Abstract
Background:
This study tested the feasibility of implementing Healthy Hearts for an Abundant Life (
HHAL
), a cultural adaptation for African American (AA) women of the evidence-based cardiovascular disease prevention program Strong Women-Healthy Hearts (
SWHH
).
Methods:
Using a quasi-experimental pre-post study design, this 12-week program was implemented in four faith-based organizations between 2017 and 2018. Eligible participants were AA women between 40 and 65 years who had a body mass index of 25 or higher and were currently sedentary.
HHAL
program participants met weekly for 2-h sessions led by program leaders. The curriculum has four modules: total health; relationships, family, and networks; material security and the environment; and emotional wellness. Each class included walking for 30 min, goal-setting session, and a group dialog called “making it work” for building collective efficacy.
Results:
Of the 27 participants (mean age=54.2±5.9), 24 completed postassessments (93% retention rate). All outcome measures proved feasible and weekly program attendance was 73%. Findings from in-depth interviews show high satisfaction with the program and suggest extending the class time and adding cooking demonstrations.
Conclusions:
The culturally adapted
HHAL
proved feasible and was positively received by the participants. Future studies will evaluate the effectiveness of the program.