Skip to main content
Top
Gepubliceerd in: Journal of Behavioral Medicine 2/2014

01-04-2014

Improving secondary stroke self-care among underserved ethnic minority individuals: a randomized clinical trial of a pilot intervention

Auteurs: Gina L. Evans-Hudnall, Melinda A. Stanley, Allison N. Clark, Amber L. Bush, Ken Resnicow, Yu Liu, Joseph S. Kass, Angelle M. Sander

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2014

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

The overall purpose of this study was to pilot a multibehavioral, brief, stroke self-care treatment adapted for implementation with underserved racial/ethnic minority groups and to test the moderating effects of anxiety and depression on engagement in secondary stroke-prevention behaviors. Fifty-two participants were randomized to the secondary stroke prevention (STOP) (N = 27) or usual care (N = 25) group. The STOP program consisted of 3 culturally tailored information sessions and goal-setting activities that were delivered in person by a research assistant. Participants were assessed at baseline and 4-week follow-up for stroke knowledge, exercise, fruit and vegetable consumption, tobacco and alcohol use, and medication adherence (primary outcomes) and anxiety and depression (moderator variables). Between-groups analysis of covariance and logistic multiple regressions revealed significant between-group differences for stroke knowledge, tobacco use and moderating effects between tobacco and anxiety, and improved alcohol use. The STOP program decreased secondary stroke risk factors among underserved racial/ethnic minorities and should be tested in large-scale trials.
Literatuur
go back to reference Ahluwala, J. S., Dang, K. S., Choi, W. S., & Harris, K. J. (2002). Smoking behaviors and regular source of health care among African Americans. Preventive Medicine, 34, 393–396.CrossRef Ahluwala, J. S., Dang, K. S., Choi, W. S., & Harris, K. J. (2002). Smoking behaviors and regular source of health care among African Americans. Preventive Medicine, 34, 393–396.CrossRef
go back to reference American Heart Association. (2004). Heart disease and stroke statistics—2005 update. Dallas, TX: American Heart Association, 2004. American Heart Association. (2004). Heart disease and stroke statistics2005 update. Dallas, TX: American Heart Association, 2004.
go back to reference Appelros, P., Nydevik, I., & Viitanen, M. (2003). Poor outcome after first-ever stroke: Predictors for death, dependency, and recurrent stroke within the first year. Stroke, 34, 122–126.PubMedCrossRef Appelros, P., Nydevik, I., & Viitanen, M. (2003). Poor outcome after first-ever stroke: Predictors for death, dependency, and recurrent stroke within the first year. Stroke, 34, 122–126.PubMedCrossRef
go back to reference Charbonneau, A., Rosen, A. K., Ash, A. S., Owen, R. R., Kader, B., & Spiro, A., I. I. I. (2003). Measuring the quality of depression care in a large integrated health system. Medical Care, 41, 669–680.PubMed Charbonneau, A., Rosen, A. K., Ash, A. S., Owen, R. R., Kader, B., & Spiro, A., I. I. I. (2003). Measuring the quality of depression care in a large integrated health system. Medical Care, 41, 669–680.PubMed
go back to reference Clark, A. N., Sander, A. M., Pappadis, M. R., Evans, G. L., Truchen, M. A., & Chious-Tan, F. Y. (2010). Caregiver characteristics and their relationship to health service utilization in minority patients with first episode stroke. NeuroRehabilitation, 27, 95–104.PubMed Clark, A. N., Sander, A. M., Pappadis, M. R., Evans, G. L., Truchen, M. A., & Chious-Tan, F. Y. (2010). Caregiver characteristics and their relationship to health service utilization in minority patients with first episode stroke. NeuroRehabilitation, 27, 95–104.PubMed
