scholarly journals 4044 A Cardiovascular Health and Wellness Mobile Health Intervention Among Church-going African-Americans: Formative Evaluation of the FAITH! App

2020 ◽  
Vol 4 (s1) ◽  
pp. 53-53
Author(s):  
LaPrincess Brewer ◽  
Ashok Kumbamu ◽  
Christina Smith ◽  
Sarah Jenkins ◽  
Clarence Jones ◽  
...  
Keyword(s):  
Pilot Study ◽  
African Americans ◽  
Focus Groups ◽  
Lifestyle Intervention ◽  
Formative Evaluation ◽  
Cardiovascular Health ◽  
Healthy Lifestyle ◽  
Post Intervention ◽  
Health Promoting Behaviors ◽  
High Level

OBJECTIVES/GOALS: To evaluate the FAITH! (Fostering African-American Improvement in Total Health) App mHealth lifestyle intervention by using post-intervention feedback obtained from participants in our intervention pilot study. METHODS/STUDY POPULATION: We used qualitative methods (focus groups) to elicit post-intervention feedback. Participants who completed the pilot study were recruited to one of two focus groups. Semi-structured focus groups were conducted to explore participants’ views on the app functionality, utility and satisfaction as well as its impact on healthy lifestyle change. Sessions were audio-recorded, transcribed verbatim and qualitative data were analyzed by systematic text condensation thematic analysis. RESULTS/ANTICIPATED RESULTS: Nine individuals participated (N = 4 and N = 5) in each of the two focus groups. Their mean age was 47.9 years (SD 12.1), 67% were women, and all had at least an education level of some college. Six overarching themes emerged from the data: (1) overall impression, (2) content usefulness (3) formatting, (4) implementation, (5) impact and (6) suggestions for improvement. Underpinning the themes was a high level of agreement that the intervention facilitated healthy behavioral change through cultural tailoring, multimedia education modules and social networking. Among the suggestions for improvement were streamlining of app self-monitoring features, personalization based on individual’s cardiovascular risk and attentiveness to nuanced cultural perspectives. DISCUSSION/SIGNIFICANCE OF IMPACT: This formative evaluation found the FAITH! App mHealth lifestyle intervention had high reported satisfaction and impact on the health-promoting behaviors of African-Americans, thereby improving their overall cardiovascular health. The findings provide further support for the acceptability of mHealth interventions among African-Americans. CONFLICT OF INTEREST DESCRIPTION: None.

scholarly journals A Cardiovascular Health and Wellness Mobile Health Intervention Among Church-Going African Americans: Formative Evaluation of the FAITH! App

10.2196/21450 ◽  
2020 ◽  
Vol 4 (11) ◽  
pp. e21450
Author(s):  
LaPrincess C Brewer ◽  
Ashok Kumbamu ◽  
Christina Smith ◽  
Sarah Jenkins ◽  
Clarence Jones ◽  
...  
Keyword(s):  
African American ◽  
African Americans ◽  
Mobile Health ◽  
Formative Evaluation ◽  
Cardiovascular Health ◽  
Healthy Lifestyle ◽  
Community Based Participatory Research ◽  
Health And Wellness ◽  
Health Promoting Behaviors ◽  
High Level

Background In light of the scarcity of culturally tailored mobile health (mHealth) lifestyle interventions for African Americans, we designed and pilot tested the Fostering African-American Improvement in Total Health (FAITH!) App in a community-based participatory research partnership with African American churches to promote cardiovascular health and wellness in this population. Objective This report presents the results of a formative evaluation of the FAITH! App from participants in an intervention pilot study. Methods We included 2 semistructured focus groups (n=4 and n=5) to explore participants’ views on app functionality, utility, and satisfaction as well as its impact on healthy lifestyle change. Sessions were audio-recorded and transcribed verbatim, and qualitative data were analyzed by using general inductive analysis to generate themes. Results In total, 6 overarching themes emerged among the 9 participants: overall impression, content usefulness, formatting, implementation, impact, and suggestions for improvement. Underpinning the themes was a high level of agreement that the intervention facilitated healthy behavioral change through cultural tailoring, multimedia education modules, and social networking. Suggestions for improvement were streamlining the app self-monitoring features, prompts to encourage app use, and personalization based on individuals’ cardiovascular risk. Conclusions This formative evaluation found that the FAITH! App had high reported satisfaction and impact on the health-promoting behaviors of African Americans, thereby improving their overall cardiovascular health. Further development and testing of the app among African Americans is warranted. Trial Registration ClinicalTrials.gov NCT03084822; https://clinicaltrials.gov/ct2/show/NCT03084822.

