Center on Better Health and Life for Underserved Populations, Florida State University.
Department of Dietetics & Nutrition, Florida International University.
Ethn Dis. 2017 Jan 19;27(1):21-30. doi: 10.18865/ed.27.1.21.
This article describes Health for Hearts United, a longitudinal church-based intervention to reduce cardiovascular disease (CVD) risk in mid-life and older African Americans. Using community-based participatory research (CBPR) approaches and undergirded by both the Socio-ecological Theory and the Transtheoretical Model of Behavior Change, the 18-month intervention was developed in six north Florida churches, randomly assigned as treatment or comparison. The intervention was framed around three conceptual components: awareness building (individual knowledge development); clinical learning (individual and small group educational sessions); and efficacy development (recognition and sustainability). We identified three lessons learned: providing consistency in programming even during participant absences; providing structured activities to assist health ministries in sustainability; and addressing changes at the church level. Recommendations include church-based approaches that reflect multi-level CBPR and the collaborative faith model.
本文描述了“联合心脏健康”（Health for Hearts United），这是一项基于教会的纵向干预措施，旨在降低中年和老年非裔美国人的心血管疾病（CVD）风险。该 18 个月的干预措施采用社区参与式研究（CBPR）方法，并以社会生态理论和行为改变的跨理论模型为基础，在北佛罗里达州的六所教堂中进行，随机分配为治疗组或对照组。该干预措施围绕三个概念性组成部分展开：意识建设（个人知识发展）；临床学习（个人和小组教育课程）；以及功效发展（认可和可持续性）。我们总结出三条经验教训：即使在参与者缺席的情况下，也要保持计划的一致性；提供结构化的活动，以帮助健康事工实现可持续性；以及解决教会层面的变化。建议包括反映多层次 CBPR 和合作信仰模式的基于教会的方法。
