A Pilot Primary Stroke Prevention Program for Elderly Korean Americans

Minjeong An, Eun Shim Nahm, Marianne Shaughnessy, Carla L. Storr, Hae Ra Han, Juhee Lee

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)327-333
Number of pages7
JournalJournal of Neuroscience Nursing
Volume50
Issue number6
DOIs
Publication statusPublished - 2018 Dec 1

Fingerprint

Asian Americans
Primary Prevention
Stroke
Communication Barriers
Control Groups
Program Evaluation
Feasibility Studies
Randomized Controlled Trials
Logistic Models
Sodium
Fats
Regression Analysis
Exercise
Education
Health

All Science Journal Classification (ASJC) codes

  • Surgery
  • Endocrine and Autonomic Systems
  • Clinical Neurology
  • Medical–Surgical

Cite this

An, Minjeong ; Nahm, Eun Shim ; Shaughnessy, Marianne ; Storr, Carla L. ; Han, Hae Ra ; Lee, Juhee. / A Pilot Primary Stroke Prevention Program for Elderly Korean Americans. In: Journal of Neuroscience Nursing. 2018 ; Vol. 50, No. 6. pp. 327-333.
@article{18019df054654225b3116413973080bd,
title = "A Pilot Primary Stroke Prevention Program for Elderly Korean Americans",
abstract = "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.",
author = "Minjeong An and Nahm, {Eun Shim} and Marianne Shaughnessy and Storr, {Carla L.} and Han, {Hae Ra} and Juhee Lee",
year = "2018",
month = "12",
day = "1",
doi = "10.1097/JNN.0000000000000397",
language = "English",
volume = "50",
pages = "327--333",
journal = "Journal of Neuroscience Nursing",
issn = "0888-0395",
publisher = "American Association of Neuroscience Nurses",
number = "6",

}

A Pilot Primary Stroke Prevention Program for Elderly Korean Americans. / An, Minjeong; Nahm, Eun Shim; Shaughnessy, Marianne; Storr, Carla L.; Han, Hae Ra; Lee, Juhee.

In: Journal of Neuroscience Nursing, Vol. 50, No. 6, 01.12.2018, p. 327-333.

Research output: Contribution to journalArticle

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

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.

UR - http://www.scopus.com/inward/record.url?scp=85056397253&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85056397253&partnerID=8YFLogxK

U2 - 10.1097/JNN.0000000000000397

DO - 10.1097/JNN.0000000000000397

M3 - Article

C2 - 30407966

AN - SCOPUS:85056397253

VL - 50

SP - 327

EP - 333

JO - Journal of Neuroscience Nursing

JF - Journal of Neuroscience Nursing

SN - 0888-0395

IS - 6

ER -