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Co-Designing a Program to Lower Cardiovascular Disease Risk in Midlife Black Women.

Holly J Jones1, Tamilyn Bakas1, Sheila Nared2,3

  • 1College of Nursing, University of Cincinnati, Cincinnati, OH 45267, USA.

International Journal of Environmental Research and Public Health
|February 15, 2022
PubMed
Summary

Midlife Black women face higher heart disease risks. The B-SWELL program, developed with community input, aimed to boost awareness of cardiovascular disease (CVD) risk factors and promote healthy lifestyles.

Keywords:
African Americancardiovascular diseasescommunity-based participatory researchheart disease risk factorsintervention studieswomen’s health services

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Area of Science:

  • Public Health
  • Cardiovascular Disease Prevention
  • Health Disparities

Background:

  • Midlife Black women experience disproportionately high rates of heart disease and stroke compared to White women.
  • Existing cardiovascular disease (CVD) prevention campaigns have shown limited effectiveness in reaching Black women.
  • Lower awareness of personal CVD risk contributes to delayed medical attention for heart attack symptoms.

Purpose of the Study:

  • To design and trial the Midlife Black Women's Stress and Wellness (B-SWELL) program.
  • To increase awareness of CVD risk factors, stress management, and healthy lifestyle behaviors.
  • To evaluate a culturally tailored heart disease prevention program developed using community participatory methods.

Main Methods:

  • Collaborative development of program materials with an existing Community Research Advisory Board (C-RAB).
  • Cultural adaptation of educational and intervention materials for the target population.
  • Community-based participatory research approach for program co-creation and trial.

Main Results:

  • Successful co-creation and trial of the B-SWELL program materials.
  • The program was co-facilitated by community partners, enhancing cultural relevance.
  • Identified strengths and challenges in developing a culturally tailored CVD prevention program.

Conclusions:

  • Culturally tailored programs developed with community input are crucial for addressing health disparities in cardiovascular disease prevention.
  • Community participatory methods can effectively engage target populations in health initiatives.
  • The B-SWELL program provides a model for culturally sensitive heart disease prevention among midlife Black women.