Turn the Beat Around: A Stroke Prevention Program for African-American Churches

Lovoria B. Williams, Brandi Franklin, Mary B. Evans, Chazeman Jackson, Alethea Hill, Michael Minor

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Objective: The objective was to pilot a socioculturally tailored church-based stroke prevention program delivered by trained community health workers (CHWs) and to test its effects on participant knowledge scores. Design and Sample: A single-group, pre-post test pilot study was conducted with a convenience sample of 201 adult African-Americans recruited from nine churches in three Alabama counties. Measurements included participant weight, blood pressure (BP), physical activity level; knowledge related to hypertension, heart disease, and stroke; cigarette smoking; and access to care, as well as the Stages of Change constructs within the Transtheoretical Model. The intervention was a six-session group-based health education program delivered by trained CHWs. Measures: Measurements included participant weight, blood pressure (BP), physical activity level; knowledge related to hypertension, heart disease, and stroke; cigarette smoking; and access to care, as well as the Stages of Change constructs within the Transtheoretical Model. The intervention was a six-session group-based health education program delivered by trained CHWs. Results: From baseline to 12 weeks, knowledge increased significantly (p < .001). Systolic BP measures improved (p = .0008). More than half of participants lost weight; however, weight change did not reach significance (p = .1380). Most (87%) participants indicated having a medical home at baseline at the end of the study the percentage increased to 92% (p = .0138). Conclusion: A church-based intervention delivered by trained CHWs is feasible and may be a promising public health strategy to increase knowledge regarding hypertension and stroke prevention among African-Americans.

Original languageEnglish (US)
Pages (from-to)11-20
Number of pages10
JournalPublic Health Nursing
Volume33
Issue number1
DOIs
StatePublished - Jan 1 2016

Keywords

  • African-Americans
  • Blood pressure
  • Community health workers
  • Intervention
  • Religion

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health

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    Williams, L. B., Franklin, B., Evans, M. B., Jackson, C., Hill, A., & Minor, M. (2016). Turn the Beat Around: A Stroke Prevention Program for African-American Churches. Public Health Nursing, 33(1), 11-20. https://doi.org/10.1111/phn.12234