Coronary heart disease prevention and lifestyle interventions: Cultural influences

Journal of Cardiovascular Nursing

Volumn 18, Issue 4, 2003, Pages 302-318

  Chyun, Deborah A ^a   Amend, Allison M ^a   Newlin, Kelley ^a   Langerman, Susan ^a   Melkus, Gail D ^a  

^a YALE UNIVERSITY SCHOOL OF NURSING   (United States)

Author keywords

Coronary heart disease; Cultural competence; Culture; Diabetes mellitus; Health disparities; Health promotion; Prevention

Indexed keywords

ATTITUDE TO HEALTH; CORONARY ARTERY DISEASE; CULTURAL FACTOR; ETHNOLOGY; HEALTH BEHAVIOR; HEALTH PROMOTION; HUMAN; LIFESTYLE; METHODOLOGY; NURSE ATTITUDE; NURSING ASSESSMENT; PATIENT CARE PLANNING; PRACTICE GUIDELINE; PRIMARY PREVENTION; REVIEW; RISK FACTOR; RISK REDUCTION; SOCIOECONOMICS; TRANSCULTURAL CARE; UNITED STATES;

ATTITUDE TO HEALTH; CORONARY DISEASE; CULTURAL CHARACTERISTICS; HEALTH BEHAVIOR; HEALTH PROMOTION; HUMANS; LIFE STYLE; NURSE'S ROLE; NURSING ASSESSMENT; PATIENT CARE PLANNING; PRACTICE GUIDELINES; PRIMARY PREVENTION; RISK FACTORS; RISK REDUCTION BEHAVIOR; SOCIOECONOMIC FACTORS; TRANSCULTURAL NURSING; UNITED STATES;

EID: 0142212235     PISSN: 08894655     EISSN: 15505049     Source Type: Journal    
DOI: 10.1097/00005082-200309000-00009     Document Type: Article

References (170)

