Community Health Representatives: A Valuable Resource for Providing Coronary Heart Disease Health Education Activities for Native Americans

1989 ◽  
Vol 20 (6) ◽  
pp. 16-31 ◽  
Author(s):  
Vicki L. Cleaver ◽  
Ronald Ratcliff ◽  
Billy Rogers
2021 ◽  
pp. 019394592110207
Author(s):  
Min Wen ◽  
Yaqin Liang ◽  
Qianqian Shen ◽  
Juping Yu ◽  
Pingping He ◽  
...  

This cluster randomized controlled trial aimed to investigate the effects of an intervention to teach resourcefulness on depression and coping style of patients with coronary heart disease (CHD). A convenience sample of 72 patients in community settings took part. Participants in the intervention group (n = 36) received an 8-week intervention based on the concept of resourcefulness, plus routine health education. Participants in the control group (n = 36) received routine health education only. After the intervention, participants in the intervention group had significantly higher scores on resourcefulness and coping styles, and lower scores on depression than those in the control group (both ps < .001). The findings suggest that a well-developed intervention to teach resourcefulness could help patients with CHD to be more resourceful, improve their level of depression, and choose more effective strategies to cope with stress.


1985 ◽  
Vol 12 (2) ◽  
pp. 151-168 ◽  
Author(s):  
John P. Elder ◽  
Melbourne F. Hovell ◽  
Thomas M. Lasater ◽  
Barbara L. Wells ◽  
Richard A. Carleton

1994 ◽  
Vol 9 (4) ◽  
pp. 317-330 ◽  
Author(s):  
Therese Van Elderen ◽  
Stan Maes ◽  
Gerard Seegers ◽  
Hans Kragten ◽  
Lucy Relik-Van Wely

2020 ◽  
Author(s):  
Diana A. Chirinos ◽  
Maria M. Llabre ◽  
Ronald Goldberg ◽  
Marc Gellman ◽  
Armando Mendez ◽  
...  

<b>Objective: </b>Various organizations have highlighted the need to examine whether abdominal obesity cut-points are appropriate for identification of cardiovascular risk among ethnic minority adults, particularly Hispanic/Latino living in western societies. This study aimed (1) to establish optimal definitions for abdominal obesity among Hispanic/Latinos, and (2) determine the level of agreement between the presence of metabolic syndrome diagnosed by the current Joint Interim Statement (IJS) definition and an updated definition with optimal abdominal obesity cut points. <p><b>Research Design and Methods:</b> The sample included 16,289 adults who self-identified as Hispanic/Latino ages 18-74 years enrolled in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Receiving operating characteristic (ROC) curves were used to derive sensitivity and specificity values. The largest sum of sensitivity plus specificity was used to determine appropriate cut-points. </p> <p><b>Results:</b> Among US Hispanic/Latino adults, waist circumference cut points of >102 cm in men (in line with current IJS criteria) and >97 cm (9 points higher than IJS criteria) in women provide optimal discrimination for cardiovascular risk as judged by the presence of coronary heart disease. When using these cut points to create an updated metabolic syndrome definition among women, we found disagreement between our updated definition and the current IJS criteria. The prevalence of the metabolic syndrome was overestimated by about 5% points among women based on IJS criteria when compared to our definition. </p> <p><b>Conclusions: </b>Our results suggest that the current recommendations for waist circumference cut-points may not be appropriate for US Hispanic/Latino women. </p>


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