &
Kenneth L. Leonard. (2019). Reforming medical education admission and training in
low- and middle-income countries: who gets admitted and why it matters. Human
Resources for Health, 17(1), 1–6. https://doi.org/10.1186/s12960-019-0426-9

Kefeng Wang, Lombard, J., Rundek, T., Chuanhui Dong, Gutierrez, C. M., Byrne, M. M.,
… Yi, L. (2019). Relationship of Neighborhood Greenness to Heart Disease in 249 405
US Medicare Beneficiaries. Journal of the American Heart Association, 8(6), 1–9.
https://doi.org/10.1161/JAHA.118.010258

Kelli, H. M., Kim, J. H., Samman Tahhan, A., Liu, C., Ko, Y., Hammadah, M., . . .
Quyyumi, A. A. (2019). Living in food deserts and adverse cardiovascular outcomes in
patients with cardiovascular disease. Journal of the American Heart Association, 8(4),
e010694. doi:10.1161/JAHA.118.010694

Knapper, J. T., Ghasemzadeh, N., Khayata, M., Patel, S. P., Quyyumi, A. A., Mendis,
S., . . . Sperling, L. S. (2015). Time to change our focus: Defining, promoting, and
impacting cardiovascular population health. Journal of the American College of
Cardiology, 66(8), 960-971. doi:10.1016/j.jacc.2015.07.008
McAndrews, C., & Deakin, E. (2020). Public health sector influence in transportation
decision-making: The case of health impact assessment. Case Studies on Transport
Policy, 8(3), 1116–1125. https://doi.org/10.1016/j.cstp.2018.02.002

Messiah, A., Castro, G., Rodríguez de la Vega, P., & Acuna, J. M. (2014). Random
sample community-based health surveys: does the effort to reach participants
matter? BMJ Open, 4(12), e005791. https://doi-org.dax.lib.unf.edu/10.1136/bmjopen-
2014-005791

Mode, N. A., Evans, M. K., & Zonderman, A. B. (2016). Race, Neighborhood Economic
Status, Income Inequality and Mortality. PLOS ONE, 11(5), e0154535.
https://doi.org/10.1371/journal.pone.0154535

Morris, P. B., Ference, B. A., Jahangir, E., Feldman, D. N., Ryan, J. J., Bahrami, H., …
Benowitz, N. L. (2015). Cardiovascular Effects of Exposure to Cigarette Smoke and
Electronic Cigarettes. Journal of the American College of Cardiology, 66(12), 1378–
1391. https://doi.org/10.1016/j.jacc.2015.07.037

Appendices

Pilot Study survey

Pilot Study Codebook

Survey Variables Categories

Question
survey question Names Label Code Label
number
Participant in
1 What is your age? Age 1 18-24
years
2 25-34
3 35-44
4 45-54
5 55-64
6 65 and older
Which ethnicity do you Participant's
2 Ethnicity
most identify with? ethnicity
1 Caucasian
African
2
American
American Indian
3 or Alaskan
Native
 4 Asian
Native Hawaiian
5 or Other Pacific
Islander
6 White
Prefer to self-
7
describe
"Prefer not to
8
say
"
Have you ever been
Hrt Disease Heart Disease
3 diagnosed with heart
Diag Diasnosis
disease
0 No
1 Yes
When were you
Hrt Disease Heart Disease
4 diagnosed with heart
Diag Date Diasnosis Date
disease?
Do you have access to a
5 Gym Access Acess to a gym 0 No
gym/workout facility?
1 Yes
How often do you seek
medical attention for Medical Check-
6 Med Chk ups
routine check-ups or ups
other health concerns?
Often (6+ times
1
per year)
Sometimes (3-5
2
times per year)
Rarely (once a
3
year)
4 Never
What mode of
7a transportation do you Trans Transportation
normally use?
Car/other
1
personal vehicle
2 Bus
3 Bicycle
4 None (walk)
What mode of
Transportation
7b transportation do you Trans_Other TEXT
Other
normally use? *TEXT*
8 How many hours Hrs per wk Hours per week 1 0-10 hours/week
 (average) do you work
each week?
11-20
2
hours/week
21-30
3
hours/week
31-40
4
hours/week
5 41+ hours/week
Which of these
categories best describes
your total combined
family income
9 Yr Income Yearly Income 1 Less than 25,000

for your household for

the past 12 months?
2 25,000-49,999
3 50,000 - 99,999
4 100,000 or more
Not sure/Don’t
5
know
Decline to
6
respond
How far away is the Grocery Store
10 Grocy Mil 1 Less than 1 mile
nearest grocery store? Miles
2 "1-5 miles
"
3 6-10 miles
4 11-20 miles
5 21 miles or more
Where do you typically Farmer's market
11a Food Shop Food Shop 1
shop for food? (local)
Publix,
WalMart,
2
Target, or Winn
Dixie (grocer)
Sam's Club or
3 Costco (big box
stores)
Where do you typically Food Food Shop
11b TEXT
shop for food? *TEXT* Shop_Other Other
 Human Subjects