go back to reference Collins, B. N., & Lepore, S. J. (2009). Association between anxiety and smoking in a sample of urban black men. Journal of Immigrant and Minority Health, 11, 29–34.PubMedCentralPubMedCrossRef Collins, B. N., & Lepore, S. J. (2009). Association between anxiety and smoking in a sample of urban black men. Journal of Immigrant and Minority Health, 11, 29–34.PubMedCentralPubMedCrossRef
go back to reference Covington, C. F., Kin, J. A., Fennell, I., Jones, C., Hutchinson, C., & Evans, A. (2010). Developing a community-based stroke prevention intervention course in minority communities: The DC Angels Project. Journal of Neuroscience Nursing, 42, 139–142.PubMedCrossRef Covington, C. F., Kin, J. A., Fennell, I., Jones, C., Hutchinson, C., & Evans, A. (2010). Developing a community-based stroke prevention intervention course in minority communities: The DC Angels Project. Journal of Neuroscience Nursing, 42, 139–142.PubMedCrossRef
go back to reference De Wit, L., Putman, K., Baert, I., Lincoln, N. B., Angst, F., & Beyens, H. (2008). Anxiety and depression in the first six months after stroke. A longitudinal multicentre study. Disability and Rehabilitation, 30, 1858–1866.PubMedCrossRef De Wit, L., Putman, K., Baert, I., Lincoln, N. B., Angst, F., & Beyens, H. (2008). Anxiety and depression in the first six months after stroke. A longitudinal multicentre study. Disability and Rehabilitation, 30, 1858–1866.PubMedCrossRef
go back to reference Derogatis, L. R. (1992). BSI: Administration, scoring and procedures manual-II. Towson, MD: Clinical Psychometric Research. Derogatis, L. R. (1992). BSI: Administration, scoring and procedures manual-II. Towson, MD: Clinical Psychometric Research.
go back to reference Donnellan, C., Hickey, A., Hevey, D., & O’Neill, D. (2010). Effect of mood symptoms on recovery one year after stroke. International Journal of Geriatric Psychiatry, 25, 1288–1295.PubMedCrossRef Donnellan, C., Hickey, A., Hevey, D., & O’Neill, D. (2010). Effect of mood symptoms on recovery one year after stroke. International Journal of Geriatric Psychiatry, 25, 1288–1295.PubMedCrossRef
go back to reference Eriksson, M., Asplund, K., Glader, E. L., Norrving, B., Stegmayr, B., Terént, A., et al. (2004). Riks-stroke collaboration. Self-reported depression and use of antidepressants after stroke: A national survey. Stroke, 35, 936–941.PubMedCrossRef Eriksson, M., Asplund, K., Glader, E. L., Norrving, B., Stegmayr, B., Terént, A., et al. (2004). Riks-stroke collaboration. Self-reported depression and use of antidepressants after stroke: A national survey. Stroke, 35, 936–941.PubMedCrossRef
go back to reference Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.PubMedCrossRef Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.PubMedCrossRef
go back to reference Furie, K. L., Kasner, S. E., Adams, R. J., Albers, G. W., Bush, R. L., & Fagan, S. (2011). Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack. A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 42, 227–276.PubMedCrossRef Furie, K. L., Kasner, S. E., Adams, R. J., Albers, G. W., Bush, R. L., & Fagan, S. (2011). Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack. A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 42, 227–276.PubMedCrossRef
go back to reference Ghose, S. S., William, L. S., & Swindle, R. W. (2005). Depression and other mental health diagnoses after stroke increase inpatient and outpatient medical utilization three years post stroke. Medical Care, 43, 1259–1264.PubMedCrossRef Ghose, S. S., William, L. S., & Swindle, R. W. (2005). Depression and other mental health diagnoses after stroke increase inpatient and outpatient medical utilization three years post stroke. Medical Care, 43, 1259–1264.PubMedCrossRef
