College of Nursing, Florida State University, 98 Varsity Way, Tallahassee, FL, USA.
Department of Statistics, Florida State University, 117 N. Woodward Ave., Tallahassee, FL, USA.
Health Educ Res. 2019 Apr 1;34(2):200-208. doi: 10.1093/her/cyy052.
Cardiovascular disease (CVD) is a major cause of death among people living in the United States. Populations, especially minorities, living in the rural South are disproportionately affected by CVD and have greater CVD risk, morbidity and mortality. Culturally relevant cardiovascular health programs implemented in rural community settings can potentially reduce CVD risk and facilitate health behavior modification. The purpose of this study was to examine the effects of a cardiovascular health promotion intervention on the health habits of a group of rural African American adults. The study had a cluster randomized controlled trial design involving 12 rural churches that served as statistical clusters. From the churches (n = 6) randomized to the intervention group, 115 participants were enrolled, received the 6-week health program and completed pretest-posttest measures. The 114 participants from the control group churches (n = 6) did not receive the health program and completed the same pretest-posttest measures. The linear mixed model was used to compare group differences from pretest to posttest. The educational health intervention positively influenced select dietary and confidence factors that may contribute toward CVD risk reduction.
心血管疾病（CVD）是导致美国居民死亡的主要原因之一。生活在农村南部的人群，尤其是少数民族，受 CVD 的影响不成比例，并且 CVD 的风险、发病率和死亡率更高。在农村社区环境中实施与文化相关的心血管健康计划可能有助于降低 CVD 的风险并促进健康行为的改变。本研究的目的是检验心血管健康促进干预对一组农村非裔美国成年人健康习惯的影响。该研究采用了群组随机对照试验设计，涉及 12 个农村教堂作为统计群组。从被随机分配到干预组的教堂（n = 6）中，有 115 名参与者参与了 6 周的健康计划，并完成了预测试后测量。来自对照组教堂（n = 6）的 114 名参与者没有接受健康计划，但完成了相同的预测试后测量。线性混合模型用于比较从预测试到后测试的组间差异。教育健康干预对可能有助于降低 CVD 风险的某些饮食和信心因素产生了积极影响。
