TY - JOUR
T1 - Fostering african-american improvement in total health (FAITH!)
T2 - An application of the american heart association’s life’s simple 7™ among midwestern African-Americans
AU - Brewer, Laprincess C.
AU - Balls-Berry, Joyce E.
AU - Dean, Patrick
AU - Lackore, Kandace
AU - Jenkins, Sarah
AU - Hayes, Sharonne N.
N1 - Funding Information:
The authors are indebted to local Rochester, MN, participating churches including church leadership (Pastor Donald Barlow of Rochester Community Baptist Church, Pastor Kenneth Rowe of Christ's Church of the Jesus Hour, and Pastor Lerone Shepard of Christway Full Gospel Ministries) and FAITH! Partners (Mrs. Consuelo Cohen, Mrs. Frances Ellis, Mrs. Jacqueline Johnson, and Mr. D.C. Mangum). The authors gratefully acknowledge all study participants, church auxiliaries?and Mayo Clinic faculty/staff who devoted much time and offered unwavering support for the program. The authors would also like to show gratitude to the Mayo Medical School and University of Minnesota School of Nursing students for volunteering their time for the study health assessments and acknowledge research assistants Mrs. Lea Dacy and Mr. Miguel Valdez Soto for their administrative assistance and participant navigation services. In memory of our colleague, Mr. D.C. Mangum, outstanding leader, administrator, and friend, who served as a role model for dedicated community service, civic responsibility, and activism. ClinicalTrials.gov identifier, NCT02235896 This study was supported by the Mayo Clinic Office of Health Disparities Research, Mayo Clinic Division of Cardiovascular Diseases, Mayo Clinic Biobank, Barbara Woodward Lips Patient Education Center, and the Mayo Clinic Center for Translational Science Activities (UL1TR000135).
PY - 2017/4/8
Y1 - 2017/4/8
N2 - Objective African-Americans have a strikingly low prevalence of ideal cardiovascular health metrics of the American Heart Association’s Life’s Simple 7 (LS7). This study was conducted to assess the impact of a community-based cardiovascular disease prevention intervention on the knowledge and achievement of cardiovascular health metrics among a marginalized African-American community. Methods Adult congregants (n = 37, 70 % women) from three African-American churches in Rochester, MN, participated in the Fostering African-American Improvement in Total Health (FAITH!) program, a theory-based, culturally-tailored, 16-week education series incorporating the American Heart Association’s LS7 framework. Feasibility testing included assessments of participant recruitment, program attendance, and retention. We classified participants according to definitions of ideal, intermediate, and poor cardiovascular health based on cardiac risk factors and health behaviors and calculated an LS7 score (range 0 to 14) at baseline and post-intervention. Knowledge of cardiac risk factors was assessed by questionnaire. Main outcome measures were changes in cardiovascular health knowledge and cardiovascular health components related to LS7 from baseline to post-intervention. Psychosocial measures included socioeconomic status, outlook on life, selfreported health, self-efficacy, and family support. Results Thirty-six out of 37 recruited participants completed the entire program including health assessments. Participants attended 63.5% of the education series and attendance at each session was, on average, 62 % of those enrolled. There was a statistically significant improvement in cardiovascular health knowledge (p < 0.02). A higher percentage of participants meeting either ideal or intermediate LS7 score categories and a lower percentage within the poor category were observed. Higher LS7 scores correlatedwith higher psychosocial measures ratings. Conclusions Although small, our study suggests that the FAITH! program is a feasible, community intervention promoting ideal cardiovascular health that has the potential to improve cardiovascular health literacy and LS7 among African-Americans.
AB - Objective African-Americans have a strikingly low prevalence of ideal cardiovascular health metrics of the American Heart Association’s Life’s Simple 7 (LS7). This study was conducted to assess the impact of a community-based cardiovascular disease prevention intervention on the knowledge and achievement of cardiovascular health metrics among a marginalized African-American community. Methods Adult congregants (n = 37, 70 % women) from three African-American churches in Rochester, MN, participated in the Fostering African-American Improvement in Total Health (FAITH!) program, a theory-based, culturally-tailored, 16-week education series incorporating the American Heart Association’s LS7 framework. Feasibility testing included assessments of participant recruitment, program attendance, and retention. We classified participants according to definitions of ideal, intermediate, and poor cardiovascular health based on cardiac risk factors and health behaviors and calculated an LS7 score (range 0 to 14) at baseline and post-intervention. Knowledge of cardiac risk factors was assessed by questionnaire. Main outcome measures were changes in cardiovascular health knowledge and cardiovascular health components related to LS7 from baseline to post-intervention. Psychosocial measures included socioeconomic status, outlook on life, selfreported health, self-efficacy, and family support. Results Thirty-six out of 37 recruited participants completed the entire program including health assessments. Participants attended 63.5% of the education series and attendance at each session was, on average, 62 % of those enrolled. There was a statistically significant improvement in cardiovascular health knowledge (p < 0.02). A higher percentage of participants meeting either ideal or intermediate LS7 score categories and a lower percentage within the poor category were observed. Higher LS7 scores correlatedwith higher psychosocial measures ratings. Conclusions Although small, our study suggests that the FAITH! program is a feasible, community intervention promoting ideal cardiovascular health that has the potential to improve cardiovascular health literacy and LS7 among African-Americans.
KW - African-American
KW - Cardiovascular disease
KW - Community-based participatory research
KW - Health disparities
KW - Health promotion
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U2 - 10.1007/s40615-016-0226-z
DO - 10.1007/s40615-016-0226-z
M3 - Article
C2 - 27059054
AN - SCOPUS:85013674199
VL - 4
SP - 269
EP - 281
JO - Journal of racial and ethnic health disparities
JF - Journal of racial and ethnic health disparities
SN - 2197-3792
IS - 2
ER -