1. American Heart Association. 2002 Heart and Stroke Statistical Update. Dallas: American Heart Association; 2002.
2. Benjamin EJ, Smith Jr SC, Cooper RS, Hill MN, Luepker RV. Task Force #1—Magnitude of the prevention problem: opportunities and challenges. J Am Coll Cardiol. 2002;40:579-651.
3. Hunt KJ, Hazuda HP, Willimas K, Hafner SM, Resendez RG, Stern MP. All-cause and cardiovascular mortality among diabetic participants in the San Antonio Heart Study. Diabetes Care. 2002;26:1557-1563.
4. Howard BV, Lee ET, Cowan LD, et al. Rising tide of cardiovascular disease in American Indians. The Strong Heart Study. Circulation. 1999;99:2389-2395.
5. Palaniappan L, Anthony MN, Mahesh C, et al. Cardiovascular risk factors in ethnic minority women aged ≤30 years. Am J Cardiol. 2002;89:524-529.
6. Appel SJ, Harrell JS, Deng S. Racial and socioeconomic differences in risk factors for cardiovascular disease among southern rural women. Nurs Res. 2002;51:140-147.
7. Folsom AR, Szklo M, Stevens J, Liao F, Smith R, Eckfeldt JH. A prospective study of coronary heart disease in relation to fasting insulin, glucose, and diabetes. The Atherosclerosis Risk in Communities (ARIC) Study. Diabetes Care. 1997;20:935-942.
8. Gu K, Cowie CC, Harris MI. Diabetes and decline in heart disease mortality in US adults. JAMA. 1999;281:1291-1297.
9. Mokdad AH, Engelgau MM, Ford ES, et al. Diabetes trends in the US: 1900-1998. Diabetes Care. 2000;23:1278-1283.
10. Baumann LC, Chang M-W, Hoebeke R. Clinical outcomes for low-income adults with hypertension and diabetes. Nurs Res. 2002;51:191-198.
11. Harris MI. Racial and ethnic differences in health care access and health outcomes for adults with type 2 diabetes. Diabetes Care. 2001;24:454-459.
12. Corbie-Smith G, Flagg EW, Doyle JP, O'Brien MA. Influence of usual source of care on differences race/ethnicity in receipt of preventive services. J Gen Intern Med. 2002;17:458-464.
13. DeLaet DE, Shea S, Carrasquillo O. Receipt of preventive services among privately insured minorities in managed care versus fee-for-service insurance plans. J Gen Intern Med. 2002;17:451-457.
14. Stewart SH, Silverstein MD. Racial and ethnic disparity in blood pressure and cholesterol measurement. J Gen Intern Med. 2002;17:405-411.
15. United States Department of Health and Human Services. Healthy People 2010. Washington, DC: USDHHS; 2000.
16. Becker MH, Haefner DP, Kasl SV. Selected psychosocial models and correlates of individual health-related behaviors. Med Care. 1977;15:27-46.
17. Janz NK, Becker MH. The health belief model: a decade later. Health Educ Q. 1984;11:1-47.
18. Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the Health Belief Model. Health Educ Q. 1988;15:175-183.
19. Deci EL, Ryan RM. Intrinsic Motivation and Self-Determination in Human Behavior. New York: Plenum Press; 1985.
20. Deci EL, Ryan RM. The support of autonomy and the control of behavior. J Pers Soc Psychol. 1987;53:1024-1037.
21. Deci EL, Eghrari H, Patirck BC, Leone DR. Facilitating internalization: The Self-Determination Theory perspective. J Pers. 1994;62:119-142.
22. Pender NJ. Health Promotion in Nursing Practice. 3rd ed. Stamford, Conn: Appelton & Lange; 1996.
23. Cox C. An interaction model of client health behavior: theoretical prescription for nursing. Adv Nurs Sci. 1982;5:41-56.
24. Cox CL, Roghmann KJ. Empirical test of the interaction model of client health behavior. Res Nurs Health. 1984;7:275-285.
25. Ajzen I. Attitudes, Personality and Behavior. Chicago: Dorsey Press; 1988.
26. Bandura A. Self-efficacy: toward a unifying theory of behavior change. Psychol Rev. 1977;84:191-195.
27. Prochaska JO, Velicer WF. The Transtheoretical Model of Health Behavior Change. Am J Health Promot. 1997;12:38-48.
28. Helman CG. Introduction: the scope of medical anthropology. In: Culture, Health and Illness. London: Arnold; 2000:1-11.
29. Drevdahl D, Taylor JY, Phillips DA. Race and ethnicity as variables in nursing research, 1952-2000. Nurs Res. 2001;50:305-313.
30. Kaufman JS, Cooper RS. Commentary: considerations for use of racial/ethnic classification in etiologic research. Am J Epidemiol. 2001;154:291-298.
31. Jones CP. Invited commentary: Race, racism, and the practice of epidemiology. Am J Epidemiol. 2001;154:299-304.
32. Burchard EG, Ziv E, Coyle N, et al. The importance of race and ethnic background in biomedical research and clinical practice [comment]. N Engl J Med. 2003;348:1170-1175.
