Preventing Chronic Disease | Evaluation of the Effectiveness of a Problem-Solving Intervention Addressing Barriers to Cardiovascular Disease Prevention Behaviors in 3 Underserved Populations: Colorado, North Carolina, West Virginia, 2009 - CDC

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Preventing Chronic Disease | Evaluation of the Effectiveness of a Problem-Solving Intervention Addressing Barriers to Cardiovascular Disease Prevention Behaviors in 3 Underserved Populations: Colorado, North Carolina, West Virginia, 2009 - CDC

Evaluation of the Effectiveness of a Problem-Solving Intervention Addressing Barriers to Cardiovascular Disease Prevention Behaviors in 3 Underserved Populations: Colorado, North Carolina, West Virginia, 2009

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• Abstract
• Introduction
• Methods
• Results
• Discussion
• Acknowledgments
• Author Information
• References
• Tables

Christa L. Lilly, PhD; Lucinda L. Bryant, PhD, MSHA; Janie M. Leary, PhD, MPH; Maihan B. Vu, DrPH; Felicia Hill-Briggs, PhD, ABPP; Carmen D. Samuel-Hodge, PhD; Colleen R. McMilin, MPH; Thomas C. Keyserling, MD, MPH

Suggested citation for this article: Lilly CL, Bryant LL, Leary JM, Vu MB, Hill-Briggs F, Samuel-Hodge CD, et al. Evaluation of the Effectiveness of a Problem-Solving Intervention Addressing Barriers to Cardiovascular Disease Prevention Behaviors in 3 Underserved Populations: Colorado, North Carolina, West Virginia, 2009. Prev Chronic Dis 2014;11:130249. DOI:http://dx.doi.org/10.5888/pcd11.130249.

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Abstract

Introduction
In low-income and underserved populations, financial hardship and multiple competing roles and responsibilities lead to difficulties in lifestyle change for cardiovascular disease (CVD) prevention. To improve CVD prevention behaviors, we adapted, pilot-tested, and evaluated a problem-solving intervention designed to address barriers to lifestyle change.

Methods
The sample consisted of 81 participants from 3 underserved populations, including 28 Hispanic or non-Hispanic white women in a western community (site 1), 31 African-American women in a semirural southern community (site 2), and 22 adults in an Appalachian community (site 3). Incorporating focus group findings, we assessed a standardized intervention involving 6-to-8 week group sessions devoted to problem-solving in the fall of 2009.

Results
Most sessions were attended by 76.5% of participants, demonstrating participant adoption and engagement. The intervention resulted in significant improvement in problem-solving skills (P < .001) and perceived stress (P < .05). Diet, physical activity, and weight remained stable, although 72% of individuals reported maintenance or increase in daily fruit and vegetable intake, and 67% reported maintenance or increase in daily physical activity.

Conclusion
Study results suggest the intervention was acceptable to rural, underserved populations and effective in training them in problem-solving skills and stress management for CVD risk reduction.

Author Information

Corresponding Author: Christa L. Lilly, PhD, West Virginia University School of Public Health, HSC-S PO Box 9214, Morgantown WV 26506. Telephone: 304-293-6515. Email: cice@hsc.wvu.edu.

Author Affiliations: Lucinda L. Bryant, Colleen R, McMilin, University of Colorado Anschutz Medical Campus, Aurora, Colorado; Janie M. Leary, Fairmont State University School of Education, Health, and Human Performance, Fairmont, West Virginia; Maihan B. Vu, Carmen D. Samuel-Hodge, Thomas C. Keyserling, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Felicia Hill-Briggs, Johns Hopkins University, Baltimore, Maryland.

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