Center for Community-Based Research and Health Disparities, Department of Psychiatry, University of Pennsylvania, Philadelphia USA.
J Natl Med Assoc. 2010 May;102(5):396-402. doi: 10.1016/s0027-9684(15)30574-5.
We evaluated a risk counseling intervention designed to enhance understanding about risk factors for cancer and cardiovascular disease, to improve self-efficacy for diet and physical activity, and to increase intentions to eat healthier and be physically active.
We conducted a quasi-experimental study developed by academic investigators and community stakeholders to evaluate the effects of integrated risk counseling in a community-based sample of African American adults (n = 101). The intervention provided education about the overlap in risk factors for cancer and cardiovascular disease and included components from motivational interviewing.
Changes in behavioral intentions were not statistically significant (p > .05). Participants reported significantly greater levels of self-efficacy for diet (t = 2.25, p = .03) and physical activity (t = 2.55, p = .01), and significantly increased perceived risks of developing colon cancer (chi2 = 3.86, p = .05) and having a heart attack (chi2 = 4.50, p = .03).
Integrated risk counseling may have some benefits among African Americans.
我们评估了一种风险咨询干预措施，旨在增强对癌症和心血管疾病风险因素的理解，提高饮食和身体活动的自我效能感，并增强更健康饮食和积极运动的意愿。
我们进行了一项由学术研究人员和社区利益相关者共同开展的准实验研究，以评估在一个以非裔美国成年人（n=101）为基础的社区样本中综合风险咨询的效果。该干预措施提供了关于癌症和心血管疾病风险因素重叠的教育，并包含了来自动机性访谈的内容。
行为意向的变化没有统计学意义（p>.05）。参与者报告在饮食（t=2.25，p=.03）和身体活动（t=2.55，p=.01）方面的自我效能感显著提高，并且对结肠癌（chi2=3.86，p=.05）和心脏病发作（chi2=4.50，p=.03）的风险感知显著增加。
综合风险咨询可能对非裔美国人有一定的益处。
