Abstract
Introduction. There are few examples of effective cardiovascular disease prevention interventions for South Asians (SAs). We describe the results of a process evaluation of the South Asian Heart Lifestyle Intervention for medically underserved SAs implemented at a community-based organization (CBO) using community-based participatory research methods and a randomized control design (n = 63). Method. Interviews were conducted with 23 intervention participants and 5 study staff using a semistructured interview guide focused on participant and staff perceptions about the intervention’s feasibility and efficacy. Data were thematically analyzed. Results. Intervention success was attributed to trusted CBO setting, culturally concordant study staff, and culturally tailored experiential activities. Participants said that these activities helped increase knowledge and behavior change. Some participants, especially men, found that self-monitoring with pedometers helped motivate increased physical activity. Participants said that the intervention could be strengthened by greater family involvement and by providing women-only exercise classes. Staff identified the need to reduce participant burden due to multicomponent intervention and agreed that the CBO needed greater financial resources to address participant barriers. Conclusion. Community-based delivery and cultural adaptation of an evidence-based lifestyle intervention were effective and essential components for reaching and retaining medically underserved SAs in a cardiovascular disease prevention intervention study.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 802-813 |
| Number of pages | 12 |
| Journal | Health Promotion Practice |
| Volume | 17 |
| Issue number | 6 |
| DOIs | |
| State | Published - Nov 1 2016 |
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Keywords
- South Asian
- cardiovascular disease
- community-based intervention
- community-based participatory research
- process evaluation
- qualitative evaluation
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Nursing (miscellaneous)
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Qualitative Process Evaluation of a Community-Based Culturally Tailored Lifestyle Intervention for Underserved South Asians. / Jayaprakash, Manasi; Puri-Taneja, Ankita; Kandula, Namratha R; Bharucha, Himali; Kumar, Santosh; Dave, Swapna S.
In: Health Promotion Practice, Vol. 17, No. 6, 01.11.2016, p. 802-813.Research output: Contribution to journal › Article
TY - JOUR
T1 - Qualitative Process Evaluation of a Community-Based Culturally Tailored Lifestyle Intervention for Underserved South Asians
AU - Jayaprakash, Manasi
AU - Puri-Taneja, Ankita
AU - Kandula, Namratha R
AU - Bharucha, Himali
AU - Kumar, Santosh
AU - Dave, Swapna S.
PY - 2016/11/1
Y1 - 2016/11/1
N2 - Introduction. There are few examples of effective cardiovascular disease prevention interventions for South Asians (SAs). We describe the results of a process evaluation of the South Asian Heart Lifestyle Intervention for medically underserved SAs implemented at a community-based organization (CBO) using community-based participatory research methods and a randomized control design (n = 63). Method. Interviews were conducted with 23 intervention participants and 5 study staff using a semistructured interview guide focused on participant and staff perceptions about the intervention’s feasibility and efficacy. Data were thematically analyzed. Results. Intervention success was attributed to trusted CBO setting, culturally concordant study staff, and culturally tailored experiential activities. Participants said that these activities helped increase knowledge and behavior change. Some participants, especially men, found that self-monitoring with pedometers helped motivate increased physical activity. Participants said that the intervention could be strengthened by greater family involvement and by providing women-only exercise classes. Staff identified the need to reduce participant burden due to multicomponent intervention and agreed that the CBO needed greater financial resources to address participant barriers. Conclusion. Community-based delivery and cultural adaptation of an evidence-based lifestyle intervention were effective and essential components for reaching and retaining medically underserved SAs in a cardiovascular disease prevention intervention study.
AB - Introduction. There are few examples of effective cardiovascular disease prevention interventions for South Asians (SAs). We describe the results of a process evaluation of the South Asian Heart Lifestyle Intervention for medically underserved SAs implemented at a community-based organization (CBO) using community-based participatory research methods and a randomized control design (n = 63). Method. Interviews were conducted with 23 intervention participants and 5 study staff using a semistructured interview guide focused on participant and staff perceptions about the intervention’s feasibility and efficacy. Data were thematically analyzed. Results. Intervention success was attributed to trusted CBO setting, culturally concordant study staff, and culturally tailored experiential activities. Participants said that these activities helped increase knowledge and behavior change. Some participants, especially men, found that self-monitoring with pedometers helped motivate increased physical activity. Participants said that the intervention could be strengthened by greater family involvement and by providing women-only exercise classes. Staff identified the need to reduce participant burden due to multicomponent intervention and agreed that the CBO needed greater financial resources to address participant barriers. Conclusion. Community-based delivery and cultural adaptation of an evidence-based lifestyle intervention were effective and essential components for reaching and retaining medically underserved SAs in a cardiovascular disease prevention intervention study.
KW - South Asian
KW - cardiovascular disease
KW - community-based intervention
KW - community-based participatory research
KW - process evaluation
KW - qualitative evaluation
UR - http://www.scopus.com/inward/record.url?scp=84991244380&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84991244380&partnerID=8YFLogxK
U2 - 10.1177/1524839916650165
DO - 10.1177/1524839916650165
M3 - Article
C2 - 27225217
AN - SCOPUS:84991244380
VL - 17
SP - 802
EP - 813
JO - Health Promotion Practice
JF - Health Promotion Practice
SN - 1524-8399
IS - 6
ER -