Reducing cardiovascular disease in a rural community.

Journal Article (Journal Article)

In this case report, we describe the one-year formative phase of a five-year study to develop, implement, and test a community health worker (CHW)-delivered cardiovascular disease (CVD) prevention intervention. The purpose of the formative phase was to engage community partners in the adaptation of an existing evidence-based CVD prevention intervention to fit the needs and preferences of a rural, predominantly African-American community. The formative work was guided by a framework for adapting evidence-based interventions and involved engaging stakeholders in assessing the intervention's fit with the local context and then applying assessment findings to iteratively adapt the intervention's contents, materials, and delivery methods. Findings from the formative work were then applied to develop CHW position descriptions, workflow diagrams, and a training plan. Findings also were applied to adapt intervention materials and protocols to fit the needs of the community. This case report illustrates how community-engaged formative work can be applied to adapt an evidence-based intervention to fit community needs and resources.

Full Text

Duke Authors

Cited Authors

  • Allgood, SD; Leeman, J; Rosemond, CA; Ammerman, AS; Samuel-Hodge, C; Cykert, S

Published Date

  • September 2019

Published In

Volume / Issue

  • 36 / 5

Start / End Page

  • 676 - 682

PubMed ID

  • 31396991

Electronic International Standard Serial Number (EISSN)

  • 1525-1446

International Standard Serial Number (ISSN)

  • 0737-1209

Digital Object Identifier (DOI)

  • 10.1111/phn.12649


  • eng