Adaptation of an Evidence-Based Cardiovascular Health Intervention for Rural African Americans in the Southeast
| Autor: | Tiffany L. Young, Crystal W. Cené, Gaurav Dave, Sable Watson, Shirley McFarlin, Kia L. Davis, Giselle Corbie-Smith, Kiana Bess, Mysha Wynn, Leah Frerichs |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Gerontology
Adult Male Rural Population Community-Based Participatory Research Health (social science) Evidence-based practice Sociology and Political Science Psychological intervention Participatory action research Context (language use) Interpersonal communication Health Promotion Article Respect Education Interviews as Topic 03 medical and health sciences Intervention mapping 0302 clinical medicine Intervention (counseling) Humans 030212 general & internal medicine 030503 health policy & services General Medicine Focus Groups Focus group Southeastern United States Black or African American Cardiovascular Diseases Female 0305 other medical science Psychology Risk Reduction Behavior |
| Zdroj: | Prog Community Health Partnersh |
| Popis: | Background African Americans (AA) living in the southeast United States have the highest prevalence of cardiovascular diseases (CVD) and rural minorities bear a significant burden of co-occurring CVD risk factors. Few evidence-based interventions (EBI) address social and physical environmental barriers in rural minority communities. We used intervention mapping together with community-based participatory research (CBPR) principles to adapt objectives of a multi-component CVD lifestyle EBI to fit the needs of a rural AA community. We sought to describe the process of using CPBR to adapt an EBI using intervention mapping to an AA rural setting and to identify and document the adaptations mapped onto the EBI and how they enhance the intervention to meet community needs. Methods Focus groups, dyadic interviews, and organizational web-based surveys were used to assess content interest, retention strategies, and incorporation of auxiliary components to the EBI. Using CBPR principles, community and academic stakeholders met weekly to collaboratively integrate formative research findings into the intervention mapping process. We used a framework developed by Wilstey Stirman et al. to document changes. Results Key changes were made to the content, context, and training and evaluation components of the existing EBI. A matrix including behavioral objectives from the original EBI and new objectives was developed. Categories of objectives included physical activity, nutrition, alcohol, and tobacco divided into three levels, namely, individual, interpersonal, and environmental. Conclusions Intervention mapping integrated with principles of CBPR is an efficient and flexible process for adapting a comprehensive and culturally appropriate lifestyle EBI for a rural AA community context. |
| Databáze: | OpenAIRE |
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