A Cardiovascular Health and Wellness Mobile Health Intervention Among Church-Going African Americans: Formative Evaluation of the FAITH! App (Preprint)

2020 ◽  
Author(s):  
LaPrincess C Brewer ◽  
Ashok Kumbamu ◽  
Christina Smith ◽  
Sarah Jenkins ◽  
Clarence Jones ◽  
...  
Keyword(s):  
African American ◽  
African Americans ◽  
Mobile Health ◽  
Formative Evaluation ◽  
Cardiovascular Health ◽  
Healthy Lifestyle ◽  
Community Based Participatory Research ◽  
Health And Wellness ◽  
Health Promoting Behaviors ◽  
High Level

BACKGROUND In light of the scarcity of culturally tailored mobile health (mHealth) lifestyle interventions for African Americans, we designed and pilot tested the Fostering African-American Improvement in Total Health (FAITH!) App in a community-based participatory research partnership with African American churches to promote cardiovascular health and wellness in this population. OBJECTIVE This report presents the results of a formative evaluation of the FAITH! App from participants in an intervention pilot study. METHODS We included 2 semistructured focus groups (n=4 and n=5) to explore participants’ views on app functionality, utility, and satisfaction as well as its impact on healthy lifestyle change. Sessions were audio-recorded and transcribed verbatim, and qualitative data were analyzed by using general inductive analysis to generate themes. RESULTS In total, 6 overarching themes emerged among the 9 participants: overall impression, content usefulness, formatting, implementation, impact, and suggestions for improvement. Underpinning the themes was a high level of agreement that the intervention facilitated healthy behavioral change through cultural tailoring, multimedia education modules, and social networking. Suggestions for improvement were streamlining the app self-monitoring features, prompts to encourage app use, and personalization based on individuals’ cardiovascular risk. CONCLUSIONS This formative evaluation found that the FAITH! App had high reported satisfaction and impact on the health-promoting behaviors of African Americans, thereby improving their overall cardiovascular health. Further development and testing of the app among African Americans is warranted. CLINICALTRIAL ClinicalTrials.gov NCT03084822; https://clinicaltrials.gov/ct2/show/NCT03084822.

Improvements in Psychosocial Factors among African Americans using an mHealth Lifestyle Intervention to Promote Cardiovascular Health: the FAITH! App Pilot Study (Preprint)

2021 ◽  
Author(s):  
Jissy Cyriac ◽  
Sarah Jenkins ◽  
Christi A Patten ◽  
Sharonne N Hayes ◽  
Clarence Jones ◽  
...  
Keyword(s):  
Pilot Study ◽  
African Americans ◽  
Psychosocial Factors ◽  
Lifestyle Intervention ◽  
Cardiovascular Health ◽  
Vegetable Intake ◽  
Self Regulation ◽  
Healthy Diet ◽  
Perceived Barriers ◽  
Post Intervention

