Co-Designing a Program to Lower Cardiovascular Disease Risk in Midlife Black Women.

Co-Designing a Program to Lower Cardiovascular Disease Risk in Midlife Black Women.
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DOI:
10.3390/ijerph19031356
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发表时间:
2022-01-26
影响因子:
--
通讯作者:
Butsch Kovacic M
Butsch Kovacic M
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Jones HJ;Bakas T;Nared S;Humphries J;Wijesooriya J;Butsch Kovacic M

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中年黑人妇女患心脏病和中风的比例高于年龄和人口结构相似的白色妇女。心血管疾病(CVD)和中风的风险在很大程度上被认为是可以改变的,但CVD预防和宣传活动在黑人妇女中的效果较差。对个人心血管疾病风险的认识降低与女性因心肌梗死症状而延迟到急诊室或医疗保健提供者有关。中年黑人妇女的压力和健康(B-SWELL)计划旨在提高中年黑人妇女对CVD风险因素,压力和健康生活方式行为的认识。在与现有的社区研究咨询委员会(C-RAB)的伙伴关系,材料开发和文化适应的B-SWELL计划。在成功开发B-SWELL材料之后,对B-SWELL方案进行了试验,从社区招募了中年黑人妇女作为样本。该计划由C-RAB成员共同主持。我们概述了用于成功地共同创建和试用B-SWELL计划材料的策略,并反映了与使用社区参与方法开发文化定制的心脏病预防计划相关的优势和挑战。
Midlife Black women suffer disproportionately from heart disease and stroke in comparison to White women of similar age and demographic. Risk for cardiovascular disease (CVD) and stroke is largely considered to be modifiable yet CVD prevention and awareness campaigns have been less effective among Black women. Decreased awareness of personal CVD risk is associated with delays in the presentation of women to the emergency room or health care providers for symptoms of myocardial infarction. The Midlife Black Women’s Stress and Wellness (B-SWELL) program was designed to increase awareness about CVD risk factors, stress, and healthy lifestyle behaviors among midlife Black women. In partnership with an existing Community Research Advisory Board (C-RAB), materials were developed and culturally adapted for the B-SWELL program. Following successful development of the B-SWELL materials, a trial of the B-SWELL program was conducted with a sample of midlife Black women recruited from the community. The program was co-facilitated by members of the C-RAB. We outline the strategies used to successfully co-create and trial the B-SWELL program materials and reflect on the strengths and challenges associated with the development of a culturally tailored heart disease prevention program using community participatory methods.
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