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dc.contributor.authorJones, Allison R.en
dc.contributor.authorHatcher, Jenniferen
dc.contributor.authorCombs, Brendaen
dc.date.accessioned2016-03-17T13:03:05Z
dc.date.available2016-03-17T13:03:05Z
dc.date.issued2016-03-17
dc.identifierINRC15PST69en
dc.identifier.urihttp://hdl.handle.net/10755/602065
dc.description<p>Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.</p>en
dc.description.abstract<p>Session presented on Friday, July 24, 2015:</p> <p><strong>Purpose:</strong> African Americans suffer disparity from both cancer and cardiovascular disease. For example, the prevalence of hypertension among African Americans is the highest of any ethnic group in the world, and African Americans have the highest mortality rate of any racial or ethnic group in America for all cancers combined and for most major cancers. They are vulnerable to both cardiovascular disease (CVD) and cancer by virtue of having extremely high rates of risk factors, with the risk factors for these diseases being intricately connected. Use of social media and mobile phones to send health related text messages is an innovative strategy, presenting researchers with new opportunities to reach this vulnerable population with information and strategies to reduce these risk factors. The purpose of this study was to test the impact and feasibility of a social media and text messaging intervention that promotes self-care resulting in the reduction of multiple CVD and cancer risk factors in African Americans.</p> <p><strong>Methods:</strong> We developed a library of intervention text messages, a message delivery protocol, Facebook page and blog that were culturally tailored and targeted for African Americans at risk for CVD and cancer. We conducted a one group, pre/post test intervention study with 39 African Americans over the age of 40 who were at risk for CVD and/or cancer as evidenced by having one or more modifiable risk factors (e.g. weight, blood pressure, cholesterol). We also conducted small group interviews post intervention to assess satisfaction with the intervention, and obtain usability and feasibility data. Participants were recruited from the community using a lay health worker. Data collection occurred at baseline and at three months post baseline and included: height, weight, waist circumference, blood pressure, body mass index, heart rate, HgA1c, total cholesterol, LDL, HDL, triglycerides, comorbidities, current medications, heart health and heart disease knowledge, depression, quality of life, fatalism, and cancer screening activities.</p> <p><strong>Results:</strong> Study participants were primarily female (69%), aged 58 +/-5 years, who were married (59%) and worked full time (56%). One third of the participants reported they were financially comfortable (36%). Roughly 77% had private/commercial insurance. Almost 13% of participants reported being current smokers. The majority of participants felt they were in 'Good' health (44%). Post intervention, participants experienced significant decreases in waist circumference (41 +/- 5 in vs 40 +/- 5 in, p = 0.002), systolic blood pressure (147 +/- 24 vs 138 +/- 20, p = 0.009), diastolic blood pressure (84, interquartile range [IQR] 79-93 vs 82, IQR 77-90, p = 0.02), total cholesterol (194 +/- 35 vs 173 +/- 31, p &lt; 0.001), LDL levels (100 +/- 31 vs 86 +/- 29, p = 0.015), and HDL levels (51, IQR 35-71, vs 46, IQR 39-57, p = 0.006). Participants also reported increased heart healthy knowledge. In addition, five participants had colorectal cancer screening, two had prostate cancer screening, and four women had mammograms.</p> <p><strong>Conclusion:</strong> Innovative methods are necessary to reduce cancer and cardiovascular risks, and to promote cancer screening and heart healthy activities in the African American population. The social media and text messaging intervention used in this study led to significant reductions in several risk areas, and promoted cancer screening. Future studies should incorporate these innovative strategies in promoting health in vulnerable populations.</p>en
dc.formatText-based Documenten
dc.language.isoenen
dc.subjectCancer Preventionen
dc.subjectHeart Diseaseen
dc.subjectHealth Promotionen
dc.titleUsing social media and text messages to promote health in African-Americans: #hearthealthyandcancerfreeen
dc.typePosteren
dc.rights.holder<p> All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. </p><p> All permission requests should be directed accordingly and not to the Sigma Repository. </p><p> All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary. </p>en
dc.description.note<p>Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.</p>en
dc.type.categoryFull-texten
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.subject.cinahlHealth Promotion--Methodsen
dc.subject.cinahlSocial Mediaen
dc.subject.cinahlNeoplasms--Prevention and Controlen
dc.contributor.departmentDelta Psi at-Largeen
dc.author.detailsAllison R. Jones, RN; Jennifer Hatcher, PhD, RN; Brenda Combs, CHESen
dc.conference.name26th international Nursing Research Congressen
dc.conference.hostSigma Theta Tau internationalen
dc.conference.locationSan Juan, Puerto Ricoen
dc.date.conferenceyear2015
dc.description.reviewtypeAbstract Review Only: Reviewed by Event Hosten
dc.description.acquisitionProxy-submissionen


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