33. Leach E. Social Anthropology. New York: Oxford University Press; 1982.
34. Spector RE. Cultural Diversity in Health and Illness. 4th ed. Stamford, Conn: Appleton & Lange; 1996.
35. Leininger MM. Leininger's theory of nursing: culture care diversity and universality. Nurs Sci Q. 1988;1:152-160.
36. Tripp-Reimer T, Brink P, Saunders J. Cultural assessment: content and process. Nurs Outlook. 1984;32:32.
37. Giger JN, Davidhizar RE. Transcultural Nursing Assessment and Intervention. 2nd ed. St. Louis: Mosby Year Book; 1995.
38. Fong CM. Ethnicity and nursing practice. Top Clin Nurs. 1985;7:1-10.
39. Campinha-Bacote J. The Process of Cultural Competence: A Culturally Competent Model of Care. 2nd ed. Wyoming, Ohio: Transcultural CARE Associates; 1991.
40. Purnell LD, Paulanka BJ. Transcultural Health Care. Philadelphia: FA Davis; 1998.
41. Hall ET. The Dance of Life: The Other Dimension of Time. Garden City, NJ: Anchor Press/Doubleday; 1983.
42. Cooper LA, Hill MN, Powe NR. Designing and evaluating interventions to eliminate racial and ethnic disparities in health care. J Gen Intern Med. 2002;17:477-486.
43. Schulz A, Parker E, Israel B, Fisher T. Social context, stressors and disparities in women's health. J Am Med Womens Assoc. 2001;56:143-150.
44. Consensus Panel Statement. AHA Guidelines for primary prevention of cardiovascular disease and stroke: 2002 update. Circulation. 2002;106:388-391.
45. AHA/ACC Scientific Statement. Comprehensive risk reduction for patients with coronary and other vascular diseases. Circulation. 2001;104:1577-1579.
46. Cowie CC, Harris MI, Silverman RE, Johnson EW, Rust KF. Effect of multiple risk factors on differences between blacks and whites in the prevalence of non-insulin-dependent diabetes mellitus in the United States. Am J Epidemiol. 1993;137:719-732.
47. Marshall JA, Hoag S, Shetterly S, Hamman RF. Dietary fat predicts conversion from impaired glucose tolerance to NIDDM. Diabetes Care. 1994;17:50-55.
48. Lacey KO, Chyun DA, Grey M. Inclusion of cardiac risk factor management in diabetes education interventions: an integrative review of the literature. Diabetes Educ. 2000;26:812-820.
49. Miller TD, Balady GJ, Fletcher GF. Exercise and its role in the prevention and rehabilitation of cardiovascular disease. Ann Behav Med. 1997;19:220-229.
50. Knowler WC, Barrett-Connor E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346:393-403.
51. Keyserling TC, Elasy TA, Samuel-Hodge CD, et al. A randomized trial of an intervention to improve self-care behaviors of African-American women with type 2 diabetes. Diabetes Care. 2002;25:1576-1583.
52. Woodard CM. Enhancing adherence to prescribed exercise: structured behavioral interventions in clinical exercise programs. J Cardiopulm Rehabil. 2001;21:201-209.
53. Perez-Stable EJ, Marin G, Marin BV. Behavioral risk factors: a comparison of Latinos and non-Latino whites in San Francisco [comment]. Am J Public Health. 1994;84:971-976.
54. Juarbe T, Turok XP, Perez-Stable EJ. Perceived benefits and barriers to physical activity among older Latina women. West J Nurs Res. 2002;24:868-886.
55. Maillet N, Melkus GD, Spollett G. Using focus groups to characterize health beliefs and practices of black women with NIDDM. Diabetes Educ. 1996;22:39-46.
56. Jefferson VW, Melkus GD, Spollett GR. Health-promotion practices of young black women at risk for diabetes. Diabetes Educ. 2000;26:295-302.
57. Buckworth J, Dishman RK eds. Determinants of physical activity: from research to application. Lifestyle Medicine, Rippe, JM ed. Malden, Ma: Blackwell Scientific Inc; 1999:1016-1027.
58. Kumanyika S. Obesity in black women. Epidemiol Rev. 1987;9:31-46.
59. Fitzgerald JT, Anderson RM, Funnell MM, et al. Differences in the impact of dietary restrictions on African Americans and Caucasians with NIDDM. Diabetes Educ. 1997;23:41-47.
60. Wierenga ME, Hewitt JB. Facilitating diabetes self-management. Diabetes Educ. 1994;20:138-142.
61. Brody GH, Jack L, Murry VM, Landers-Potts M, Liburd L. Heuristic model linking contextual processes to self-management in African American adults with type 2 diabetes. Diabetes Educ. 2001;27:685-690.
62. Batts ML, Gary TL, Huss K, Hill MN, Bone L, Brancati FL. Patient priorities and needs for diabetes care among urban African American adults. Diabetes Educ. 2001;27:405-411.
