Effects of Integrated Risk Counseling for Cancer and Cardiovascular Disease in African Americans

Chanita Hughes Halbert, Scarlett Bellamy, Marjorie Bowman, Vanessa Briggs, Ernestine Delmoor, Joseph Purnell, Rodney Rogers, Benita Weathers, Kumanyika Shiriki

Research output: Contribution to journalArticlepeer-review

Abstract

<p> <h4> OBJECTIVE: </h4></p><p> We evaluated a risk counseling intervention designed to enhance understanding about risk factors for cancer and cardiovascular disease, to improve self-efficacy for diet and physical activity, and to increase intentions to eat healthier and be physically active. <h4> METHODS: </h4></p><p> We conducted a quasi-experimental study developed by academic investigators and community stakeholders to evaluate the effects of integrated risk counseling in a community-based sample of African American adults (n = 101). The intervention provided education about the overlap in risk factors for cancer and cardiovascular disease and included components from motivational interviewing. <h4> RESULTS: </h4></p><p> Changes in behavioral intentions were not statistically significant (p &gt; .05). Participants reported significantly greater levels of self-efficacy for diet (t = 2.25, p = .03) and physical activity (t = 2.55, p = .01), and significantly increased perceived risks of developing colon cancer (chi2 = 3.86, p = .05) and having a heart attack (chi2 = 4.50, p = .03). <h4> CONCLUSIONS: </h4></p><p> Integrated risk counseling may have some benefits among African Americans.</p>
Original languageEnglish
Pages (from-to)396-402
Number of pages7
JournalJournal of the National Medical Association
Volume102
Issue number5
DOIs
StatePublished - May 2010
Externally publishedYes

ASJC Scopus Subject Areas

  • General Medicine

Keywords

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Adult
  • Aged
  • Black or African American*
  • Cardiovascular Diseases / diagnosis
  • Cardiovascular Diseases / ethnology*
  • Counseling / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / diagnosis
  • Neoplasms / ethnology*
  • Pennsylvania / epidemiology
  • Risk Assessment / methods*
  • Ricks Factors
  • Risk-Taking
  • Urban Population
  • Young Adult

Disciplines

  • Community Health
  • Community Health and Preventive Medicine

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