Turn the Beat Around: A Stroke Prevention Program for African-American Churches
| Autor: | Chazeman S. Jackson, Alethea N. Hill, Mary B. Evans, Michael Minor, Lovoria B. Williams, Brandi E. Franklin |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Medical home Gerontology Health Knowledge Attitudes Practice medicine.medical_specialty Pilot Projects Health Promotion 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Humans Medicine 030212 general & internal medicine Stroke General Nursing Aged Community Health Workers business.industry Public health Religion and Medicine Weight change Public Health Environmental and Occupational Health Transtheoretical model Middle Aged medicine.disease Physical activity level Black or African American Blood pressure Alabama Feasibility Studies Female Health education business Program Evaluation |
| Zdroj: | Public Health Nursing. 33:11-20 |
| ISSN: | 0737-1209 |
| DOI: | 10.1111/phn.12234 |
| Popis: | Objective The objective was to pilot a socioculturally tailored church-based stroke prevention program delivered by trained community health workers (CHWs) and to test its effects on participant knowledge scores. Design and Sample A single-group, pre-post test pilot study was conducted with a convenience sample of 201 adult African-Americans recruited from nine churches in three Alabama counties. Measurements included participant weight, blood pressure (BP), physical activity level; knowledge related to hypertension, heart disease, and stroke; cigarette smoking; and access to care, as well as the Stages of Change constructs within the Transtheoretical Model. The intervention was a six-session group-based health education program delivered by trained CHWs. Measures Measurements included participant weight, blood pressure (BP), physical activity level; knowledge related to hypertension, heart disease, and stroke; cigarette smoking; and access to care, as well as the Stages of Change constructs within the Transtheoretical Model. The intervention was a six-session group-based health education program delivered by trained CHWs. Results From baseline to 12 weeks, knowledge increased significantly (p < .001). Systolic BP measures improved (p = .0008). More than half of participants lost weight; however, weight change did not reach significance (p = .1380). Most (87%) participants indicated having a medical home at baseline; at the end of the study the percentage increased to 92% (p = .0138). Conclusion A church-based intervention delivered by trained CHWs is feasible and may be a promising public health strategy to increase knowledge regarding hypertension and stroke prevention among African-Americans. |
| Databáze: | OpenAIRE |
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