Process 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

Mellanie V Springer; Kathleen M Conley; Brisa N Sanchez; Ken Resnicow; Joan E Cowdery; Lesli E Skolarus; Lewis B Morgenstern; Devin L Brown

doi:10.1007/s10943-021-01216-7

Process 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

J Relig Health. 2021 Dec;60(6):3915-3930. doi: 10.1007/s10943-021-01216-7. Epub 2021 Mar 9.

Authors

Mellanie V Springer^{1

2}, Kathleen M Conley³, Brisa N Sanchez⁴, Ken Resnicow⁵, Joan E Cowdery³, Lesli E Skolarus^{6

7}, Lewis B Morgenstern^{6

7}, Devin L Brown^{6

7}

Affiliations

¹ Stroke Program, University of Michigan Medical School, 1500 E. Medical Center Drive, SPC 5855, Ann Arbor, MI, 48109-5855, USA. mvsprin@med.umich.edu.
² Department of Neurology, University of Michigan Medical School, Ann Arbor, MI, USA. mvsprin@med.umich.edu.
³ School of Health Promotion and Human Performance, Eastern Michigan University, Ypsilanti, MI, USA.
⁴ Department of Epidemiology and Biostatistics, Drexel University, Philadelphia, PA, USA.
⁵ School of Public Health, University of Michigan, Ann Arbor, MI, USA.
⁶ Stroke Program, University of Michigan Medical School, 1500 E. Medical Center Drive, SPC 5855, Ann Arbor, MI, 48109-5855, USA.
⁷ Department of Neurology, University of Michigan Medical School, Ann Arbor, MI, USA.

Abstract

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.

Keywords: Catholic Church; Mexican American; Process evaluation; Self-determination theory; Stroke prevention.

MeSH terms

Catholicism
Health Education
Hispanic or Latino
Humans
Mexican Americans*
Stroke* / prevention & control

Abstract

MeSH terms

Grants and funding