National dissemination of strongwomen-healthy hearts

A community-based program to reduce risk of cardiovascular disease among midlife and older women

Sara C. Folta, Rebecca A. Seguin, Kenneth K.H. Chui, Valerie Clark, Marilyn Ann Corbin, Jeanne P. Goldberg, Eleanor Heidkamp-Young, Alice H. Lichtenstein, Nancy Wiker, Miriam E. Nelson

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objectives. We describe the national dissemination of an evidence-based community cardiovascular disease prevention program for midlife and older women using the RE-AIM (reach effectiveness adoption implementation maintenance) framework and share key lessons learned during translation. Methods. In a 2010 to 2014 collaboration between the StrongWomen program and the National Extension Association of Family and Consumer Sciences, we assessed reach, adoption, implementation, and maintenance using survey methods, and we assessed effectiveness using a pretest-posttest within-participants design, with weight change as the primary outcome. Results. Overall reach into the population was 15 per 10 000. Of 85 trained leaders, 41 (48%) adopted the program. During the 12-week intervention, weight decreased by 0.5 kilograms, fruit and vegetable intake increased by 2.1 servings per day, and physical activity increased by 1238 metabolic equivalent (MET)- minutes per week (all P < .001). Average fidelity score was 4.7 (out of possible 5). Eleven of 41 adopting leaders (27%) maintained the program. Conclusions. The StrongWomen-Healthy Hearts program can be implemented with high fidelity in a variety of settings while remaining effective. These data provide direction for program modification to improve impact as dissemination continues.

Original languageEnglish (US)
Pages (from-to)2578-2585
Number of pages8
JournalAmerican journal of public health
Volume105
Issue number12
DOIs
StatePublished - Dec 1 2015

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Cardiovascular Diseases
Maintenance
Metabolic Equivalent
Weights and Measures
Vegetables
Fruit
Exercise
Population
Surveys and Questionnaires
Direction compound

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

Folta, Sara C. ; Seguin, Rebecca A. ; Chui, Kenneth K.H. ; Clark, Valerie ; Corbin, Marilyn Ann ; Goldberg, Jeanne P. ; Heidkamp-Young, Eleanor ; Lichtenstein, Alice H. ; Wiker, Nancy ; Nelson, Miriam E. / National dissemination of strongwomen-healthy hearts : A community-based program to reduce risk of cardiovascular disease among midlife and older women. In: American journal of public health. 2015 ; Vol. 105, No. 12. pp. 2578-2585.
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Folta, SC, Seguin, RA, Chui, KKH, Clark, V, Corbin, MA, Goldberg, JP, Heidkamp-Young, E, Lichtenstein, AH, Wiker, N & Nelson, ME 2015, 'National dissemination of strongwomen-healthy hearts: A community-based program to reduce risk of cardiovascular disease among midlife and older women', American journal of public health, vol. 105, no. 12, pp. 2578-2585. https://doi.org/10.2105/AJPH.2015.302866

National dissemination of strongwomen-healthy hearts : A community-based program to reduce risk of cardiovascular disease among midlife and older women. / Folta, Sara C.; Seguin, Rebecca A.; Chui, Kenneth K.H.; Clark, Valerie; Corbin, Marilyn Ann; Goldberg, Jeanne P.; Heidkamp-Young, Eleanor; Lichtenstein, Alice H.; Wiker, Nancy; Nelson, Miriam E.

In: American journal of public health, Vol. 105, No. 12, 01.12.2015, p. 2578-2585.

Research output: Contribution to journalArticle

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AU - Folta, Sara C.

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AU - Chui, Kenneth K.H.

AU - Clark, Valerie

AU - Corbin, Marilyn Ann

AU - Goldberg, Jeanne P.

AU - Heidkamp-Young, Eleanor

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AU - Wiker, Nancy

AU - Nelson, Miriam E.

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N2 - Objectives. We describe the national dissemination of an evidence-based community cardiovascular disease prevention program for midlife and older women using the RE-AIM (reach effectiveness adoption implementation maintenance) framework and share key lessons learned during translation. Methods. In a 2010 to 2014 collaboration between the StrongWomen program and the National Extension Association of Family and Consumer Sciences, we assessed reach, adoption, implementation, and maintenance using survey methods, and we assessed effectiveness using a pretest-posttest within-participants design, with weight change as the primary outcome. Results. Overall reach into the population was 15 per 10 000. Of 85 trained leaders, 41 (48%) adopted the program. During the 12-week intervention, weight decreased by 0.5 kilograms, fruit and vegetable intake increased by 2.1 servings per day, and physical activity increased by 1238 metabolic equivalent (MET)- minutes per week (all P < .001). Average fidelity score was 4.7 (out of possible 5). Eleven of 41 adopting leaders (27%) maintained the program. Conclusions. The StrongWomen-Healthy Hearts program can be implemented with high fidelity in a variety of settings while remaining effective. These data provide direction for program modification to improve impact as dissemination continues.

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