Adaptation of an evidence-based cardiovascular health intervention for rural African Americans in the southeast

Kiana D. Bess, Leah Frerichs, Tiffany Young, Giselle Corbie-Smith, Gaurav Dave, Kia Davis, Shirley McFarlin, Sable Watson, Mysha Wynn, Crystal W. Cene

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: African Americans (AA) living in the southeast United States have the highest prevalence of cardiovascular diseases (CVD) and rural minorities bear a significant burden of co-occurring CVD risk factors. Few evidence-based interventions (EBI) address social and physical environmental barriers in rural minority communities. We used intervention mapping together with community-based participatory research (CBPR) principles to adapt objectives of a multi-component CVD lifestyle EBI to fit the needs of a rural AA community. We sought to describe the process of using CPBR to adapt an EBI using intervention mapping to an AA rural setting and to identify and document the adaptations mapped onto the EBI and how they enhance the intervention to meet community needs. Methods: Focus groups, dyadic interviews, and organizational web-based surveys were used to assess content interest, retention strategies, and incorporation of auxiliary components to the EBI. Using CBPR principles, community and academic stakeholders met weekly to collaboratively integrate formative research findings into the intervention mapping process. We used a framework developed by Wilstey Stirman et al. to document changes. Results: Key changes were made to the content, context, and training and evaluation components of the existing EBI. A matrix including behavioral objectives from the original EBI and new objectives was developed. Categories of objectives included physical activity, nutrition, alcohol, and tobacco divided into three levels, namely, individual, interpersonal, and environmental. Conclusions: Intervention mapping integrated with principles of CBPR is an efficient and flexible process for adapting a comprehensive and culturally appropriate lifestyle EBI for a rural AA community context.

Original languageEnglish
Pages (from-to)385-396
Number of pages12
JournalProgress in Community Health Partnerships: Research, Education, and Action
Volume13
Issue number4
DOIs
StatePublished - Dec 1 2019

Keywords

  • African Americans
  • Cardiovascular disease
  • Community-based participatory research
  • Evidence-based intervention
  • Intervention mapping
  • Rural population

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