2.50
Hdl Handle:
http://hdl.handle.net/10755/163256
Category:
Abstract
Type:
Presentation
Title:
Barriers to Participation in a Cardiac Risk Reduction Program
Author(s):
Stuart-Shor, Eileen M.; Forman, Daniel E.
Author Details:
Eileen M. Stuart-Shor, PhD, APRN, Cardiology Research Fellow, Harvard University, Cardiovascular Epidemiology Research Unit, Division of Cardiology, Department of Medicine, Boston, Massachusetts, USA, email: estuarts@bidmc.harvard.edu; Daniel E. Forman, MD
Abstract:
Purpose: The prevalence of CV disease and cardiac risk factors is high among individuals of African descent (AA) and contributes to adverse CV outcomes. We implemented a risk reduction program including exercise, diet and a cognitive-behavioral intervention in a community health center in an AA community. Despite addressing many logistical/cultural barriers to participation, many do not participate (57%). The aim of this study is to identify factors associated with not participating in the RR group. Theoretical Framework: The biopsychosocial model recognizes the interaction of biological, psychosocial, behavioral and environmental factors in the etiology and progression of disease as well as health promotion and disease promotion/management. Methods (Design, Sample, Setting, Measures, Analysis): Between 4/02 and 4/03, 68 individuals were screened and eligible for participation. Of these, 29 participated within one year of screening. We interviewed 15 patients who participated and 15 patients who did not, randomly selected from the 68 eligible patients. The questionnaire included demographic and validated questions related to physical activity in diverse racial/ethnic groups (Eyler), depression (BDI) and self-efficacy (Lorig). Results: Mean age was 63, 73% women, 100%AA, 76% high school education or less, 83% had Medicaid or free care, mean BMI 33 kg/m2, and 93% had 2 or more cardiac diagnoses/risk factors. Depressive symptoms (p=0.003), and measures of self-efficacy (not feeling confident that fatigue (p=0.003), physical discomfort (p=0.002), emotional distress (p=0.000), and feeling you can't do activates needed to promote health (p=0.014) were associated with not participating in the group program. Older age, female gender, perceived health, social context (e.g. know people who exercise), social roles (e.g. childcare would get in the way) and more than 2 hours of TV viewing/day were not adversely associated with participation. Conclusions and Implications: In this sample of AAs, depressive symptoms and measures of low self-efficacy were associated with not participating in a MRR intervention. Interventions to mediate these symptoms/perceptions might be beneficial in this population.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleBarriers to Participation in a Cardiac Risk Reduction Programen_GB
dc.contributor.authorStuart-Shor, Eileen M.en_US
dc.contributor.authorForman, Daniel E.en_US
dc.author.detailsEileen M. Stuart-Shor, PhD, APRN, Cardiology Research Fellow, Harvard University, Cardiovascular Epidemiology Research Unit, Division of Cardiology, Department of Medicine, Boston, Massachusetts, USA, email: estuarts@bidmc.harvard.edu; Daniel E. Forman, MDen_US
dc.identifier.urihttp://hdl.handle.net/10755/163256-
dc.description.abstractPurpose: The prevalence of CV disease and cardiac risk factors is high among individuals of African descent (AA) and contributes to adverse CV outcomes. We implemented a risk reduction program including exercise, diet and a cognitive-behavioral intervention in a community health center in an AA community. Despite addressing many logistical/cultural barriers to participation, many do not participate (57%). The aim of this study is to identify factors associated with not participating in the RR group. Theoretical Framework: The biopsychosocial model recognizes the interaction of biological, psychosocial, behavioral and environmental factors in the etiology and progression of disease as well as health promotion and disease promotion/management. Methods (Design, Sample, Setting, Measures, Analysis): Between 4/02 and 4/03, 68 individuals were screened and eligible for participation. Of these, 29 participated within one year of screening. We interviewed 15 patients who participated and 15 patients who did not, randomly selected from the 68 eligible patients. The questionnaire included demographic and validated questions related to physical activity in diverse racial/ethnic groups (Eyler), depression (BDI) and self-efficacy (Lorig). Results: Mean age was 63, 73% women, 100%AA, 76% high school education or less, 83% had Medicaid or free care, mean BMI 33 kg/m2, and 93% had 2 or more cardiac diagnoses/risk factors. Depressive symptoms (p=0.003), and measures of self-efficacy (not feeling confident that fatigue (p=0.003), physical discomfort (p=0.002), emotional distress (p=0.000), and feeling you can't do activates needed to promote health (p=0.014) were associated with not participating in the group program. Older age, female gender, perceived health, social context (e.g. know people who exercise), social roles (e.g. childcare would get in the way) and more than 2 hours of TV viewing/day were not adversely associated with participation. Conclusions and Implications: In this sample of AAs, depressive symptoms and measures of low self-efficacy were associated with not participating in a MRR intervention. Interventions to mediate these symptoms/perceptions might be beneficial in this population.en_GB
dc.date.available2011-10-27T11:04:12Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:04:12Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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