Improving heart health among Black/African American women using civic engagement: a pilot study.
Improving heart health among Black/African American women using civic engagement: a pilot study.
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使用公民参与来改善黑人/非裔美国妇女的心脏健康：一项试点研究。
DOI：
10.1186/s12889-016-3964-2
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发表时间：
2017-01-24
影响因子：
4.5
通讯作者：
Folta SC
中科院分区：
文献类型：
--
作者：
Brown AG;Hudson LB;Chui K;Metayer N;Lebron-Torres N;Seguin RA;Folta SC
尽管心血管疾病（CVD）和相关疾病的风险增加，健康干预措施的评估表明，黑人/非洲裔美国妇女不太可能比他们的白色同行受益，也不太可能从事降低CVD风险的行为。本研究的目的是测试公民参与的可行性和有效性，作为一种干预策略，以解决黑人/非洲裔美国妇女的心脏健康。使用准实验性的前后研究设计，公民参与通过召集一个方便的样本，自我认定的黑人/非洲裔美国妇女，年龄30-70岁，讲英语，BMI ≥25.0（n = 28）到“改变俱乐部”在四个教堂进行测试。通过坚持，满意度，保留和能力的变化俱乐部，以满足至少50%的自我确定的社区变革行动步骤的可行性进行了检查。有效性数据包括：饮食摄入量，体力活动的措施，心肺功能，血压和人体测量。社会心理因素假设作为机制，公民参与制定行为改变也进行了评估。基线时，研究样本（n = 28）的平均年龄为50.5岁; 53.6%的人拥有副学士学位或更高学位; 60.7%的人收入为35，000美元或更高; 57.4%的人全职工作。在研究结束时，所有参与者都对他们的变革俱乐部的进展和整体经验感到满意，变革俱乐部满足了他们自我确定的社区变革行动步骤。干预对心肺适能测试完成时间（p < 0.001）和收缩压（p < 0.001）有显著影响。研究结果表明，使用公民参与的方法来解决行为改变的方式是有吸引力的，黑人/非洲裔美国妇女可以接受的初步有效性的可行性和证据。 NCT02173366
Despite increased risk for cardiovascular disease (CVD) and related conditions, evaluations of health interventions indicate that Black/African American women are less likely to benefit than their white counterparts and are not as likely to engage in behaviors that reduce CVD risk. The purpose of this study was to test the feasibility and effectiveness of civic engagement as an intervention strategy to address heart health in Black/African American women. Using a quasi-experimental pre-post study design, civic engagement was tested by convening a convenience sample of self-identified Black/African American women, ages 30–70 years, English-speaking, and BMI ≥25.0 (n = 28) into “Change Clubs” in four churches. Feasibility was examined through adherence, satisfaction, retention, and ability of Change Clubs to meet at least 50% of self-identified action steps for community change. Effectiveness data included: dietary intake, measures of physical activity, cardiorespiratory fitness, blood pressure, and anthropometrics. Psychosocial factors hypothesized to serve as the mechanisms by which civic engagement enacts behavior change were also assessed. At baseline, the study sample (n = 28) had a mean age of 50.5 y; 53.6% had an associate degree or higher; 60.7% had an income of $35,000 or higher; and 57.4% were employed full time. At the conclusion of the study, all participants were satisfied with the progress of their Change Club and with the overall experience and Change Clubs met their self-identified action steps for community change. The intervention had a significant effect on finish time on the cardiorespiratory fitness test (p < 0.001) and systolic blood pressure (p < 0.001). Study results suggest feasibility and evidence of preliminary effectiveness of using a civic engagement approach to address behavior change in a way that is appealing and acceptable to Black/African American women. NCT02173366