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Health for Hearts United Longitudinal Trial: Improving Perceived Stress and Allostatic Load Outcomes of Mid-Life and Older African American Women

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Title: Health for Hearts United Longitudinal Trial: Improving Perceived Stress and Allostatic Load Outcomes of Mid-Life and Older African American Women
Language: English
Authors: Charissa N. Obeng-Nyarko, Penny A. Ralston (ORCID 0000-0002-1065-0977), Kandauda K. A. S. Wickrama, Jennifer L. Lemacks, Jasminka Z. Ilich
Source: Health Education & Behavior. 2024 51(6):843-852.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 10
Publication Date: 2024
Sponsoring Agency: National Institute on Minority Health and Health Disparities (NIMHD) (DHHS/NIH)
Contract Number: R24MD002807
Document Type: Journal Articles
Reports - Research
Descriptors: Heart Disorders, African Americans, Older Adults, Females, At Risk Persons, Racial Differences, Death, Program Effectiveness, Intervention, Stress Management, Church Role, Community Programs, Experience, Stress Variables, Individual Characteristics, Coping, Physiology
Geographic Terms: Florida
DOI: 10.1177/10901981241263027
ISSN: 1090-1981
1552-6127
Abstract: Cardiovascular disease (CVD) continues to be the leading cause of death in the United States, with African Americans experiencing higher age-adjusted mortality compared to Whites. African American women in particular carry a high CVD burden due to more exposure to adverse personal and socioenvironmental challenges. Church-based interventions can improve health behaviors and health status of African Americans, yet few have addressed stress-related health. The purpose of this study was to determine the effectiveness of the 18-month Health for Hearts United intervention in relation to stress-related outcomes (perceived stress, allostatic load) of mid-life and older African American women ([greater than or equal to]45 years of age; n = 152 overall sample, n = 65 clinical subsample). The results of the repeated measures analysis of variance (ANOVA) analyses showed overall significant decreases in perceived stress and allostatic load for both treatment and comparison groups over the measurement occasions (baseline and 18 months) with educational level remaining as a significant correlate over time. There was no significant interaction between treatment and time, yet there were trends in improvements for the treatment group compared to the comparison group. The findings demonstrate the potential of church-based interventions in reducing both self-reported stress and allostatic load in African American women, and highlight the need for further investigation of educational level and other possible factors influencing stress management in these settings.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1449418
Database: ERIC
FullText Text:
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PubType: Academic Journal
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  Data: Health for Hearts United Longitudinal Trial: Improving Perceived Stress and Allostatic Load Outcomes of Mid-Life and Older African American Women
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  Data: English
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  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Charissa+N%2E+Obeng-Nyarko%22">Charissa N. Obeng-Nyarko</searchLink><br /><searchLink fieldCode="AR" term="%22Penny+A%2E+Ralston%22">Penny A. Ralston</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-1065-0977">0000-0002-1065-0977</externalLink>)<br /><searchLink fieldCode="AR" term="%22Kandauda+K%2E+A%2E+S%2E+Wickrama%22">Kandauda K. A. S. Wickrama</searchLink><br /><searchLink fieldCode="AR" term="%22Jennifer+L%2E+Lemacks%22">Jennifer L. Lemacks</searchLink><br /><searchLink fieldCode="AR" term="%22Jasminka+Z%2E+Ilich%22">Jasminka Z. Ilich</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Health+Education+%26+Behavior%22"><i>Health Education & Behavior</i></searchLink>. 2024 51(6):843-852.
