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A Multicomponent Behavioral Intervention to Reduce Stroke Risk Factor Behaviors: The Stroke Health and Risk Education Cluster-Randomized Controlled Trial
Journal article   Open access   Peer reviewed

A Multicomponent Behavioral Intervention to Reduce Stroke Risk Factor Behaviors: The Stroke Health and Risk Education Cluster-Randomized Controlled Trial

Devin L Brown, Kathleen M Conley, Brisa N Sánchez, Kenneth Resnicow, Joan E Cowdery, Emma Sais, Jillian Murphy, Lesli E Skolarus, Lynda D Lisabeth and Lewis B Morgenstern
Stroke (1970), v 46(10), pp 2861-2867
Oct 2015
DOI: https://doi.org/10.1161/STROKEAHA.115.010678
PMID: 26374480
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://www.ahajournals.org/doi/pdf/10.1161/STROKEAHA.115.010678View
Published, Version of Record (VoR) Open
url
https://doi.org/10.1161/STROKEAHA.115.010678View
Published, Version of Record (VoR) Open

Abstract

Adult Aged Behavior Therapy - methods Catholicism European Continental Ancestry Group Feeding Behavior Female Fruit Health Behavior Hispanic Americans Humans Male Middle Aged Motivational Interviewing - methods Motor Activity Multilevel Analysis Patient Education as Topic Risk Reduction Behavior Self Care Sodium, Dietary Stroke - prevention & control Surveys and Questionnaires Treatment Outcome Vegetables
The Stroke Health and Risk Education Project was a cluster-randomized, faith-based, culturally sensitive, theory-based multicomponent behavioral intervention trial to reduce key stroke risk factor behaviors in Hispanics/Latinos and European Americans. Ten Catholic churches were randomized to intervention or control group. The intervention group received a 1-year multicomponent intervention (with poor adherence) that included self-help materials, tailored newsletters, and motivational interviewing counseling calls. Multilevel modeling, accounting for clustering within subject pairs and parishes, was used to test treatment differences in the average change since baseline (ascertained at 6 and 12 months) in dietary sodium, fruit and vegetable intake, and physical activity, measured using standardized questionnaires. A priori, the trial was considered successful if any one of the 3 outcomes was significant at the 0.05/3 level. Of 801 subjects who consented, 760 completed baseline data assessments, and of these, 86% completed at least one outcome assessment. The median age was 53 years; 84% subjects were Hispanic/Latino; and 64% subjects were women. The intervention group had a greater increase in fruit and vegetable intake than the control group (0.25 cups per day [95% confidence interval: 0.08, 0.42], P=0.002), a greater decrease in sodium intake (-123.17 mg/d [-194.76, -51.59], P=0.04), but no difference in change in moderate- or greater-intensity physical activity (-27 metabolic equivalent-minutes per week [-526, 471], P=0.56). This multicomponent behavioral intervention targeting stroke risk factors in predominantly Hispanics/Latinos was effective in increasing fruit and vegetable intake, reaching its primary end point. The intervention also seemed to lower sodium intake. Church-based health promotions can be successful in primary stroke prevention efforts. URL: http://www.clinicaltrials.gov. Unique identifier: NCT01378780.

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36 citations in Web of Science
35 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Peripheral Vascular Disease
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