Beliefs Regarding Lifestyle Health Behaviors Among Older Women in the "Stroke Belt": Research to Inform Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/150904
Type:
Presentation
Title:
Beliefs Regarding Lifestyle Health Behaviors Among Older Women in the "Stroke Belt": Research to Inform Practice
Abstract:
Beliefs Regarding Lifestyle Health Behaviors Among Older Women in the "Stroke Belt": Research to Inform Practice
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Lefler, Leanne L., PhD, ACNS, APN
P.I. Institution Name:University of Arkansas for Medical Sciences
Title:Assistant Professor
Co-Authors:Jean C. McSweeney PhD, RN, Professor
Debra F. Brown BSN, RN, Research Assistant & Research Nurse
[22nd International Nursing Research Congress - Research Presentation] Purpose:  Patterns of geographic variation in cardiovascular disease (CVD) have been persistent in the Southeastern United States for over five decades, resulting in the designation, "stroke belt". Information is critically needed to help guide risk factor reduction and lifestyle change after a cardiac event that is culturally acceptable to older and diverse women. This study explored beliefs, attitudes, and barriers influencing adherence to lifestyle health behaviors among older, culturally diverse women. Methods:  We recruited older women (?60 years) 6-12 months post cardiac event who attended at least one session from three cardiac rehabilitation programs. We used a naturalistic qualitative design and conducted semi-structured, in-depth interviews. Narrative data were analyzed using content analysis with constant comparison. Descriptive statistics on risk factors and perceived risk for a coronary event were compiled.
Results: The sample consisted of 20 women (20% Black) with a median age of 71-75 years; 70% with some college education and 42% with an income > $30,000/year. They had 5.84 (mean) risk factors for CVD (high-risk designation), however they perceived their risk as "average to low" (4.47; scale 0-10). There was multifactoral cultural variables and beliefs that hindered lifestyle risk reduction. Many did not believe the information received from their cardiac rehabilitation program, others did not attend. A belief of being "fixed" by procedures and medications prevailed; therefore, they did not engage in lifestyle modification. Others did not believe that change was necessary because of age or limited control of their health and left it up to fate or faith. Significant barriers to lifestyle changes, such as environmental, economic, and motivational barriers prevailed. Most felt that taking medications and visiting their physician were sufficient.
Conclusion:  In this new millennium, practitioners are encouraged to tailor information and guidance about lifestyle modification for the prevention of CVD among high-risk, culturally diverse women.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleBeliefs Regarding Lifestyle Health Behaviors Among Older Women in the "Stroke Belt": Research to Inform Practiceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150904-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Beliefs Regarding Lifestyle Health Behaviors Among Older Women in the &quot;Stroke Belt&quot;: Research to Inform Practice</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lefler, Leanne L., PhD, ACNS, APN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Arkansas for Medical Sciences</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">L.Lefler@uams.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Jean C. McSweeney PhD, RN, Professor<br/>Debra F. Brown BSN, RN, Research Assistant &amp; Research Nurse</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose:&nbsp; Patterns of geographic variation in cardiovascular disease (CVD) have been persistent in the Southeastern United States for over five decades, resulting in the designation, &quot;stroke belt&quot;. Information is critically needed to help guide risk factor reduction and lifestyle change after a cardiac event that is culturally acceptable to older and diverse women. This study explored beliefs, attitudes, and barriers influencing adherence to lifestyle health behaviors among older, culturally diverse women. Methods:&nbsp;&nbsp;We recruited older women (?60 years) 6-12 months post cardiac event who attended at least one session from three cardiac rehabilitation programs. We used a naturalistic qualitative design and conducted semi-structured, in-depth interviews. Narrative data were analyzed using content analysis with constant comparison. Descriptive statistics on risk factors and perceived risk for a coronary event were compiled. <br/>Results:&nbsp;The sample consisted of 20 women (20% Black) with a median age of 71-75 years; 70% with some college education and 42% with an income &gt; $30,000/year. They had 5.84 (mean) risk factors for CVD (high-risk designation), however they perceived their risk as &quot;average to low&quot; (4.47; scale 0-10). There was multifactoral cultural variables and beliefs that hindered lifestyle risk reduction. Many did not believe the information received from their cardiac rehabilitation program, others did not attend. A belief of being &quot;fixed&quot; by procedures and medications prevailed; therefore, they did not engage in lifestyle modification. Others did not believe that change was necessary because of age or limited control of their health and left it up to fate or faith. Significant barriers to lifestyle changes, such as environmental, economic, and motivational barriers prevailed. Most felt that taking medications and visiting their physician were sufficient. <br/>Conclusion:&nbsp; In this new millennium, practitioners are encouraged to tailor information and guidance about lifestyle modification for the prevention of CVD among high-risk, culturally diverse women.</td></tr></table>en_GB
dc.date.available2011-10-26T10:46:07Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:46:07Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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