go back to reference Giles, W. H., Tucker, P., Brown, L., et al. (2004). Racial and ethnic approaches to community health (REACH 2010): An overview. Ethnicity and Disease, 14, S5–S8.PubMed Giles, W. H., Tucker, P., Brown, L., et al. (2004). Racial and ethnic approaches to community health (REACH 2010): An overview. Ethnicity and Disease, 14, S5–S8.PubMed
go back to reference Gillham, S., & Endacott, R. (2010). Impact of enhanced secondary prevention on health behaviour in patients following minor stroke and transient ischaemic attack: A randomized controlled trial. Clinical Rehabilitation, 24, 822–830.PubMedCrossRef Gillham, S., & Endacott, R. (2010). Impact of enhanced secondary prevention on health behaviour in patients following minor stroke and transient ischaemic attack: A randomized controlled trial. Clinical Rehabilitation, 24, 822–830.PubMedCrossRef
go back to reference Hackett, M. L., & Anderson, C. S. (2005). Predictors of depression after stroke: A systematic review of observational studies. Stroke, 36, 2296–2301.PubMedCrossRef Hackett, M. L., & Anderson, C. S. (2005). Predictors of depression after stroke: A systematic review of observational studies. Stroke, 36, 2296–2301.PubMedCrossRef
go back to reference Hankey, G. J., Jamrozik, K., Broadhurst, R. J., Forbes, S., & Anderson, C. S. (2002). Long-term disability after first-ever stroke and related prognostic factors in the Perth community Stroke Study, 1989–90. Stroke, 33, 1034–1040.PubMedCrossRef Hankey, G. J., Jamrozik, K., Broadhurst, R. J., Forbes, S., & Anderson, C. S. (2002). Long-term disability after first-ever stroke and related prognostic factors in the Perth community Stroke Study, 1989–90. Stroke, 33, 1034–1040.PubMedCrossRef
go back to reference Havas, S., Anliker, J., Greenberg, D., Block, G., & Block, T. (2003). Final results of the Maryland WIC Food for Life program. Preventive Medicine, 37, 406–416.PubMedCrossRef Havas, S., Anliker, J., Greenberg, D., Block, G., & Block, T. (2003). Final results of the Maryland WIC Food for Life program. Preventive Medicine, 37, 406–416.PubMedCrossRef
go back to reference Jia, H., Chumbler, N. R., Wang, X., Chuang, H. C., Damush, T. M., Cameon, R., et al. (2010). Racial and ethnicity disparities in post-stroke depression detection. International Journal of Geriatric Psychiatry, 25, 298–304.PubMedCrossRef Jia, H., Chumbler, N. R., Wang, X., Chuang, H. C., Damush, T. M., Cameon, R., et al. (2010). Racial and ethnicity disparities in post-stroke depression detection. International Journal of Geriatric Psychiatry, 25, 298–304.PubMedCrossRef
go back to reference Kahn, D. R., Bourgeois, J. A., Klein, S. C., & Iosif, A. M. (2009). A prospective observational study of decisional capacity determinations in an academic medical center. International Journal of Psychiatry Medicine, 39, 405–415.CrossRef Kahn, D. R., Bourgeois, J. A., Klein, S. C., & Iosif, A. M. (2009). A prospective observational study of decisional capacity determinations in an academic medical center. International Journal of Psychiatry Medicine, 39, 405–415.CrossRef
go back to reference Keller, C. S., Gonzalaes, A., & Fleuriet, K. J. (2005). Retention of minority participants in clinical research studies. Western Journal of Nursing Research, 27, 292–306.PubMedCrossRef Keller, C. S., Gonzalaes, A., & Fleuriet, K. J. (2005). Retention of minority participants in clinical research studies. Western Journal of Nursing Research, 27, 292–306.PubMedCrossRef
