Lovoria B Williams1, Brandi Franklin2, Mary B Evans3, Chazeman Jackson4, Alethea Hill5, Michael Minor6. 1. Georgia Regents University, Augusta, Georgia. 2. University of Tennessee Health Science Center, Memphis, Tennessee. 3. Center for the Study of Community Health, University of Alabama Birmingham, Birmingham, Alabama. 4. U.S. Department of Health and Human Services, Office of Minority Health, Rockville, Maryland. 5. University of South Alabama, Mobile, Alabama. 6. National USA Foundation, Memphis, Tennessee.
Abstract
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.
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.
Authors: Karen H K Yeary; Kassandra I Alcaraz; Kimlin Tam Ashing; Chungyi Chiu; Shannon M Christy; Katarina Friberg Felsted; Qian Lu; Crystal Y Lumpkins; Kevin S Masters; Robert L Newton; Crystal L Park; Megan J Shen; Valerie J Silfee; Betina Yanez; Jean Yi Journal: Transl Behav Med Date: 2020-02-03 Impact factor: 3.046
Authors: Lewis L Hsu; Nancy S Green; E Donnell Ivy; Cindy E Neunert; Arlene Smaldone; Shirley Johnson; Sheila Castillo; Amparo Castillo; Trevor Thompson; Kisha Hampton; John J Strouse; Rosalyn Stewart; TaLana Hughes; Sonja Banks; Kim Smith-Whitley; Allison King; Mary Brown; Kwaku Ohene-Frempong; Wally R Smith; Molly Martin Journal: Am J Prev Med Date: 2016-07 Impact factor: 5.043
Authors: Monique L Anderson; Rachel Peragallo Urrutia; Emily C O'Brien; Nancy M Allen LaPointe; Alexander J Christian; Lisa A Kaltenbach; Laura E Webb; Angel M Alexander; Paramita Saha Chaudhuri; Juliana Crawford; Patrick Wayte; Eric D Peterson Journal: J Clin Hypertens (Greenwich) Date: 2017-01-06 Impact factor: 3.738