Lessons learned in community research through the Native Proverbs 31 Health Project.
Lessons learned in community research through the Native Proverbs 31 Health Project.
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DOI：
10.5888/pcd11.130256
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发表时间：
2014-04-17
影响因子：
5.5
通讯作者：
Bell RA
中科院分区：
文献类型：
--
作者：
Kimes CM;Golden SL;Maynor RF;Spangler JG;Bell RA
美国印第安人女性心血管疾病的发病率很高，这主要是因为她们高血压、糖尿病和肥胖症的患病率很高。这一人群心血管疾病相关行为的发生率很高，包括缺乏体育活动、有害烟草使用以及促进心脏病的饮食。建立健康行为改变以降低心血管疾病风险需要文化上适当的干预措施。这项研究是在北卡罗来纳州的罗伯逊县进行的，那里是伦比印第安人部落的传统故乡。这项研究的目标是为美国印第安人妇女和女孩开发、交付和评估基于社区的、文化上合适的心血管疾病计划。形成性研究，包括焦点小组、教会评估和文献综述，被用于干预发展。4个伦比教会(2个初级干预教会的妇女和11个女孩；2个延迟干预教会的82个妇女和8个女孩)在为期4个月的每周课程中由社区业馀健康教育人员指导。主题包括营养、体育活动和戒烟，并伴随着箴言31段中的信息，这段话描述了善良、虔诚的女人。在项目开始和结束时收集的调查测量了程序的影响和身体质量指数的变化。教堂非常乐于接受这一计划。然而，局限性包括出席人数增长缓慢，个人和教会日历的日程冲突，以及对改变文化传统的抵制。教会是在基督教人群中发展和实施健康促进计划的资源。通过教会伙伴关系，干预措施可以量身定做，以适应目标群体的需求。
American Indian women have high rates of cardiovascular disease largely because of their high prevalence of hypertension, diabetes, and obesity. This population has high rates of cardiovascular disease-related behaviors, including physical inactivity, harmful tobacco use, and a diet that promotes heart disease. Culturally appropriate interventions are needed to establish health behavior change to reduce cardiovascular disease risk. This study was conducted in Robeson County, North Carolina, the traditional homeland of the Lumbee Indian tribe. The study’s goal was to develop, deliver, and evaluate a community-based, culturally appropriate cardiovascular disease program for American Indian women and girls. Formative research, including focus groups, church assessments, and literature reviews, were conducted for intervention development. Weekly classes during a 4-month period in 4 Lumbee churches (64 women and 11 girls in 2 primary intervention churches; 82 women and 8 girls in 2 delayed intervention churches) were led by community lay health educators. Topics included nutrition, physical activity, and tobacco use cessation and were coupled with messages from the Proverbs 31 passage, which describes the virtuous, godly woman. Surveys collected at the beginning and end of the program measured programmatic effects and change in body mass index. Churches were very receptive to the program. However, limitations included slow rise in attendance, scheduling conflicts for individuals and church calendars, and resistance to change in cultural traditions. Churches are resources in developing and implementing health promotion programs in Christian populations. Through church partnerships, interventions can be tailored to suit the needs of targeted groups.
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影响因子：
5.5
作者：
Tussing-Humphreys, Lisa;Thomson, Jessica L.;Edmond, Emanuel
通讯作者：
Edmond, Emanuel
影响因子：
5.5
作者：
Galloway, JM
通讯作者：
Galloway, JM
影响因子：
3.3
作者：
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通讯作者：
Koffman, DM
影响因子：
1.3
作者：
Kaler, Sharpdeep Norry;Ralph-Campbell, Kelli;Toth, Ellen L.
通讯作者：
Toth, Ellen L.
影响因子：
5.5
作者：
Resnicow, K;Campbell, MK;Stables, G
通讯作者：
Stables, G