Basic Information about the study 

            Florida is facing a hindrance with heart disease claiming the lives of two out of every ten

Floridians (Florida Department of Health [FLDH], 2020). In 2018 there were an average of 220

coronary heart disease hospitalizations each day (FLDH, 2020). Heart disease prevents the heart

from functioning at the level needed to meet the body's demands when it is ill (America's Health

Rankings, 2020). Also, People with severe heart conditions are at high risk for developing a

painful disease from coronavirus (COVID-19) (America's Health Rankings, 2020). Furthermore,

America's Health Rankings states that Coronary artery disease has the highest associated indirect

cost of all cardiovascular diseases (America's Health Rankings, 2020). Some of the risk factors

for heart disease are family history, physical inactivity, obesity, diabetes, poor diet, and

excessive alcohol use (America's Health Rankings, 2020). Some compelling evidence has also

shown that adults with an annual income of less than $25,000 are two and half times more likely

to develop heart disease than adults with a yearly income of $75,000. Therefore, our study, Food

Deserts in Riverview, Florida: Disparities among Different Demographics, focuses on the

methodological gaps by analyzing the correlation among communities' socio-demographic

attributes and access to different food outlets in Riverview, Florida.

            Our specific research question for our investigation was: is there a correlation between

cardiovascular disease and food deserts amongst people of 50 and over in Riverview, Florida,

based on economic stability, neighborhood and environment, and health and healthcare? Data
was collected through internet-based surveys. We used frequency charts to report how many

participants in the study were ever diagnosed with heart disease. After analyzing the data, we

were able to determine if we surveyed the correct age demographic. We utilized data from

specific locations where grocery stores were located and socio-demographic information. We

also gathered information about age and location. Since this was a cross-sectional study, we will

maintain confidentiality by not collecting any personally identifiable information. We will need

full board approval from the IRB because our proposal involves human subjects, and personal

data will be analyzed. However, since this is a subset project, we may be exempt from review.

Still, most institutions do not allow researchers to declare that their projects do not need to be

reviewed. Exemption usually involves a formal process of having the IRB confirm that a project

meets the exemption criteria (Jacobson, 2017, p. 204).  

The Study Population Characteristics

Inclusion Criteria 

 In our study population, we plan to include male and female participants who have a low

socioeconomic status and are of any race and ethnicity. We will include participants that are of

the age range of 50 and above so we can ensure that we are studying the most accurate age group

for this study population. The reason for the 65+ age group is because we are studying if these

male and female participants that have a lower socioeconomic status will have also had heart

disease.  

Exclusion Criteria 

Children, young adults, and middle-aged people will not be considered for this study.

This study requires participants to be 65 years or older and to have a low socioeconomic status.
If they have a low socioeconomic status, but are under the age of 65, they cannot be considered.

This age group is very important to the study because this is when the onset of heart disease can

start to show. In order to get the subjects to participate in our study, we will offer a

reimbursement for travel expenses including parking and transportation. Once the participants

have accepted the offer to be in our study, they will provide us with receipts of their expense, and

we will reimburse them after the study is complete. Children are not included in this study due to

them not being exposed to heart disease.  

The Protection of subjects 

Risk to Human Subjects 

            For the planned research procedures involving the study subjects, we planned out

our survey and had participates fill out questions related to heart disease and physical

health. There were also questions that contained information on things like accessibility to

transportation, and proximity to local grocery stores. Within taking the survey, there are also

some potential risks of the procedure. The social and legal risks within the survey could be

from participates giving out false information on their personal survey, or the survey itself being

leaked for public view. Although one thing as a group that we could do to keep the survey

confidential, would be having an option for anonymous surveys. This would help our procedure

be confidential and keep privacy for the participants taking the survey. Overall, the risk level is

very low, and there are no physical, psychological, or financial risks. 

Potential Benefits of the Proposed Research to Research Participants and Others

            Participants of the study will benefit from the research in that they will gain a better

understanding of their condition and the possible risk factors that may have contributed.

