Details:

Alternative Title:
Prev Chronic Dis
Publisher's site:
http://dx.doi.org/10.5888/pcd11.130250
Personal Author:
Hurtado, Margarita ; Spinner, Jovonni R. ; Yang, Manshu ; Evensen, Christian ; Windham, Amy ; ... More +
Hurtado, Margarita ; Spinner, Jovonni R. ; Yang, Manshu ; Evensen, Christian ; Windham, Amy ; Ortiz, Gloria ; Tracy, Rachel ; Ivy, Edward Donnell Less -
Description:
Introduction

Cardiovascular disease is the leading cause of death in the United States, and disparities in cardiovascular health exist among African Americans, American Indians, Hispanics, and Filipinos. The Community Health Worker Health Disparities Initiative of the National Heart, Lung, and Blood Institute (NHLBI) includes culturally tailored curricula taught by community health workers (CHWs) to improve knowledge and heart-healthy behaviors in these racial/ethnic groups.

Methods

We used data from 1,004 community participants in a 10-session curriculum taught by CHWs at 15 sites to evaluate the NHLBI’s health disparities initiative by using a 1-group pretest–posttest design. The curriculum addressed identification and management of cardiovascular disease risk factors. We used linear mixed effects and generalized linear mixed effects models to examine results.

Results

Average participant age was 48; 75% were female, 50% were Hispanic, 35% were African American, 8% were Filipino, and 7% were American Indian. Twenty-three percent reported a history of diabetes, and 37% reported a family history of heart disease. Correct pretest to posttest knowledge scores increased from 48% to 74% for heart healthy knowledge. The percentage of participants at the action or maintenance stage of behavior change increased from 41% to 85%.

Conclusion

Using the CHW model to implement community education with culturally tailored curricula may improve heart health knowledge and behaviors among minorities. Further studies should examine the influence of such programs on clinical risk factors for cardiovascular disease.


Subject:
[+]
Cardiovascular Diseases
Community Health Workers
Female
Health Education
Health Knowledge, Attitudes, Practice
Humans
Motor Activity
Original Research
Risk Factors

Source:
Prev Chronic Dis. 11.
Document Type:
Journal Article
Funding:
GS-10F-0112J/PHS HHS/United States
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:6cacc594d75473e08ee5eb328036a2d20579100e4d857d8e937d8539fe20ef2b
File Type:

Supporting Files

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  	PCD-11-E22s01.jpg	jpeg
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