Impact of targeted health promotion on cardiovascular knowledge among American Indians and Alaska Natives
Impact of targeted health promotion on cardiovascular knowledge among American Indians and Alaska Natives
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DOI：
10.1093/her/cyt054
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发表时间：
2013-06-01
影响因子：
2.4
通讯作者：
Beals, Janette
中科院分区：
文献类型：
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作者：
Brega, Angela G.;Pratte, Katherine A.;Beals, Janette
国家心脏，肺和血液研究所开发了“尊重心脏健康礼物”（HGHH）课程，以促进美洲印第安人和阿拉斯加原住民（AI/AN）的心血管知识和心脏健康生活方式。使用一项旨在降低超重/肥胖AI/AN中糖尿病和心血管疾病（CVD）风险的小型随机试验的数据，我们评估了适应性HGHH课程对心血管知识的影响。我们还评估了该课程是否在各级健康素养（定义为“获得，处理和理解做出适当健康决策所需的基本健康信息和服务的能力”）中有效。我们检查了两组从基线到3个月的知识变化：HGHH（N = 89）和对照组（N = 50）。与对照组相比，HGHH参与者在心脏病发作知识方面有显着改善，在中风和一般CVD知识方面有轻微显着改善。HGHH参与者参加>= 1类显示出显着更大的改善比对照组的所有三个措施。虽然健康素养不足的HGHH参与者在基线和3个月时的心脏病发作和中风知识比有足够技能的参与者更差，但知识的改善程度并不因健康素养水平而异。HGHH似乎可以提高AI/AN之间的心血管知识，跨越健康素养水平。
The National Heart, Lung, and Blood Institute developed the Honoring the Gift of Heart Health (HGHH) curriculum to promote cardiovascular knowledge and heart-healthy lifestyles among American Indians and Alaska Natives (AI/ANs). Using data from a small randomized trial designed to reduce diabetes and cardiovascular disease (CVD) risk among overweight/obese AI/ANs, we evaluated the impact of an adapted HGHH curriculum on cardiovascular knowledge. We also assessed whether the curriculum was effective across levels of health literacy (defined as the 'capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions'). We examined change in knowledge from baseline to 3 months for two groups: HGHH (N = 89) and control (N = 50). Compared with controls, HGHH participants showed significant improvement in heart attack knowledge and marginally significant improvement in stroke and general CVD knowledge. HGHH participants attending >= 1 class showed significantly greater improvement than controls on all three measures. Although HGHH participants with inadequate health literacy had worse heart attack and stroke knowledge at baseline and 3 months than did participants with adequate skills, the degree of improvement in knowledge did not differ by health literacy level. HGHH appears to improve cardiovascular knowledge among AI/ANs across health literacy levels.