Results of the Heart Healthy and Ethnically Relevant Lifestyle Trial: A Cardiovascular Risk Reduction Intervention for African American Women Attending Community Health Centers

Parra‐Medina, Deborah; Wilcox, Sara; Salinas, Jennifer J.; Addy, Cheryl L.; Fore, Elizabeth; Poston, Marybeth; Wilson, Dawn K.

doi:10.2105/ajph.2011.300151

Cited by 48 publications

(94 citation statements)

References 47 publications

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“…Similar to earlier studies with African American women, participants who were not retained were younger than women who were retained (Parra-Medina et al, 2011; Resnicow et al, 2005; Yanek et al, 2001; Young & Stewart, 2006). Despite the availability of childcare and scheduling assessments at a convenient time, younger women may have more time barriers than older women and may need innovative assessment strategies such as online questionnaires.…”

Section: Discussionsupporting

confidence: 76%

“…At the 48-week assessment, the program had a study retention rate of 90%, which is higher than the mean study retention rate of 70% in 12 recent PA intervention studies with greater than 75% African American females at 6 and 12 months (Bopp et al, 2009; Clark, Stump, & Damush, 2003; Fitzgibbon et al, 2010; Hornbuckle et al, 2012; Newton & Perri, 2004; Parra-Medina et al, 2011; Resnicow et al, 2005; Wilbur et al, 2008; Yancey et al, 2006; Yanek et al, 2001; Young & Stewart, 2006; Zoellner et al, 2010). …”

Section: Discussionmentioning

confidence: 69%

“…Participant characteristics associated with lower study retention rates among African American women in PA interventions have been identified in previous studies. Employment (Parra-Medina et al, 2011; Yanek, Becker, Moy, Gittelsohn, & Koffman, 2001) and younger age (Parra-Medina et al, 2011; Resnicow et al, 2005; Yanek et al, 2001; Young & Stewart, 2006) have been associated with lower retention in several studies of PA interventions for African American women. Associations with income have been inconsistent, with one study reporting a negative association (lower income related to higher study retention; Yanek et al, 2001) and another reporting positive associations (Wilbur et al, 2008).…”

Section: Factors Influencing Study Retention and Staff Effort For Stumentioning

confidence: 99%

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Retention of African American Women in a Lifestyle Physical Activity Program

et al. 2015

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Using a cohort of African American women enrolled in a physical activity program, the purpose of the paper is to examine how well individual characteristics, neighborhood characteristics and intervention participation predict study retention and staff level of effort needed for retention. Secondary data analysis was conducted from a randomized clinical trial. Participants were 40–65 years without major signs/symptoms of cardiovascular disease. Assessments were conducted at community sites in/bordering African American communities. Study retention was 90%. Of those retained, 24% required moderate/high level of staff effort for retention. Retention was predicted by being older, having lower perceived neighborhood walkability, living in neighborhoods with greater disadvantage and crime, and having greater program participation. More staff effort was predicted by participants being younger, having more economic hardships, poorer health, or lower intervention participation. We may be able to identify people at baseline likely to require more staff effort to retain.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 69%

Section: Factors Influencing Study Retention and Staff Effort For Stumentioning

confidence: 99%

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Retention of African American Women in a Lifestyle Physical Activity Program

et al. 2015

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“…11,20,21,34,41 Several studies did not report using a theory-based intervention however, significant changes in results were reported including an increase in total minutes of physical activity, 33,36,43 increase in steps per day, 31,38 and self-reported energy expenditure. 22 Several concepts identified in the intervention strategies included goal-setting, 11,16,17,20,22,24,26,32,33,36,39–41 reinforcement, 17,32 and problem-solving. 22,26,32,35,36,40,41 Self-monitoring of PA 22,26,32,37,41 and PA barriers 26,36 were identified as intervention strategies.…”

Section: Resultsmentioning

confidence: 99%

Interventions Promoting Physical Activity in African American Women

et al. 2017

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Background Physical inactivity significantly impacts mortality worldwide. Physical inactivity is a modifiable risk factor for obesity, diabetes, cardiovascular disease, and other chronic conditions. African American women in the U.S. have the highest rates of physical inactivity when compared to other gender/ethnic groups.1 A paucity of research promoting physical activity (PA) in African American women has been previously identified. The purpose of this review was to identify intervention strategies and outcomes in studies designed to promote PA in African American women. Methods Interventions that promoted PA in African American women published between 2000 and May 2015 were included. A comprehensive search of the literature was performed in Health Source: Nursing/Academic Edition, PsycINFO, CINAHL Complete, and MEDLINE Complete databases. Data were abstracted and synthesized to examine interventions, study designs, theoretical frameworks, and measures of PA. Results Mixed findings (both significant and nonsignificant) were identified. Interventions included faith-based, group-based, and individually focused programs. All studies (n = 32) included measures of PA; among the studies, self-report was the predominant method for obtaining information. Half of the 32 studies focused on PA, and the remaining studies focused on PA and nutrition. Most studies reported an increase in PA or adherence to PA. This review reveals promising strategies for promoting PA. Conclusions Future studies should include long-term follow-up, larger sample sizes, and objective measures of PA. Additional research promoting PA in African American women is warranted, particularly in studies that focus on increasing PA in older African American women.

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“…Elimination of these health inequalities has become a national priority since they have contributed to poorer health outcomes, which include an increase in chronic disease, disability and premature death for racial/ethnic minorities at an alarming rate [4]. Providing patients with appropriate health education during primary care visits has been shown to improve self-efficacy in chronic disease management [14,18], which is essential to achieving a state of quality health [9]. Understanding some of the challenges faced when providing patient education to a culturally diverse population from a clinical staff perspective, may assist in improving future health outcomes for vulnerable populations.…”

Section: Introductionmentioning

confidence: 99%

Barriers to Providing Health Education During Primary Care Visits at Community Health Centers: Clinical Staff Insights

Alicea-Planas

Pose²,

Smith³

2015

J Community Health

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The rapid increase of diverse patients living in the US has created a different set of needs in healthcare, with the persistence of health disparities continuing to challenge the current system. Chronic disease management has been discussed as a way to improve health outcomes, with quality patient education being a key component. Using a community based participatory research framework, this study utilized a web-based survey and explored clinical staff perceptions of barriers to providing patient education during primary care visits. With a response rate of nearly 42 %, appointment time allotment seemed to be one of the most critical factors related to the delivery of health education and should be considered key. The importance of team-based care and staff training were also significant. Various suggestions were made in order to improve the delivery of quality patient education at community health centers located in underserved areas.

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Results of the Heart Healthy and Ethnically Relevant Lifestyle Trial: A Cardiovascular Risk Reduction Intervention for African American Women Attending Community Health Centers

Abstract: The comprehensive intervention improved women's leisure-time physical activity and dietary fat intake, highlighting a replicable model to help primary care providers implement lifestyle counseling.

Cited by 48 publications

References 47 publications

Retention of African American Women in a Lifestyle Physical Activity Program

Retention of African American Women in a Lifestyle Physical Activity Program

Interventions Promoting Physical Activity in African American Women

Barriers to Providing Health Education During Primary Care Visits at Community Health Centers: Clinical Staff Insights

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