Evaluation of the effectiveness of a problem-solving intervention addressing barriers to cardiovascular disease prevention behaviors in 3 underserved populations: Colorado, North Carolina, West Virginia, 2009

In low-income and underserved populations, financial hardship and multiple competing roles and responsibilities lead to difficulties in lifestyle change for cardiovascular disease (CVD) prevention. To improve CVD prevention behaviors, we adapted, pilot-tested, and evaluated a problem-solving interve...

Full description

Saved in:
Bibliographic Details
Published in:Preventing chronic disease 2014-03, Vol.11, p.E32-E32, Article 130249
Main Authors: Lilly, Christa L, Bryant, Lucinda L, Leary, Janie M, Vu, Maihan B, Hill-Briggs, Felicia, Samuel-Hodge, Carmen D, McMilin, Colleen R, Keyserling, Thomas C
Format: Article
Language:English
Subjects:
Appalachian Region
Black or African American
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - prevention & control
Colorado - epidemiology
Diet
Female
Humans
Male
Motor Activity
North Carolina - epidemiology
Original Research
Patient Education as Topic - methods
Problem Solving
Self Care
Stress, Psychological
Vulnerable Populations
West Virginia - epidemiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:In low-income and underserved populations, financial hardship and multiple competing roles and responsibilities lead to difficulties in lifestyle change for cardiovascular disease (CVD) prevention. To improve CVD prevention behaviors, we adapted, pilot-tested, and evaluated a problem-solving intervention designed to address barriers to lifestyle change. The sample consisted of 81 participants from 3 underserved populations, including 28 Hispanic or non-Hispanic white women in a western community (site 1), 31 African-American women in a semirural southern community (site 2), and 22 adults in an Appalachian community (site 3). Incorporating focus group findings, we assessed a standardized intervention involving 6-to-8 week group sessions devoted to problem-solving in the fall of 2009. Most sessions were attended by 76.5% of participants, demonstrating participant adoption and engagement. The intervention resulted in significant improvement in problem-solving skills (P < .001) and perceived stress (P < .05). Diet, physical activity, and weight remained stable, although 72% of individuals reported maintenance or increase in daily fruit and vegetable intake, and 67% reported maintenance or increase in daily physical activity. Study results suggest the intervention was acceptable to rural, underserved populations and effective in training them in problem-solving skills and stress management for CVD risk reduction.
ISSN:1545-1151
1545-1151
DOI:10.5888/pcd11.130249