63. Gerstle JF, Varenne H, Contento I. Post-diagnosis family adaptation influences glycemic control in women with type 2 diabetes mellitus. J Am Dietetic Assoc. 2001;101:918-922.
64. Samuel-Hodge CD, Keyserling TC, Headen SW, et al. Influences on day-to-day self-management of type 2 diabetes among African-American women. Diabetes Care. 2000;23:928-933.
65. El-Kebbi IM, Bacha GA, Ziemer DC, et al. Diabetes in urban African Americans, V. Use of discussion groups to identify barriers to dietary therapy among low-income individuals with non-insulin-dependent diabetes mellitus. Diabetes Educ. 1996;22:488-492.
66. Helman CG. Diet and nutrition. In: Culture, Health and Illness. London: Arnold; 2001:32-49.
67. Van Horn L, Kavey R-E. Diet and cardiovascular disease prevention: what works. Ann Behav Med. 1997;19:197-212.
68. Travis T. Patient perceptions of factors that affect adherence to dietary regimens for diabetes mellitus. Diabetes Educ. 1997;23:152-156.
69. Otero-Sabogal R, Sabogal F, Perez-Stable EJ, Hiatt RA. Dietary practices, alcohol consumption, and smoking behavior: ethnic, sex, and acculturation differences. J Nat Cancer Inst Monogr. 1995;18:73-82.
70. Weller SC, Glazer M, Baer RD, et al. Latino beliefs about diabetes. Diabetes Care. 1999;22:722-728.
71. Fitzgerald JT, Anderson RM, Furrel MM, et al. Differences in the impact of dietary restrictions on African Americans and Caucasians with NIDDM. Diabetes. 1997;23:41-47.
72. Auslander W, Rhee CW, Haire-Joshu D, Williams JH, Houston C. A controlled evaluation of staging dietary patterns to reduce the risk of diabetes in African-American women. Diabetes Care. 2002;25:809-814.
73. Sorenson JR, Steckler A. Improving the health of the public: a behavior-change perspective. Health Educ Res. 2002;17:493-494.
74. Ory MG, Jordan PJ, Bazzarre T. The Behavior Change Consortium: setting the stage for a new century of health behavior-change research. Health Educ Res. 2002;17:500-511.
75. Mau MK, Grove JS, Glanz K, Johnson B, Severino R, Curb JD. Mediators of lifestyle behavior change in Native Hawaiians. Diabetes Care. 2001;24:1770-1775.
76. Fiore MC, Jorenby DE, Baker TB. Smoking cessation: principles and practice based upon the AHCPR Guideline, 1996. Ann Behav Med. 1997;19:213-219.
77. King TK, Borrelli B, Black C, Pinto BM, Marcus BH. Minority women and tobacco: implications for smoking cessation interventions. Ann Behav Med. 1997;19:301-313.
78. Perez-Stable EJ, Sabogal F, Marin G, Marin BV, Otero-Sabogal R. Evaluation of “Guia para Dejar de Fumar,” a self-help guide in Spanish to quit smoking. Public Health Rep. 1991;106:564-570.
79. Perez-Stable EJ, Marin BV, Marin G. A comprehensive smoking cessation program for the San Francisco Bay Area Latino community: Programa Latino Para Dejar de Fumar. Am J Health Promot. 1993;7:430-442, 475.
80. Perez-Stable EJ, Marin G, Posner SF. Ethnic comparison of attitudes and beliefs about cigarette smoking. J Gen Intern Med. 1998;13:167-174.
81. Perez-Stable EJ, Ramirez A, Villareal R, et al. Cigarette smoking behavior among US Latino men and women from different countries of origin. Am J Public Health. 2001;91:1424-1430.
82. Mahrer-Imhof R, Froelicher ES, Li W-W, Parker KM, Benowitz N. Women's Initiative for Nonsmoking (WINS V): under-use of nicotine replacement therapy. Heart Lung. 2002;31:368-373.
83. Hill MN, Bone LR, Hilton SC, Roary MC, Kelen GD, Levine DM. A clinical trial to improve high blood pressure care in urban black men: recruitment, follow-up and outcomes. Am J Hypertens. 1999;12:548-554.
84. Perez-Stable EJ, Napoles-Springer A, Miramontes JM. The effects of ethnicity and language on medical outcomes of patients with hypertension or diabetes. Medical Care. 1997;35:1212-1219.
85. Rose L, Kim M, Dennison C, Hill MN. The contexts of adherence for African Americans with high blood pressure. J Adv Nurs. 2000;32:587-594.
86. Rogers PG, Bullman WR. Prescription medicine compliance: a review of the baseline of knowledge. A report of the National Council on Patient Information and Education. J Pharmacoepidemiol. 1995;2:3-36.
87. Burke LE, Dunbar-Jacob JM, Hill MN. Compliance with cardiovascular disease prevention strategies: a review of the research. Ann Behav Med. 1997;19:239-263.
88. Haynes RB, Taylor W, Sackett DL, et al. Can simple clinical measurements detect patient noncompliance? Hypertension. 1980;2:757-764.
89. Haynes RB. Improving patient compliance in the management of hypertension. In: Kaplan NM, Ram CVS, eds. Individualized Therapy of Hypertension. New York: Marcel Dekker; 1995:257-273.
