TY - JOUR
T1 - A Pilot Primary Stroke Prevention Program for Elderly Korean Americans
AU - An, Minjeong
AU - Nahm, Eun Shim
AU - Shaughnessy, Marianne
AU - Storr, Carla L.
AU - Han, Hae Ra
AU - Lee, Juhee
N1 - Publisher Copyright:
© 2018 MA Healthcare Ltd. All Rights Reserved.
PY - 2018/12/1
Y1 - 2018/12/1
N2 - Background: Stroke is a significant health issue with devastating consequences among older adults in the United States. However, it can be prevented by improving stroke knowledge and managing risk factors. Many stroke education programs have been shown to be effective. Unfortunately, a minority of older adults, such as older Korean Americans, have not benefited from the programs because of language barriers. Objective: The purpose of this study was to examine the feasibility and preliminary impact of a primary stroke prevention program on stroke knowledge, healthy eating, and physical activity behaviors among Korean Americans. Methods: A randomized controlled pilot trial was conducted. A total of 73 persons were randomly assigned to either an intervention group (n = 37) or a control group (n = 36). The intervention program included in-person lectures and discussions. Sociodemographic data were analyzed using descriptive statistics. Analyses of covariance and logistic regression analysis were used to evaluate the effects of the intervention program. Results: The mean age of participants was 71.49 ± 6.25 years, and most participants were female (74.0%) and married (65.8%). Upon intervention completion, the intervention group showed greater improvements than the control group in stroke knowledge and intake of sodium and total fats (F = 11.89, P =.001, ηp 2 = 0.151; F = 4.04, P =.048, ηp 2 = 0.057; and F = 4.51, P =.037,= ηp 2 = 0.062, respectively). Step counts showed marginal effects (F = 3.27, P =.075, ηp 2 = 0.049). Conclusion: This study demonstrated feasibility and effectiveness of the program to improve stroke knowledge and healthy behaviors in elderly Korean Americans.
AB - Background: Stroke is a significant health issue with devastating consequences among older adults in the United States. However, it can be prevented by improving stroke knowledge and managing risk factors. Many stroke education programs have been shown to be effective. Unfortunately, a minority of older adults, such as older Korean Americans, have not benefited from the programs because of language barriers. Objective: The purpose of this study was to examine the feasibility and preliminary impact of a primary stroke prevention program on stroke knowledge, healthy eating, and physical activity behaviors among Korean Americans. Methods: A randomized controlled pilot trial was conducted. A total of 73 persons were randomly assigned to either an intervention group (n = 37) or a control group (n = 36). The intervention program included in-person lectures and discussions. Sociodemographic data were analyzed using descriptive statistics. Analyses of covariance and logistic regression analysis were used to evaluate the effects of the intervention program. Results: The mean age of participants was 71.49 ± 6.25 years, and most participants were female (74.0%) and married (65.8%). Upon intervention completion, the intervention group showed greater improvements than the control group in stroke knowledge and intake of sodium and total fats (F = 11.89, P =.001, ηp 2 = 0.151; F = 4.04, P =.048, ηp 2 = 0.057; and F = 4.51, P =.037,= ηp 2 = 0.062, respectively). Step counts showed marginal effects (F = 3.27, P =.075, ηp 2 = 0.049). Conclusion: This study demonstrated feasibility and effectiveness of the program to improve stroke knowledge and healthy behaviors in elderly Korean Americans.
KW - healthy diet
KW - physical activity
KW - primary prevention
KW - stroke
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U2 - 10.1097/JNN.0000000000000397
DO - 10.1097/JNN.0000000000000397
M3 - Article
C2 - 30407966
AN - SCOPUS:85056397253
SN - 0888-0395
VL - 50
SP - 327
EP - 333
JO - Journal of Neuroscience Nursing
JF - Journal of Neuroscience Nursing
IS - 6
ER -