BACKGROUND African Americans (AAs) continue to have suboptimal cardiovascular health (CVH) related to diet and physical activity (PA) behaviors compared to Whites. Mobile health (mHealth) interventions are a novel platform to improve diet and PA and have the potential to mitigate these disparities. However, these are understudied and underutilized among AAs. OBJECTIVE To examine whether an mHealth lifestyle intervention is associated with improved diet and PA-related psychosocial factors in AAs and whether these changes correlate with changes in diet and PA behaviors. METHODS This study is a retrospective analysis evaluating changes in diet and PA-related psychosocial measures (diet and PA self-regulation, perceived barriers to healthy diet and PA) and behaviors (fruit/vegetable intake, PA) in 45 AA adults (mean age 48.7 [SD 12.9], 73% women) enrolled in the FAITH! App Pilot Study. The intervention is a 10-week, behavioral-theory informed, community-based mHealth lifestyle intervention delivered through a mobile application (app) platform (FAITH! App) that provided participants opportunities to engage with 10 core multimedia education modules focused on CVH, self-assessments of CVH knowledge, a sharing board for social networking, and self-monitoring of daily fruit/vegetable intake and PA. Changes in self-reported diet and PA-related psychosocial variables and behaviors were assessed by electronic surveys collected at baseline and 28-weeks post-intervention. Changes were analyzed in the overall cohort and explored within subgroups based on socio-demographics, baseline electronic health literacy (EHL), and app engagement. Statistical analysis of pre- and post-intervention changes within and between groups were performed via rank-based tests, and correlation of changes between fruit/vegetable intake and PA were assessed via Spearman correlation. RESULTS The overall sample reported decreases in perceived barriers to healthy diet (P<.0001) and improvements in components of diet self-regulation (i.e., fat/calorie intake [P=.01], nutrition tracking [P<.0001]). Improvements in diet self-regulation (increase fruit/vegetable intake, nutrition tracking) had moderate positive correlation to fruit/vegetable intake (r=0.46, r=0.34 respectively). A moderate negative correlation was seen between perceived barriers to healthy diet and fruit/vegetable intake (r=-0.25). Overall, increases in PA self-regulation were observed. No meaningful correlations were found between PA-related psychosocial factors and PA. Subgroup analyses showed improvements in diet and PA self-regulation, perceived barriers to healthy diet, and fruit/vegetable intake among women, those with employment, higher app engagement, and eHealth literacy (all P≤.01). CONCLUSIONS Our findings suggest key diet and PA-related psychosocial factors to potentially target in future mHealth lifestyle interventions aiming to achieve CVH equity in AAs. CLINICALTRIAL clinicaltrials.gov [NCT03084822]

scholarly journals Improving Cardiovascular Health Among African-Americans Through Mobile Health: the FAITH! App Pilot Study

2019 ◽  
Vol 34 (8) ◽  
pp. 1376-1378 ◽  
Author(s):  
LaPrincess C. Brewer ◽  
Sharonne N. Hayes ◽  
Sarah M. Jenkins ◽  
Kandace A. Lackore ◽  
Carmen Radecki Breitkopf ◽  
...  
Keyword(s):  
Pilot Study ◽  
African Americans ◽  
Mobile Health ◽  
Cardiovascular Health

Delay Early CKD with Lifestyle Intervention in African Americans with Diabetic Kidney Disease: A Pre-Post Pilot Study (Preprint)

2021 ◽  
Author(s):  
Mukoso Ozieh ◽  
Leonard E. Egede
Keyword(s):  
Chronic Kidney Disease ◽  
South Carolina ◽  
African Americans ◽  
Kidney Disease ◽  
Lifestyle Intervention ◽  
Self Care ◽  
Post Intervention ◽  
Culturally Tailored ◽  
Behavior Outcomes ◽  
Mean Differences

BACKGROUND Behavioral factors such as lifestyle have been shown to explain approximately 24% of the excess risk of chronic kidney disease among African Americans. OBJECTIVE The main objective of this study was to examine the feasibility and preliminary efficacy of a culturally tailored lifestyle intervention in African Americans with type 2 diabetes mellitus and chronic kidney disease (CKD). METHODS A pre-post design was used to test the feasibility of a lifestyle intervention in African American adults recruited from Medical University of South Carolina. Clinical outcomes (hemoglobin A1c, blood pressure and estimated glomerular filtration rate (eGFR)) were measured at baseline and post-intervention. Disease knowledge, self-care and behavior outcomes were also measured using validated structured questionnaires at baseline and post-intervention. Descriptive statistics and effect sizes were calculated to determine clinically important changes from baseline. RESULTS Significant pre-post mean differences and decreases were observed for HbA1c (mean 0.75, p=0.01), total cholesterol (mean 16.38, p<0.01), low density lipoprotein (mean 13.73, p<0.01) and eGFR (mean 6.73, p=0.02). Significant pre-post mean differences and increases were observed for CKD self-efficacy (mean -11.15, p=0.03), CKD knowledge (mean -2.62, p<0.01), exercise behavior (mean -1.21, p<0.01) and blood sugar testing (mean -2.15, p<0.01). CONCLUSIONS This study provides preliminary data for a large-scale appropriately powered, randomized control trial to examine a culturally tailored lifestyle intervention in African Americans to improve clinical, knowledge and self-care behavior outcomes in this population.

