Stroke Program, University of Michigan Medical School, 1500 E. Medical Center Drive, SPC 5855, Ann Arbor, MI, 48109-5855, USA.
Department of Neurology, University of Michigan Medical School, Ann Arbor, MI, USA.
J Relig Health. 2021 Dec;60(6):3915-3930. doi: 10.1007/s10943-021-01216-7. Epub 2021 Mar 9.
Church-based stroke prevention programs for Hispanics are underutilized. The Stroke Health and Risk Education (SHARE) project, a multicomponent cluster-randomized trial, addressed key stroke risk factors among predominantly Mexican Americans in a Catholic Church setting. Process evaluation components (implementation, mechanisms of impact, and context) are described. Partner support promoted positive health behavior change. Motivational interviewing calls were perceived as helpful, however, barriers with telephone delivery were encountered. Intervention exposure was associated with theory constructs for targeted behaviors. We conclude that health behavior interventions to prevent stroke can be successfully implemented for Mexican Americans within a Catholic Church setting, with parish priest support.
教会主导的西班牙裔人群脑卒中预防项目利用率较低。Stroke Health and Risk Education (SHARE) 项目是一项多组分整群随机试验，在天主教堂环境中针对以墨西哥裔美国人为主的人群开展脑卒中主要危险因素的干预。本文介绍了其过程评估部分（实施、影响机制和背景）。伙伴支持促进了积极的健康行为改变。电话访谈被认为是有益的，但是在电话传递方面遇到了障碍。干预接触与针对特定行为的理论构建有关。综上，在堂区牧师的支持下，脑卒中预防的健康行为干预措施可成功应用于天主教堂环境中的墨西哥裔美国人。