90. Haynes RB, McKibbon KA, Kanani R. Systematic review of randomized trials of interventions to assist patients to follow prescriptions for medications. Lancet. 1996;348:383-386.
91. National Institutes of Health. The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. Rockville, Md: National Institutes of Health: 1997.
92. Kravitz RL, Hays RD, Sherbourne CD, et al. Recall of recommendations and adherence to advice among patients with chronic medical conditions. Arch Intern Med. 1993;153:1869-1878.
93. Schectman JM, Nadkarni MM, Voss JD. The association between diabetes metabolic control and drug adherence in an indigent population. Diabetes Care. 2002;25:1015-1021.
94. Helman CG. Culture and pharmacology. In: Culture, Health and Illness. London: Arnold; 2001:136-155.
95. Claridge G. Drugs and Human Behavior. London: Allen Lane; 1970.
96. Dunbar-Jacob JM, Schlenk EA, Burke LE, Matthews JT. Predictors of patient adherence: patient characteristics. In: Shumaker SA, Schron EB, Ockene JK, McBee WL, eds. The Handbook of Health Behavior Change. 2nd ed. New York: Springer Publishing Co; 1998:491-511.
97. Ockene IS, Hayman LL, Pasternak RC, Schron E, Jacqueline D-J. Task Force #4—Adherence issues and behavior changes: achieving a long-term solution. J Am Coll Cardiol.2002;40:579-651.
98. Mosca L, Jones WK, King KB, et al. Awareness, perception and knowledge of heart disease risk and prevention among women in the United States. Arch Family Med. 2000;9:506-515.
99. Pearson TA, Feinberg W. Behavioral issues in the efficacy versus effectiveness of pharmacologic agents in the prevention of cardiovascular disease. Ann Behav Med. 1997;19:230-238.
100. Chen J, Rathore SS, Radford MJ, Wang Y, Krumholz HM. Racial differences in the use of cardiac catheterization after acute myocardial infarction. New Engl J Med. 2001;344:1443-1449.
101. Funk M, Ostfeld A, Chang VM, Lee FA. Racial differences in the use of cardiac procedures in patients with acute myocardial infarction. Nurs Res. 2002;51:148-157.
102. Peterson ED, Shaw LK, DeLong ER, Pryor DB, Califf RM, Mark DB. Racial variation in the use of coronary-revascularization procedures. N Engl J Med. 1997;336:480-486.
103. Eraker SA, Kirscht JP, Becker MH. Understanding and improving patient compliance. Ann Intern Med. 1984;100:158-168.
104. Kressin NR, Clark JA, Whittle J, et al. Racial differences in health-related beliefs, attitudes, and experiences of VA cardiac patients: scale development and application. Med Care. 2002;40:I72-I85.
105. Solberg LI, Kottke TE, Conn SA, Brekke ML, Calomeni CA, Conboy KS. Delivering clinical preventive services is a systems problem. Ann Behav Med. 1997;19:271-278.
106. MacFarlane SI, Wui MA, Jacober SJ, et al. Control of cardiovascular risk factors in patients with diabetes and hypertension at urban academic medical centers. Diabetes Care. 2002;25:718-723.
107. Inzucchi SE, Chyun DA, Young LH, Davey JA, Wackers FJT, and the DIAD Study Investigators. Adverse cardiovascular risk factors compared to glycemic control in type 2 diabetes (T2DM) patients without clinically evident coronary artery disease. Diabetes. 2002;51:A8.
108. Chyun DA, Davey JA, Inzucchi SE, Young LH, Wackers FJT, for the DIAD Investigators. Adequacy of lipid management in subjects with type 2 diabetes without symptomatic coronary artery disease. Circulation. 2002;103.
109. Frolkis JP, Zyzanski SJ, Schwartz JM, Suhan PS. Physician noncompliance with the 1993 National Cholesterol Education Program (NCEP-ATPII) Guidelines. Circulation. 1998;98:851-855.
110. Helman CG. Caring and curing: the sectors of health care. In: Culture, Health and Illness. London; Arnold: 2001:50-78.
111. Helman CG. Doctor-patient interactions. In Culture, Health and Illness. London: Arnold; 2001:79-107.
112. Kleinman A. Patients and healers in the context of culture. Berkeley: University of California Press; 1980.
113. Kleinman A, Eisenberg L, Good B. Culture, illness and care: Clinical lessons form anthropologic and cross-cultural research. Ann Intern Med. 1978;88:251-258.
114. Cohen MZ, Tripp-Reimer T, Smith C, Sorafman B, Lively S. Explanatory models of diabetes: patient-practitioner variation. Soc Sci Med. 1994;38:59-66.
115. Saha S, Komaromy M, Koepsell TD, Bindman AB. Patient-physician racial concordance and the perceived quality and use of health care. Arch Intern Med. 1999;159:997-1004.