“You’ve Got to Love Yourself”: Photovoice Stories From African Americans and Hispanic/Latinos Living With Diabetes

2017 ◽  
Vol 29 (3) ◽  
pp. 229-239 ◽  
Author(s):  
Ninfa C. Peña-Purcell ◽  
Lauren Cutchen ◽  
Traechel McCoy
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
African Americans ◽  
Focus Groups ◽  
Positive Emotions ◽  
Healthy Lifestyle ◽  
Orientation Session ◽  
Latino Adults

Introduction: Health disparities persist among African Americans (AAs) and Latino adults with type 2 diabetes. The purpose of this research was to use PhotoVoice to examine AAs and Latinos’ daily experiences of managing diabetes. Method: An exploratory, descriptive study using PhotoVoice and focus groups was conducted over a 3-week period: Week 1 orientation session, Week 2 photo taking and returning cameras, and Week 3 focus group to share and discuss photos. Results: Ten AAs and nine Latino adults were enrolled, forming four focus groups. Four categories emerged: (1) daily life living with type 2 diabetes mellitus, (2) negative and positive emotions, (3) supports and barriers, and (4) needs. The social determinants of health influencing diabetes self-care were observed in discussions and photos—this included the built environment to promote a healthy lifestyle, social support, and education. Implications: PhotoVoice promotes culturally congruent care to better understand AA and Latinos’ experience living with type 2 diabetes mellitus.

scholarly journals A Pilot Study of a Culturally Tailored Lifestyle Intervention for Chinese American Cancer Survivors

2019 ◽  
Vol 26 (1) ◽  
pp. 107327481989548 ◽  
Author(s):  
Furjen Deng ◽  
Danhong Chen ◽  
Maria C. Swartz ◽  
Helen Sun
Keyword(s):  
Pilot Study ◽  
Cancer Survivors ◽  
Lifestyle Intervention ◽  
Asian Americans ◽  
Assessment Tool ◽  
Healthy Lifestyle ◽  
Short Form ◽  
Chinese American ◽  
Small Sample ◽  
Community Based

Although Asian Americans generally have the lowest cancer incidence rates and mortality rates, cancer is the leading cause of death among Asian Americans. The goal of this pilot study was to engage Chinese American cancer survivors (CACS) in systematic changes toward desired health behaviors through a healthy lifestyle intervention delivered by a community-based organization. The Reach out to ENhanceE Wellness (RENEW) program workbook was translated into Mandarin Chinese with additional physical activity (PA) and dietary information that are culturally appropriate (RENEW-C). Fifty-five Chinese cancer survivors were recruited from the greater Houston area to participate in this 50-week program and 50 of them completed both the baseline and postintervention surveys in 2013 and 2014, respectively. Paired sample t tests were used to assess changes in 5 groups of outcomes: (1) patient knowledge (measured by Health Education Impact Questionnaire [heiQ]), (2) dietary intake (Automated Self-Administered 24-Hour [ASA24] Dietary Assessment Tool), (3) PA (Community Healthy Activities Model Program for Seniors [CHAMPS]), (4) body mass index, and (5) quality of life (36-item Short-Form Survey [SF-36]). Compared with the baseline, participants reported significantly higher consumption of vegetables and higher frequency of PAs at the postintervention survey. They also showed improved mental health and lower limitation in doing their work or other activities due to physical health or emotional problems. Despite the small sample size, this pilot study demonstrated the effectiveness of using a community-based participatory approach in a healthy lifestyle intervention tailored for CACS.

scholarly journals mHealth Intervention Promoting Cardiovascular Health Among African-Americans: Recruitment and Baseline Characteristics of a Pilot Study

2018 ◽  
Vol 7 (1) ◽  
pp. e31 ◽  
Author(s):  
LaPrincess C Brewer ◽  
Sarah Jenkins ◽  
Kandace Lackore ◽  
Jacqueline Johnson ◽  
Clarence Jones ◽  
...  
Keyword(s):  
Pilot Study ◽  
African Americans ◽  
Cardiovascular Health ◽  
Mhealth Intervention ◽  
Baseline Characteristics
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