Key result
Culturally relevant heart health program for older African American women proves feasible with 90% retention.
Why the study?
Cardiovascular disease remains a major public health issue with the highest US rates among African Americans in rural areas like Alabama's Black Belt, motivating evaluation of a culturally relevant heart health program.
Does a culturally relevant heart health program improve heart disease knowledge and physical metrics in older African American women with CVD or risk factors?
Does a culturally relevant heart health program improve heart disease knowledge and physical metrics in older African American women with CVD or risk factors?
A culturally relevant heart health program is highly feasible and shows preliminary efficacy in improving heart disease knowledge and BMI among older African American women in rural areas.
Pilot data suggest culturally relevant programs are feasible for rural older AA women; leaves open efficacy in larger trials.
INTRODUCTION: Cardiovascular disease (CVD) remains a major public health issue, with the highest rates in the United States found among African Americans (AA) in rural areas like Alabama's Black Belt. In this pilot study, we evaluated the feasibility and preliminary efficacy of a culturally relevant heart health program for older AA women in rural Alabama. METHODS: We recruited 30 AA women aged 65 years and older from Alabama's rural Black Belt with CVD or multiple risk factors. Feasibility was assessed via recruitment, retention, and data-completion rates. We also evaluated the preliminary efficacy of the heart health program. RESULTS: We achieved a recruitment rate of 100%, a retention rate of 90%, and a data-completion rate of 93%. Participants showed significant improvements in knowledge of overall heart disease, body mass index, and body balance. DISCUSSION: Findings support the feasibility and preliminary efficacy of the heart health program for older AA women in rural Alabama. Larger studies are needed to confirm results.
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Andrabi et al. (2026) studied Cardiovascular disease or multiple risk factors (n=30). Culturally relevant heart health program was evaluated on Feasibility (recruitment, retention, and data-completion rates) and preliminary efficacy. A culturally relevant heart health program for older African American women was feasible, achieving a 100% recruitment rate, 90% retention rate, and 93% data-completion rate.
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