go back to reference Kreuter, M. W., Skinner, C. S., Holt, C. L., Clark, E. M., Haire-Joshu, D., & Fu, Q. (2005). Cultural tailoring for mammography and fruit and vegetable intake among low-income African American women in urban public health centers. Preventive Medicine, 41, 53–62.PubMedCrossRef Kreuter, M. W., Skinner, C. S., Holt, C. L., Clark, E. M., Haire-Joshu, D., & Fu, Q. (2005). Cultural tailoring for mammography and fruit and vegetable intake among low-income African American women in urban public health centers. Preventive Medicine, 41, 53–62.PubMedCrossRef
go back to reference Lawrence, M., Kerr, S., McVey, C., & Godwin, J. (2012). The effectiveness of secondary prevention lifestyle interventions designed to change lifestyle behavior following stroke: Summary of a systematic review. International Journal of Stroke, 7, 243–247.PubMedCrossRef Lawrence, M., Kerr, S., McVey, C., & Godwin, J. (2012). The effectiveness of secondary prevention lifestyle interventions designed to change lifestyle behavior following stroke: Summary of a systematic review. International Journal of Stroke, 7, 243–247.PubMedCrossRef
go back to reference Levine, D. A., Kiefe, C. I., Howard, G., Howard, V. J., Williams, O. D., & Allison, J. J. (2007). Reduced medication access: A marker for vulnerability in US stroke survivors. Stroke, 38, 1557–1564.PubMedCrossRef Levine, D. A., Kiefe, C. I., Howard, G., Howard, V. J., Williams, O. D., & Allison, J. J. (2007). Reduced medication access: A marker for vulnerability in US stroke survivors. Stroke, 38, 1557–1564.PubMedCrossRef
go back to reference Liao, Y., Bang, D., Brosgrove, S., Dulin, R., Harris, Z., Stewart, A. (2011). Surveillance of health status in minority communities—racial and ethnic approaches to community health across the U.S. (REACH U.S.) risk factor survey, United States, 2009. Center for Disease Control and Prevention Morbidity and Mortality Weekly Report, Surveillance Summaries, 60, 1–42. Liao, Y., Bang, D., Brosgrove, S., Dulin, R., Harris, Z., Stewart, A. (2011). Surveillance of health status in minority communities—racial and ethnic approaches to community health across the U.S. (REACH U.S.) risk factor survey, United States, 2009. Center for Disease Control and Prevention Morbidity and Mortality Weekly Report, Surveillance Summaries, 60, 1–42.
go back to reference LLohse, B., Stotts, J. L., & Bagdonis, J. (2006). Income sub stratification within a low income sample denotes dropout and completion patterns in nutrition education intervention for young adults. The FASEB Journal, 20, A1312. LLohse, B., Stotts, J. L., & Bagdonis, J. (2006). Income sub stratification within a low income sample denotes dropout and completion patterns in nutrition education intervention for young adults. The FASEB Journal, 20, A1312.
go back to reference Lutfiyya, M. N., Ng, L., Asner, N., & Lipsky, M. S. (2009). Disparities in stroke symptomology knowledge among US midlife women: An analysis of population survey data. Journal of Stroke & Cerebrovascular Disease, 18, 150–157.CrossRef Lutfiyya, M. N., Ng, L., Asner, N., & Lipsky, M. S. (2009). Disparities in stroke symptomology knowledge among US midlife women: An analysis of population survey data. Journal of Stroke & Cerebrovascular Disease, 18, 150–157.CrossRef
go back to reference Mead, G. E., Greig, C. A., Cunningham, I., Lewis, S. J., Dinan, S., & Saunders, D. H. (2007). Stroke: A randomized trial of exercise or relaxation. Journal of the American Geriatric Society, 55, 892–899.CrossRef Mead, G. E., Greig, C. A., Cunningham, I., Lewis, S. J., Dinan, S., & Saunders, D. H. (2007). Stroke: A randomized trial of exercise or relaxation. Journal of the American Geriatric Society, 55, 892–899.CrossRef
