Open AccessProcess Evaluation of a Faith-Based Multicomponent Behavioral Intervention to Reduce Stroke Risk in Mexican Americans in a Catholic Church Setting: The SHARE (Stroke Health and Risk Education) Project
Author(s) -
Mellanie V. Springer,
Kathleen Conley,
Brisa N. Sánchez,
Ken Resnicow,
Joan E. Cowdery,
Lesli E. Skolarus,
Lewis B. Morgenstern,
Devin L. Brown
Publication year - 2021
Publication title -
journal of religion and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.548
H-Index - 40
eISSN - 1573-6571
pISSN - 0022-4197
DOI - 10.1007/s10943-021-01216-7
Subject(s) - stroke (engine) , context (archaeology) , motivational interviewing , psychological intervention , public health , intervention (counseling) , behavior change , medicine , faith , stroke risk , gerontology , randomized controlled trial , health education , psychology , nursing , social psychology , psychiatry , surgery , mechanical engineering , paleontology , philosophy , ischemic stroke , theology , ischemia , engineering , biology
Church-based stroke prevention programs for Hispanics are underutilized. The Stroke Health and Risk Education (SHARE) project, a multicomponent cluster-randomized trial, addressed key stroke risk factors among predominantly Mexican Americans in a Catholic Church setting. Process evaluation components (implementation, mechanisms of impact, and context) are described. Partner support promoted positive health behavior change. Motivational interviewing calls were perceived as helpful, however, barriers with telephone delivery were encountered. Intervention exposure was associated with theory constructs for targeted behaviors. We conclude that health behavior interventions to prevent stroke can be successfully implemented for Mexican Americans within a Catholic Church setting, with parish priest support.