BACKGROUND: Stroke is a disease with tremendous individual, family, and societal impact across all race/ethnic groups. Mexican Americans, the largest subgroup of Hispanic Americans, are at even higher risk of stroke than European Americans. AIM: To test the effectiveness of a culturally sensitive, church-based, multi-component, motivational enhancement intervention for Mexican Americans and European Americans in reducing stroke risk factors. METHODS:Participants enroll in family or friendship pairs, from the same Catholic church in the Corpus Christi Texas area, and are encouraged to change diet and physical activity behaviors and provide support for behavior change to their partners. Churches are randomized to either the intervention or control group. Goal enrollment for each of the 10 participating churches is 40 participant pairs. The intervention consists of self-help materials (including a motivational short film, cookbook/healthy eating guide, physical activity guide with pedometer, and photonovella), five motivational interviewing calls, two tailored newsletters, parish health promotion activities and environmental changes, and a peer support workshop where participants learn to provide autonomy supportive counseling to their partner. SHARE's three primary outcomes are self-reported sodium intake, fruit and vegetable intake, and level of physical activity. Participants complete questionnaires and have measurements at baseline, six months, and twelve months. Persistence testing is performed at 18 months in the intervention group. The trial is registered with clinicaltrials.gov (NCT01378780).
RCT Entities:
BACKGROUND:Stroke is a disease with tremendous individual, family, and societal impact across all race/ethnic groups. Mexican Americans, the largest subgroup of Hispanic Americans, are at even higher risk of stroke than European Americans. AIM: To test the effectiveness of a culturally sensitive, church-based, multi-component, motivational enhancement intervention for Mexican Americans and European Americans in reducing stroke risk factors. METHODS:Participants enroll in family or friendship pairs, from the same Catholic church in the Corpus Christi Texas area, and are encouraged to change diet and physical activity behaviors and provide support for behavior change to their partners. Churches are randomized to either the intervention or control group. Goal enrollment for each of the 10 participating churches is 40 participant pairs. The intervention consists of self-help materials (including a motivational short film, cookbook/healthy eating guide, physical activity guide with pedometer, and photonovella), five motivational interviewing calls, two tailored newsletters, parish health promotion activities and environmental changes, and a peer support workshop where participants learn to provide autonomy supportive counseling to their partner. SHARE's three primary outcomes are self-reported sodium intake, fruit and vegetable intake, and level of physical activity. Participants complete questionnaires and have measurements at baseline, six months, and twelve months. Persistence testing is performed at 18 months in the intervention group. The trial is registered with clinicaltrials.gov (NCT01378780).
Authors: M K Campbell; W Demark-Wahnefried; M Symons; W D Kalsbeek; J Dodds; A Cowan; B Jackson; B Motsinger; K Hoben; J Lashley; S Demissie; J W McClelland Journal: Am J Public Health Date: 1999-09 Impact factor: 9.308
Authors: Ken Resnicow; Alice Jackson; Ronald Braithwaite; Colleen DiIorio; Dhana Blisset; Simone Rahotep; Santhi Periasamy Journal: Health Educ Res Date: 2002-10
Authors: F M Sacks; L P Svetkey; W M Vollmer; L J Appel; G A Bray; D Harsha; E Obarzanek; P R Conlin; E R Miller; D G Simons-Morton; N Karanja; P H Lin Journal: N Engl J Med Date: 2001-01-04 Impact factor: 91.245
Authors: Lawrence J Appel; Catherine M Champagne; David W Harsha; Lawton S Cooper; Eva Obarzanek; Patricia J Elmer; Victor J Stevens; William M Vollmer; Pao-Hwa Lin; Laura P Svetkey; Sarah W Stedman; Deborah R Young Journal: JAMA Date: 2003 Apr 23-30 Impact factor: 56.272
Authors: B Thompson; W Demark-Wahnefried; G Taylor; J W McClelland; G Stables; S Havas; Z Feng; M Topor; J Heimendinger; K D Reynolds; N Cohen Journal: J Am Diet Assoc Date: 1999-10
Authors: Kathryn Pitkin Derose; Laura M Bogart; David E Kanouse; Alexandria Felton; Deborah Owens Collins; Michael A Mata; Clyde W Oden; Blanca X Domínguez; Karen R Flórez; Jennifer Hawes-Dawson; Malcolm V Williams Journal: AIDS Educ Prev Date: 2014-02
Authors: Devin L Brown; Kathleen M Conley; Brisa N Sánchez; Kenneth Resnicow; Joan E Cowdery; Emma Sais; Jillian Murphy; Lesli E Skolarus; Lynda D Lisabeth; Lewis B Morgenstern Journal: Stroke Date: 2015-09-15 Impact factor: 7.914
Authors: Lewis B Morgenstern; Brisa N Sánchez; Kathleen M Conley; Melany C Morgenstern; Emma Sais; Lesli E Skolarus; Deborah A Levine; Devin L Brown Journal: J Stroke Cerebrovasc Dis Date: 2016-06-21 Impact factor: 2.136
Authors: Mellanie V Springer; Kathleen M Conley; Brisa N Sanchez; Ken Resnicow; Joan E Cowdery; Lesli E Skolarus; Lewis B Morgenstern; Devin L Brown Journal: J Relig Health Date: 2021-03-09