The Effects of a Walking Program on Older Chinese American Immigrants With Hypertension: A Pretest and Posttest Quasi-Experimental Design
The Effects of a Walking Program on Older Chinese American Immigrants With Hypertension: A Pretest and Posttest Quasi-Experimental Design
复制标题
DOI：
10.1111/j.1525-1446.2009.00776.x
复制
发表时间：
2009-05-01
影响因子：
2.1
通讯作者：
Sun, Fan-Ko
中科院分区：
文献类型：
--
作者：
Chiang, Chun-Ying;Sun, Fan-Ko
众所周知，华裔美国人的高血压发病率很高。确定文化上特定的干预措施来减少久坐行为可能会有效降低高血压。本研究考察了有或没有文化改变的 8 周步行计划的效果。该研究采用 2 组、前测和后测、准实验设计。总共 128 名患有高血压的华裔美国移民被分配到步行组。结果显示，步行计划对参与者的血压或步行耐力没有显着影响。结果还显示，处于维持阶段的个体比处于准备阶段的个体行走时间更长。人口统计数据的比较显示，受教育程度较低的受试者每周步行分钟数较多，与受教育程度较高的受试者相比，这有助于降低该组的收缩压。这些结果表明，该步行方案在翻译成中文后，并伴有每周电话提醒以及与讲中文的护士的其他互动时，无需额外的文化修改即可使用。未来的研究应该考察中国文化的其他组成部分，或者应该更长时间地应用该协议。
Hypertension is known to have high rates among Chinese Americans. Identifying culturally specific interventions to reduce sedentary behavior may be effective in reducing hypertension. This study examines the effects of an 8-week walking program with and without cultural modification.The study used a 2-group, pretest and posttest, quasi-experimental design.A total sample of 128 Chinese American immigrants with hypertension were assigned to walking groups.The results showed that the walking program had no significant effects upon participant blood pressure or walking endurance. The results also revealed that individuals in the maintenance stage walked longer than those in the preparation stage. A comparison of demographic data showed that subjects with a lower level of education walked more minutes per week, which contributed to lower systolic blood pressures among this group as compared with those with a higher level of education.These results suggest that this walking protocol, when translated into Chinese and when accompanied by a weekly telephone reminder and other interactions with a Chinese-speaking nurse, is appropriate to use without additional cultural modification. Future research should examine other components of Chinese culture or should apply this protocol for a longer period of time.