Another benefit of the research is that it will hopefully lead to positive changes within the
community that will be beneficial to the health of not just those with heart disease, but also to

others living in Riverview, Florida. Participants will have the satisfaction in knowing that they

took an active role in their health and helped to improve the quality of life for themselves and

other members of the community. These benefits outweigh the risks associated with participating

in the research because without this research, residents of Riverview, Florida will not see the

changes that need to be made in order to live a healthier life and decrease other’s risk for heart

disease.  

Consent

INFORMED CONSENT FORM

to Participate in Research, and

AUTHORIZATION
to Collect, Use, and Disclose Protected Health Information (PHI)

Title of this study: Study of Heart Disease in Riverview, Florida

Researchers: Timera Donald, Kaitlind Luken, Damaris Mercado, Joshua Prather,

Christopher Chalas

You are being asked to participate in a research study.

Before you agree to take part in this study, Timera Donald
or his/her representative will tell you:

 Why the study is being done and what will happen to you if you take part in the
study:

Our study will collect data from a survey on women, men and minorities. This
will determine what women in what group are more at risk. Over the years the
population of 65 year old women for many racial and ethnicity groups hearth
disease was the leading cause death. There needs to be a change in the policy
and environment and health care management. There needs to be more
 diversity by race and sex when it comes to data/trials. Also, the subjects need
to develop personal healthy behavioral patterns that promotes good health.
Having subjects educated about the importance of their health is key. This can
lead to lower risk population; which is the goal.  

 How long you will be in the study:

15 months is how long you will be in the study beside records and results.

 How many people will be in the study:

 In our study population, we plan to include male and female participants who
have a low socioeconomic status and are of any race and ethnicity. We will
include participants that are of the age range of 50 and above so we can ensure
that we are studying the most accurate age group for this study population. The
reason for the 65+ age group is because we are studying if these male and
female participants that have a lower socioeconomic status will have also had
heart disease. Children and middle- aged people are not going to be involved or
participate in this study.

 The possible foreseeable risks, discomforts, and benefits of this research:  

For the planned research procedures involving the study subjects, we

planned out our survey and had participates fill out questions related to heart
disease and physical health. There were also questions that contained
information on things like accessibility to transportation, and proximity to local
grocery stores. Within taking the survey, there are also some potential risks of
the procedure. The social and legal risks within the survey could be
from participates giving out false information on their personal survey, or the
survey itself being leaked for public view. Although one thing as a group that we
could do to keep the survey confidential, would be having an option for
anonymous surveys. This would help our procedure be confidential and keep
privacy for the participants taking the survey. Overall, the risk level is very low,
and there are no physical, psychological, or financial risks. 

 Alternatives to being in the study:

Cardiovascular disease is the leading cause to minority. To recruit these subjects

there needs to be a gender, racial and ethical community health programs based
approaches. These programs will be offering free screening and Education of
 cardiovascular diseases to address the risk and lower disadvantages based on
minorities.  

 How your study records will be maintained and who will have access:

Demographic, salary and surveys. Researchers will have direct access to the
records and the population/public will have results.

 If it will cost you anything to take part in this study:

It would cost you nothing to patriciate in this study.

 When or if you may be told about new findings which may affect your willingness
to keep taking part in this study:

Participants of the study will benefit from the research in that they will gain a
better understanding of their condition and the possible risk factors that may
have contributed. Another benefit of the research is that it will hopefully lead to
positive changes within the community that will be beneficial to the health of not
just those with heart disease, but also to others living in Riverview,
Florida. Participants will have the satisfaction in knowing that they took an active
role in their health and helped to improve the quality of life for themselves and
other members of the community. These benefits outweigh the risks associated
with participating in the research because without this research, residents of
Riverview, Florida will not see the changes that need to be made in order to live
a healthier life and decrease other’s risk for heart disease.  
 

If you agree to participate in this study, you will be given a signed copy of this
document.

You may contact Timera Donald at (888) 888-8888 at any time if you have questions
about the research or if you think that you have been hurt by the research.

You may contact the Institutional Review Board at the University of Mid-Florida Health
Science Center at (999) 999-9999 if you have questions about your rights as a research
subject or what to do if you are injured.

You may choose not to be in this study or you may quit being in the study at any time
and there will be no penalty and no loss of any benefits you are entitled to.
If you agree to participate in this study, Timera Donald will create, collect, and use private
information about you and your health. This information is called protected health
information or PHI. In order to do this, the Principal Investigator needs your authorization.