go back to reference Modrego, P. J., Mainar, R., & Turull, L. (2004). Recurrence and survival after first-ever stroke in the area of Bajo Aragon, Spain. A prospective cohort study. Journal of the Neurological Sciences, 224, 49–55.PubMedCrossRef Modrego, P. J., Mainar, R., & Turull, L. (2004). Recurrence and survival after first-ever stroke in the area of Bajo Aragon, Spain. A prospective cohort study. Journal of the Neurological Sciences, 224, 49–55.PubMedCrossRef
go back to reference Morgenstern, L. B., Smith, M. A., Lisabeth, L. D., Risser, J. M., Uchino, K., & Garcia, N. (2004). Excess stroke in Mexican Americans compared with non-Hispanic Whites: The brain attack surveillance in Corpus Christi Project. American Journal of Epidemiology, 2004, 376–383.CrossRef Morgenstern, L. B., Smith, M. A., Lisabeth, L. D., Risser, J. M., Uchino, K., & Garcia, N. (2004). Excess stroke in Mexican Americans compared with non-Hispanic Whites: The brain attack surveillance in Corpus Christi Project. American Journal of Epidemiology, 2004, 376–383.CrossRef
go back to reference Ovbiagele, B., Saver, J. L., Fredieu, A., Suzuki, S., Selco, S., & Rajajee, V. (2004). In-hospital initiation of secondary stroke prevention therapies yields high rates of adherence at follow-up. Stroke, 35, 2879–2883.PubMedCrossRef Ovbiagele, B., Saver, J. L., Fredieu, A., Suzuki, S., Selco, S., & Rajajee, V. (2004). In-hospital initiation of secondary stroke prevention therapies yields high rates of adherence at follow-up. Stroke, 35, 2879–2883.PubMedCrossRef
go back to reference Pearson, T. A., Blair, S. N., Daniels, S. R., Eckel, R. H., Fair, J. M., & Fortmann, S. P. (2002). AHA Guidelines for primary prevention of cardiovascular disease and stroke: 2002 update: Consensus panel guide to comprehensive risk deduction for adult patients without coronary or other atherosclerotic vascular diseases. American Heart Association Science Advisory and Coordinating Committee. Circulation, 106, 388–391.PubMedCrossRef Pearson, T. A., Blair, S. N., Daniels, S. R., Eckel, R. H., Fair, J. M., & Fortmann, S. P. (2002). AHA Guidelines for primary prevention of cardiovascular disease and stroke: 2002 update: Consensus panel guide to comprehensive risk deduction for adult patients without coronary or other atherosclerotic vascular diseases. American Heart Association Science Advisory and Coordinating Committee. Circulation, 106, 388–391.PubMedCrossRef
go back to reference Pratt, C. A., Ha, L., Levine, S., & Pratt, C. B. (2003). Stroke knowledge and barriers to stroke prevention among African Americans: Implications for health communication. Journal of Health Communications, 8, 369–381.CrossRef Pratt, C. A., Ha, L., Levine, S., & Pratt, C. B. (2003). Stroke knowledge and barriers to stroke prevention among African Americans: Implications for health communication. Journal of Health Communications, 8, 369–381.CrossRef
go back to reference Robinson, R. G. (2003). Predictors of depression after stroke: A systematic review of observational studies. Biological Psychiatry, 45, 376–387.CrossRef Robinson, R. G. (2003). Predictors of depression after stroke: A systematic review of observational studies. Biological Psychiatry, 45, 376–387.CrossRef
go back to reference Roby, D. H., Nicholson, G. H., & Kominski, G. F. (2009). African Americans in commercial HMOs more likely to delay prescription drugs and use the emergency room. Policy Brief/UCLA Center for Health Policy Research, Dec(PB2009-11), 1–12. Roby, D. H., Nicholson, G. H., & Kominski, G. F. (2009). African Americans in commercial HMOs more likely to delay prescription drugs and use the emergency room. Policy Brief/UCLA Center for Health Policy Research, Dec(PB2009-11), 1–12.
