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Improving Cardiovascular Disease Knowledge among Rural Participants: The Results of a Cluster Randomized Trial

1
College of Nursing, Florida State University, Tallahassee, FL 32306-4310, USA
2
Department of Statistics, Florida State University, Tallahassee, FL 32306-4310, USA
*
Author to whom correspondence should be addressed.
Healthcare 2018, 6(3), 71; https://doi.org/10.3390/healthcare6030071
Received: 15 May 2018 / Revised: 18 June 2018 / Accepted: 22 June 2018 / Published: 25 June 2018
(This article belongs to the Special Issue Rural and Remote Nursing)
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PDF [239 KB, uploaded 25 June 2018]

Abstract

Cardiovascular disease (CVD) is a major cause of death and disability, especially among people living in the rural, southern United States. Rural African Americans are often diagnosed with CVD earlier in life, and they bear a disproportionate burden of CVD risk factors, morbidity, and mortality. Health equity among historically underserved, rural populations can potentially be attained through culturally relevant interventions that teach people skills to stay well and avoid CVD-related risk and diagnoses. The purpose of this secondary analysis was to determine the effect of an evidence-based intervention on cardiovascular health knowledge and the stages of change toward the action and maintenance phases. The pre-test-post-test data were obtained during a cluster randomized trial involving twelve rural churches that were randomized to intervention (n = 6) and control (n = 6) groups. Participants (n = 115) in the intervention group received a cardiovascular health intervention, and those (n = 114) in the control group could receive the intervention following the study’s completion. The data were analyzed using a linear mixed model to compare group differences from pre-test to post-test. The cardiovascular health promotion intervention significantly improved cardiovascular health knowledge and was associated with advancements in the stages of change toward the action and maintenance phases. View Full-Text
Keywords: community health; health promotion; rural health; cardiovascular disease community health; health promotion; rural health; cardiovascular disease
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Abbott, L.S.; Slate, E.H. Improving Cardiovascular Disease Knowledge among Rural Participants: The Results of a Cluster Randomized Trial. Healthcare 2018, 6, 71.

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