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A Pilot Primary Stroke Prevention Program for Elderly Korean Americans.

Minjeong An1, Eun-Shim Nahm, Marianne Shaughnessy

  • 1Eun-Shim Nahm, PhD RN FAAN, is Professor, University of Maryland Baltimore School of Nursing, Baltimore, MD. Marianne Shaughnessy, PhD RN, is Director, Policy, Practice and Population Health Integration, Veterans Affairs Medical Center, Washington, DC. Carla L. Storr, ScD MPH, is Professor, University of Maryland School of Nursing, Baltimore, MD. Hae-Ra Han, PhD RN FAAN, is Professor, Johns Hopkins University School of Nursing, Baltimore, MD. JuHee Lee, PhD RN, is Professor, Yonsei University College of Nursing, Seoul, South Korea.

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Summary
This summary is machine-generated.

A stroke prevention program improved knowledge and healthy eating in older Korean Americans, overcoming language barriers. The study showed the program is feasible and effective for this underserved population.

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Area of Science:

  • Public Health
  • Gerontology
  • Health Disparities

Background:

  • Stroke poses significant health risks for older adults in the U.S.
  • Effective stroke prevention programs exist but often exclude those with language barriers, like older Korean Americans.
  • Targeted interventions are needed to improve stroke knowledge and risk factor management in diverse elderly populations.

Purpose of the Study:

  • To assess the feasibility and preliminary impact of a primary stroke prevention program tailored for Korean Americans.
  • To evaluate the program's effect on stroke knowledge, healthy eating, and physical activity behaviors.
  • To address health disparities in stroke prevention among a specific ethnic elderly group.

Main Methods:

  • A randomized controlled pilot trial involving 73 participants (37 intervention, 36 control).
  • Intervention included in-person lectures and discussions designed to be culturally and linguistically appropriate.
  • Statistical analyses included ANCOVA and logistic regression to compare groups.

Main Results:

  • The intervention group demonstrated significant improvements in stroke knowledge compared to the control group (P = .001).
  • Participants in the intervention group showed reduced intake of sodium and total fats (P = .048, P = .037).
  • Marginal effects were observed for step counts (P = .075).

Conclusions:

  • The primary stroke prevention program was feasible and effective for elderly Korean Americans.
  • The intervention successfully enhanced stroke knowledge and promoted healthier dietary behaviors.
  • Culturally tailored programs can overcome language barriers and improve health outcomes in minority aging populations.