249738 Faith-based Approaches to Reduce Cardiovascular Risk: Correlates of Behavior Change

Monday, October 31, 2011

Penny Ralston, PhD , Center on Better Health and Life for Underserved Populations, Florida State University, Tallahassee, FL
Jasminka Ilich, Faculty member , Department of Nutrition, Food & Exercise Sciences, Florida State University, Tallahassee, FL
Kandauda Wickrama, PhD , Department of Child and Family Development, University of Georgia, Athens, GA
Cynthia M. Harris, PhD, DABT , Institute of Public Health, Florida A & M University, Tallahassee, FL
Catherine Coccia, Doctoral Student , Center on Better Health and Life for Underserved Populations, Florida State University, Tallahassee, FL
Iris Young-Clark, MPA , Center on Better Health and Life for Underserved Populations, Florida State University, Tallahassee, FL
African Americans (AA) continue to have higher age-adjusted rates of cardiovascular disease (CVD)-related morbidity and mortality in comparison to their Caucasian counterparts. A growing body of literature has examined faith-based settings for health promotion with promising results in improving health behaviors. Yet less is known about how effective these programs are with older AAs, especially in determining factors that may influence behavior change. This research investigates factors associated with health behavior change in the first phase of an 18 month faith-based intervention in North Florida to reduce CVD risk in mid-life and older AAs (45+). Behavior change examined in three treatment churches (n=84) at baseline and after six months of intervention included daily fruit and vegetable servings, daily physical activity (PA), and clinical outcomes (BMI, diastolic and systolic blood pressure [BP], and cholesterol including LDL, HDL and total) in a sub-sample (n=26). Study examined 1) church factors (health program attendance, usefulness of materials, pastor/church leadership) and 2) individual factors (stress, perceived health, background characteristics of age, education, gender and marital status). The results using correlations and ANOVA show that health program attendance and usefulness of materials were significantly related to increasing fruit and vegetable intake. Health program attendance was also significantly related to increasing PA. Finally, significant associations were shown with gender (men) and decreasing BMI's, marital status (married) and increased daily fruit and vegetable intake and (non-married) decreased diastolic and systolic BP; and education (at least a bachelor's degree) and decreased systolic BP. Implications for practice will be discussed.

Learning Areas:
Assessment of individual and community needs for health education
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe 18-month faith-based intervention to reduce cardiovascular risk in mid-life and older African Americans (AAs). Explain the results of intervention in Phase I (6 months) in changing behaviors of mid-life and older AAs. Identify correlates of behavior change after Phase I for mid-life and older AAs.

Keywords: African American, Community-Based Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am the director of a center that focuses on community health with underserved populations.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.