TY - JOUR
T1 - Turn the Beat Around
T2 - A Stroke Prevention Program for African-American Churches
AU - Williams, Lovoria B.
AU - Franklin, Brandi
AU - Evans, Mary B.
AU - Jackson, Chazeman
AU - Hill, Alethea
AU - Minor, Michael
N1 - Publisher Copyright:
© 2016 Wiley Periodicals, Inc.
PY - 2016/1/1
Y1 - 2016/1/1
N2 - 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.
AB - 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.
KW - African-Americans
KW - Blood pressure
KW - Community health workers
KW - Intervention
KW - Religion
UR - http://www.scopus.com/inward/record.url?scp=84955720139&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84955720139&partnerID=8YFLogxK
U2 - 10.1111/phn.12234
DO - 10.1111/phn.12234
M3 - Article
C2 - 26404001
AN - SCOPUS:84955720139
SN - 0737-1209
VL - 33
SP - 11
EP - 20
JO - Public Health Nursing
JF - Public Health Nursing
IS - 1
ER -