A Community Health Advisor Program to Reduce Cardiovascular Risk among Rural African-American Women

Autor/inn/en	Cornell, C. E.; Littleton, M. A.; Greene, P. G.; Pulley, L.; Brownstein, J. N.; Sanderson, B. K.; Stalker, V. G.; Matson-Koffman, D.; Struempler, B.; Raczynski, J. M.
Titel	A Community Health Advisor Program to Reduce Cardiovascular Risk among Rural African-American Women
Quelle	In: Health Education Research, 24 (2009) 4, S.622-633 (12 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0268-1153
DOI	10.1093/her/cyn063
Schlagwörter	Community Development; Intervention; Females; Formative Evaluation; Public Health; City Government; Community Organizations; Evaluation Methods; Social Capital; Health Education; Program Descriptions; Risk; Diseases; Heart Disorders; Rural Areas; African Americans; Alabama + Suchen Sie Ihr Suchwort? Community; Development; Entwicklung; Weibliches Geschlecht; Gesundheitswesen; Sozialkapital; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Risiko; Disease; Krankheit; Herzkrankheit; Rural area; Ländlicher Raum; Afroamerikaner
Abstract	The Uniontown, Alabama Community Health Project trained and facilitated Community Health Advisors (CHAs) in conducting a theory-based intervention designed to reduce the risk for cardiovascular disease (CVD) among rural African-American women. The multiphased project included formative evaluation and community organization, CHA recruitment and training, community intervention and maintenance. Formative data collected to develop the training, intervention and evaluation methods and materials indicated the need for programs to increase knowledge, skills and resources for changing behaviors that increase the risk of CVD. CHAs worked in partnership with staff to develop, implement, evaluate and maintain strategies to reduce risk for CVD in women and to influence city officials, business owners and community coalitions to facilitate project activities. Process data documented sustained increases in social capital and community capacity to address health-related issues, as well as improvements in the community's physical infrastructure. This project is unique in that it documents that a comprehensive CHA-based intervention for CVD can facilitate wide-reaching changes in capacity to address health issues in a rural community that include improvements in community infrastructure and are sustained beyond the scope of the originally funded intervention. (As Provided).
Anmerkungen	Oxford University Press. Great Clarendon Street, Oxford OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://her.oxfordjournals.org/
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10