Imes Christopher C, Lewis Frances M, Austin Melissa A, Dougherty Cynthia M
Health Promotion and Development, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania.
School of Nursing, Family and Child Nursing, University of Washington, Seattle, Washington.
Public Health Nurs. 2015 May-Jun;32(3):246-55. doi: 10.1111/phn.12130. Epub 2014 May 19.
Evaluate the feasibility and acceptability of a behaviorally focused intervention designed to increase perceived cardiovascular disease (CVD) and coronary heart disease (CHD) risk in young adults with a family history (FH) of CVD/CHD.
Single group, pre-post-test design. Fifteen, mostly female (n = 13, 86.7%), White, young adults (mean age 20.8 years) with a minimum of a high school education with a FH of CVD/CHD.
Feasibility examined the recruitment strategy, study procedures, appropriateness and quality of the study instruments, and problems that occurred during delivery of the intervention. Acceptability examined participants' engagement in the in person sessions and at home exercises and their feedback about the intervention.
Two, in person sessions provided personalized, tailored messages about 10-year and lifetime CHD risk based on risk factors, FH from a three-generation pedigree, lipid levels, blood pressure, and smoking status, and brief counseling about how to engage in a healthy lifestyle to decrease CVD/CHD risk.
The intervention was feasible and acceptable. Participants requested more information on healthy food choices, including which foods to avoid and which exercises most improve cardiovascular health.
Although requiring refinement, the intervention has potential public health implications and deserves further testing.
评估一项以行为为重点的干预措施的可行性和可接受性，该干预措施旨在提高有心血管疾病（CVD）/冠心病（CHD）家族史（FH）的年轻人对CVD和CHD风险的认知。
单组前后测设计。15名主要为女性（n = 13，86.7%）、白人、年轻成年人（平均年龄20.8岁），至少接受过高中教育，且有CVD/CHD家族史。
可行性方面考察了招募策略、研究程序、研究工具的适用性和质量，以及干预实施过程中出现的问题。可接受性方面考察了参与者对面对面课程和家庭锻炼的参与情况以及他们对干预措施的反馈。
两次面对面课程根据风险因素、三代系谱中的家族史、血脂水平、血压和吸烟状况，提供关于冠心病10年和终生风险的个性化、量身定制的信息，并就如何采取健康生活方式以降低CVD/CHD风险提供简短咨询。
该干预措施可行且可接受。参与者要求获得更多关于健康食物选择的信息，包括应避免哪些食物以及哪些运动最能改善心血管健康。
尽管该干预措施需要完善，但具有潜在的公共卫生意义，值得进一步测试。