More specifically, the following information may be collected, used, and shared with
others:

 Within the researchers who are at study and the results collected will be shared
with the population.

This information will be stored in locked filing cabinets or in secure computer servers with
security passwords.

Your PHI may be collected, used, and shared with others for the following study-related
purpose(s):

 To determine

Once this information is collected, it becomes part of the research record for this study.

Only certain people have the legal right to collect, use and share your research records,
and they will protect the privacy and security of these records to the extent the law allows.
These people include:

 the study Principal Investigator, and research staff associated with this project.
 other professionals at the University that provide study-related treatment or
procedures

 University of Mid-Florida Institutional Review Board (IRB; an IRB is a group of

people who are responsible for looking after the rights and welfare of people
taking part in research).

Your PHI may be shared with:

 Sponsor
  United States and foreign governmental agencies who are responsible for
overseeing research, such as the Food and Drug Administration, the Department
of Health and Human Services, and the Office of Human Research Protections

 Government agencies who are responsible for overseeing public health concerns
such as the Centers for Disease Control and federal, state and local health
departments

Otherwise, your research records will not be released without your permission unless
required by law or a court order. It is possible that once this information is shared with
authorized persons, it could be shared by the persons or agencies who receive it and it
would no longer be protected by the federal medical privacy law.

Your PHI will be used and shared with others until the end of the study (or alternative).

Once this research study is completed, any information that could identify you might be
removed from any identifiable private information or identifiable biospecimens collected
and that, after such removal, the information or biospecimens could be used for future
research studies or distributed to another investigator for future research studies without
additional informed consent from you or your legally authorized representative.

You are not required to sign this consent and authorization to allow researchers to collect,
use and share your PHI. Your refusal to sign will not affect your treatment, payment,
enrollment, or eligibility for any benefits outside this research study. However, you cannot
participate in this research unless you sign this consent and authorization.

You have the right to review and copy your protected health information. However, we
can make this available only after the study is finished.

You can revoke your authorization at any time before, during, or after your participation in
this study. If you revoke it, no new information will be collected about you, but information
that was already collected may still be used and shared with others if the researchers
have relied on it to complete the research. You can revoke your authorization by giving a
written request with your signature on it to the Principal Investigator.

Signing this document means that the research study, including the above information,
has been described to you orally and/or that you have read this document, and you
voluntarily agree to take part.

________________________________ ______________
Signature of Person Obtaining Consent Date
________________________________ ______________
Consent and Authorization of Patient Date

Budget and timeline

Budget

Personnel Salary Benefits % time Total

Researcher: $40,000 Creator & works 25% 100%

Timera Donald on survey and
distribution
Researcher: $40,000 Creator & works 25%
Kaitlind Luken on survey and
distribution
Researcher: Josh $40,000 Creator & works 25%
Prather on survey and
distribution
Researcher: Chris $40,000 Creator &works 25%
Chalas on survey and
distribution
Researcher: $40,000 Creator & works 25%
Damaris Mercado on survey and
distribution
Other Expenses $10,000 Food and drink 10%
and lodging
Equipment and
Supplies
Paper, Pens, $200 For participants 30%
Pencils, Printer, and writing
Sticky Notes utensils to fill out
the survey
Tables, Desk, $800 A place where 5%
chairs, Fridge, surveys can be
shelves, Cabinets taken and places
for them to be
filled
 Communications
Wifi, Computers, 5,000 Being able to 5%
phones, television create content
graphs and charts
Travel

Plane/Bus & Train 2,000 To travel to 10%

Tickets Riverview,Florida
Other costs
Rented location of $5,000 A place where the 40% 100%
where the surveys survey is taken
will take place 15 place for 15
months months
Total Direct Costs $223,000
Total Indirect $7,350 Utilities in the
Costs building and rent
and etc.

Total Requested $230,350 The total amount

of money that will
support create
and analyze the
survey.

Research Timeline
2021 2022
J F A J J A S O N D J F A J J A S O N D
Activit M M M M
a e p u u u e c o e a e p u u u e c o e
y ar ay ar ay
n b r n l g p t v c n b r n l g p t v c
Starting
on the
survey
informa
tion
Gatheri
ng
literatur
e on
heart
disease
Finalizi
ng the
goals
and
purpose
Mark
the
actual
survey
Finding
100
particip
ants
Have
the first
100
take the
survey
Analyz
e data
Create
graphs,
charts
and
analyze
data
Create
and
revise
purpose
and
grant
proposa
l
Submit
and
finalize

Map/legend