go back to reference Shacham, E., Basta, T. B., Reece, M. (2008). Symptoms of psychological distress among African Americans seeking HIV-related mental health care. Shacham, E., Basta, T. B., Reece, M. (2008). Symptoms of psychological distress among African Americans seeking HIV-related mental health care.
go back to reference Sit, J. W., Yip, V. Y., Ko, S. K., Gun, A. P., & Lee, J. S. (2007). A quasi-experimental study on a community-based stroke prevention programme for clients with minor stroke. Journal of Clinical Nursing, 16, 272–281.PubMedCrossRef Sit, J. W., Yip, V. Y., Ko, S. K., Gun, A. P., & Lee, J. S. (2007). A quasi-experimental study on a community-based stroke prevention programme for clients with minor stroke. Journal of Clinical Nursing, 16, 272–281.PubMedCrossRef
go back to reference US Centers for Disease Control and Prevention. (2004). US Behavioral surveillance survey. Atlanta, GA: Author. US Centers for Disease Control and Prevention. (2004). US Behavioral surveillance survey. Atlanta, GA: Author.
go back to reference Whitlock, E. P., Orleans, C. T., Pender, N., & Allan, J. (2002). Evaluating primary care behavioral counseling interventions: An evidence-based approach. American Journal of Preventive Medicine, 22, 267–284.PubMedCrossRef Whitlock, E. P., Orleans, C. T., Pender, N., & Allan, J. (2002). Evaluating primary care behavioral counseling interventions: An evidence-based approach. American Journal of Preventive Medicine, 22, 267–284.PubMedCrossRef
go back to reference Williams, L. S., Ghose, S. S., & Swindle, R. W. (2004). Depression and other mental health diagnosis increase mortality risk after ischemic stroke. American Journal of Psychiatry, 161, 1090–1095.PubMedCrossRef Williams, L. S., Ghose, S. S., & Swindle, R. W. (2004). Depression and other mental health diagnosis increase mortality risk after ischemic stroke. American Journal of Psychiatry, 161, 1090–1095.PubMedCrossRef
go back to reference Yore, M. M., Ham, S. A., Ainsworth, B. E., Kruger, J., Reis, J. P., Kohon, H. W., I. I. I., et al. (2007). Reliability and validity of the instrument used in BRFSS to assess physical activity. Medicine and Science in Sports and Exercise, 39, 1267–1274.PubMedCrossRef Yore, M. M., Ham, S. A., Ainsworth, B. E., Kruger, J., Reis, J. P., Kohon, H. W., I. I. I., et al. (2007). Reliability and validity of the instrument used in BRFSS to assess physical activity. Medicine and Science in Sports and Exercise, 39, 1267–1274.PubMedCrossRef
go back to reference Zahuranec, D. B., Morgenstern, L. B., Garcia, N. M., Conley, K. M., Lisabeth, L. D., Rank, G. S., et al. (2008). Stroke health and risk education (SHARE) pilot project: Feasibility and need for church-based stroke health promotion in a bi-ethnic community. Stroke, 39, 1583–1585.PubMedCrossRef Zahuranec, D. B., Morgenstern, L. B., Garcia, N. M., Conley, K. M., Lisabeth, L. D., Rank, G. S., et al. (2008). Stroke health and risk education (SHARE) pilot project: Feasibility and need for church-based stroke health promotion in a bi-ethnic community. Stroke, 39, 1583–1585.PubMedCrossRef
Metagegevens
Titel
Improving secondary stroke self-care among underserved ethnic minority individuals: a randomized clinical trial of a pilot intervention
Auteurs
Gina L. Evans-Hudnall
Melinda A. Stanley
Allison N. Clark
Amber L. Bush
Ken Resnicow
Yu Liu
Joseph S. Kass
Angelle M. Sander
Publicatiedatum
01-04-2014
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 2/2014
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-012-9469-2

Andere artikelen Uitgave 2/2014

Journal of Behavioral Medicine 2/2014 Naar de uitgave