Interventions for modern times: complex, collaborative, and culturally appropriate.

Approximately 1 in 3 adults in the United States has cardiovascular disease (CVD), and this burden is more pronounced in those who are socioeconomically disadvantaged and from certain minority ethnic groups.1 Modest sustained lifestyle adjustments can decrease CVD burden, but initiating and maintaining these changes is challenging. A complex interplay of patient, provider, and system factors causes and can provide solutions to reduce CVD risk. Addressing social determinants of health and shifting to a collaborative model in which the individual is supported and enabled to engage in their own health care is an increasing focus of policy, practice, and research.