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  Label: Availability
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
– Name: PeerReviewed
  Label: Peer Reviewed
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  Data: Y
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  Group: Src
  Data: 10
– Name: DatePubCY
  Label: Publication Date
  Group: Date
  Data: 2024
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  Label: Sponsoring Agency
  Group: SrcSuprt
  Data: National Institute on Minority Health and Health Disparities (NIMHD) (DHHS/NIH)
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  Data: R24MD002807
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  Data: Journal Articles<br />Reports - Research
– Name: Subject
  Label: Descriptors
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Heart+Disorders%22">Heart Disorders</searchLink><br /><searchLink fieldCode="DE" term="%22African+Americans%22">African Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Older+Adults%22">Older Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Females%22">Females</searchLink><br /><searchLink fieldCode="DE" term="%22At+Risk+Persons%22">At Risk Persons</searchLink><br /><searchLink fieldCode="DE" term="%22Racial+Differences%22">Racial Differences</searchLink><br /><searchLink fieldCode="DE" term="%22Death%22">Death</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Effectiveness%22">Program Effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Intervention%22">Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Stress+Management%22">Stress Management</searchLink><br /><searchLink fieldCode="DE" term="%22Church+Role%22">Church Role</searchLink><br /><searchLink fieldCode="DE" term="%22Community+Programs%22">Community Programs</searchLink><br /><searchLink fieldCode="DE" term="%22Experience%22">Experience</searchLink><br /><searchLink fieldCode="DE" term="%22Stress+Variables%22">Stress Variables</searchLink><br /><searchLink fieldCode="DE" term="%22Individual+Characteristics%22">Individual Characteristics</searchLink><br /><searchLink fieldCode="DE" term="%22Coping%22">Coping</searchLink><br /><searchLink fieldCode="DE" term="%22Physiology%22">Physiology</searchLink>
– Name: Subject
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Florida%22">Florida</searchLink>
– Name: DOI
  Label: DOI
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  Data: 10.1177/10901981241263027
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  Data: 1090-1981<br />1552-6127
– Name: Abstract
  Label: Abstract
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  Data: Cardiovascular disease (CVD) continues to be the leading cause of death in the United States, with African Americans experiencing higher age-adjusted mortality compared to Whites. African American women in particular carry a high CVD burden due to more exposure to adverse personal and socioenvironmental challenges. Church-based interventions can improve health behaviors and health status of African Americans, yet few have addressed stress-related health. The purpose of this study was to determine the effectiveness of the 18-month Health for Hearts United intervention in relation to stress-related outcomes (perceived stress, allostatic load) of mid-life and older African American women ([greater than or equal to]45 years of age; n = 152 overall sample, n = 65 clinical subsample). The results of the repeated measures analysis of variance (ANOVA) analyses showed overall significant decreases in perceived stress and allostatic load for both treatment and comparison groups over the measurement occasions (baseline and 18 months) with educational level remaining as a significant correlate over time. There was no significant interaction between treatment and time, yet there were trends in improvements for the treatment group compared to the comparison group. The findings demonstrate the potential of church-based interventions in reducing both self-reported stress and allostatic load in African American women, and highlight the need for further investigation of educational level and other possible factors influencing stress management in these settings.
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  Data: As Provided
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  Data: 2024
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  Label: Accession Number
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  Data: EJ1449418
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ1449418
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        Value: 10.1177/10901981241263027
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      – Text: English
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        PageCount: 10
        StartPage: 843
    Subjects:
      – SubjectFull: Heart Disorders
        Type: general
      – SubjectFull: African Americans
        Type: general
      – SubjectFull: Older Adults
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      – SubjectFull: Females
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      – SubjectFull: At Risk Persons
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      – SubjectFull: Racial Differences
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      – SubjectFull: Death
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      – SubjectFull: Program Effectiveness
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      – SubjectFull: Intervention
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      – SubjectFull: Stress Management
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      – SubjectFull: Church Role
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      – SubjectFull: Community Programs
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      – SubjectFull: Experience
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      – SubjectFull: Stress Variables
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      – SubjectFull: Individual Characteristics
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      – SubjectFull: Coping
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      – SubjectFull: Physiology
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      – SubjectFull: Florida
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      – TitleFull: Health for Hearts United Longitudinal Trial: Improving Perceived Stress and Allostatic Load Outcomes of Mid-Life and Older African American Women
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