Abbott Laurie, Williams Christine, Slate Elizabeth, Gropper Sareen
Laurie Abbott, PhD, RN, APHN-BC Assistant Professor, Florida State University College of Nursing, Tallahassee. Christine Williams, DNSc, RN Professor and PhD Program Director, Florida Atlantic University Christine E. Lynn College of Nursing, Boca Raton. Elizabeth Slate, PhD Duncan McLean and Pearl Levine Fairweather Professor, Florida State University Department of Statistics, Tallahassee. Sareen Gropper, PhD, RDN Professor, Florida Atlantic University Christine E. Lynn College of Nursing, Boca Raton.
J Cardiovasc Nurs. 2018 Jan/Feb;33(1):E8-E14. doi: 10.1097/JCN.0000000000000410.
Cardiovascular disease is a major cause of death for people living in the United States. African Americans bear a disproportionate burden of cardiovascular disease. Interventions designed to target multiple risk factors may facilitate elimination of cardiovascular disease health disparities.
The purpose of this study was to evaluate a culturally relevant cardiovascular health promotion intervention that could potentially reduce cardiovascular disease risk among a group of rural African American adults by improving intentions, attitudes, norms, and self-efficacy to increase produce consumption, reduce dietary saturated fat intake, and increase exercise.
A cluster randomized controlled trial design was used to evaluate the effect of the "With Every Heartbeat Is Life" cardiovascular health promotion program among rural African Americans. The African American congregants of 12 rural churches located in northern Florida were randomly assigned to either an intervention group that received a culturally relevant cardiovascular health promotion intervention or a control group. Data analysis using linear mixed model was performed to compare group differences from pretest to posttest.
The cardiovascular health promotion intervention had a positive influence on the intentions, attitudes, norms, and self-efficacy of rural African Americans to increase produce consumption and reduce dietary saturated fat. The intervention also enhanced participants' attitudes and self-efficacy regarding exercise.
The culturally relevant cardiovascular health promotion program presented to cluster groups of rural African American participants had positive influences on psychosocial variables associated with engaging in cardiovascular health recommendations. Nurse-led interventions in community settings can potentially reduce cardiovascular disease risk.
心血管疾病是美国居民的主要死因。非裔美国人承受着不成比例的心血管疾病负担。旨在针对多种风险因素的干预措施可能有助于消除心血管疾病的健康差距。
本研究的目的是评估一种与文化相关的心血管健康促进干预措施，该措施可能通过改善增加农产品消费、减少饮食中饱和脂肪摄入和增加运动的意图、态度、规范和自我效能，降低一组农村非裔美国成年人患心血管疾病的风险。
采用整群随机对照试验设计，评估“每一次心跳都是生命”心血管健康促进项目对农村非裔美国人的效果。位于佛罗里达州北部的12所农村教堂的非裔美国教友被随机分配到接受与文化相关的心血管健康促进干预的干预组或对照组。使用线性混合模型进行数据分析，以比较从预测试到后测试的组间差异。
心血管健康促进干预对农村非裔美国人增加农产品消费和减少饮食中饱和脂肪的意图、态度、规范和自我效能有积极影响。该干预还增强了参与者对运动的态度和自我效能。
向农村非裔美国参与者的整群群体提供的与文化相关的心血管健康促进项目，对与遵循心血管健康建议相关的心理社会变量有积极影响。护士在社区环境中主导的干预措施可能会降低心血管疾病风险。