116. Steffenson MS, Colker L. Intercultural misunderstandings about healthcare: recall of descriptions of illness and treatment. Soc Sci Med. 1982;16:1949-1954.
117. Ong LML, de Haes JCJM, Hoos AM, Lammes FB. Doctor-patient communication: a review of the literature. Soc Sci Med. 1995;40:903-918.
118. Fiscella K, Franks P, Clancy CM. Skepticism toward medical care and health care utilization. Med Care. 1998;36:180-189.
119. Buller MK, Buller DB. Physician's communication style and patient satisfaction. J Health Soc Behav. 1987;28:375-388.
120. Hooper EM, Comstock LM, Goodwin JM, Goodwin JS. Patient characteristics that influence physician behavior. Med Care. 1982;20:630-638.
121. Ben-Sira Z. Affective and instrumental components in the physician-patient relationship: an additional dimension of interaction theory. J Health Soc Behav. 1980;21:170-180.
122. Brooks TR. Pitfalls in communication with Hispanic and African-American patients: do translators help or harm. J Natl Med Assoc. 1992;84:941-947.
123. Kaplan SH, Greenfield S, Ware JE. Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Med Care. 1989;27:S110-S127.
124. Cooper-Patrick L, Gallo JJ, Gonzales JJ, et al. Race, gender and partnership in the patient-physician relationship. JAMA. 1999;282:583-589.
125. Welch M, Feldman MD. Cross-cultural communication. In: Christensen JF, ed. Behavioral Medicine in Primary Care. Stamford, Conn: Appleton & Lange; 1997:97-108.
126. Perez-Stable EJ, Napoles-Springer A. Interpreters and communication in the clinical encounter [comment]. Am J Med. 2000;108:509-510.
127. Office of Minority Health. National Standards For Culturally and Linguistically Appropriate Services in Health Care. Rockville, Md: United States Dept of Health and Human Services; 2001.
128. Stewart AL, Napoles-Springer A, Perez Stable EJ. Interpersonal processes of care in diverse populations. Milbank Q. 1999;77:274:305-339.
129. Brown SA, Kouzekannani K, Garcia AA, Hanis CL. Culturally competent diabetes self-management education for Mexican Americans. Diabetes Care. 2002;25:259-268.
130. Fisher L, Mullan JT, Chelsea CA, et al. The family and disease management in Hispanic and European-American patients with type 2 diabetes. Diabetes Care. 2000;23:267-272.
131. Dilworth-Anderson P, Williams IC, Gibson BE. Issues of race, ethnicity and culture in caregiving research: a 20-year review (1998-2000). Gerontologist. 2002;42:237-272.
132. Becker DM, Yook R, Moy T, Blumenthal RS, Becker L. Markedly high blood prevalence of coronary risk factors in apparently healthy African-American and white siblings of persons with premature coronary heart disease. Am J Cardiol. 1998;82:1046-1051.
133. Gilliland SS, Carter JS, Perez GE, Two Feathers J, Kenui CK, Mau MK. Recommendations for development and adaptation of culturally competent community helath interventions in minority populations with type 2 diabetes mellitus. Diabetes Spect. 1998;11:166-174.
134. Gilliland SS, Perez GE, Azen SP, Carter JS. Strong in Body and Spirit. Diabetes Care.2002;25:78-83.
135. Brown SA, Harris CL. A community-based, culturally sensitive education and group-support intervention for Mexican Americans with NIDDM: a pilot study. Diabetes Educ.1995;21:203-210.
136. Newlin K, Knafl K, Melkus GD. African-American spirituality: a concept analysis. Adv Nurs Sci. 2002;25:57-70.
137. Levin JS, Taylor RJ, Chatters LM. Race and gender differences in religiosity among older adults: findings from four national surveys. J Gerontol. 1994;49:S137-S145.
138. Levin JS. Religion and health: is there an association, is it valid, and is it causal? Soc Sci Med. 1994;38:1475-1482.
139. Mokuau N, Hishinuma E, Nishimura S. Validating a measure of religiousness/spirituality for Native Hawaiians. Pac Health Dialog. 2001;8:407-416.
140. Musgrave CF, Allen CE, Allen GJ. Spirituality and health for women of color. Am J Public Health. 2002;92:557-560.
141. Newlin K, Melkus GD, Chyun D, Jefferson V. The relationship of spirituality and health outcomes in black women with type 2 diabetes. Ethn Dis. 2003;13:61-68.
142. Koenig HG, George LK, Hays JC, Larson DB, Cohen HJ, Blazer DG. The relationship between religious activities and blood pressure in older adults. Int J Psychiatry Med. 1998;28:189-213.
143. Steffen PR, Hinderliter AL, Blumenthal JA, Sherwood A. Religious coping, ethnicity, and ambulatory blood pressure. Psychosom Med. 2001;63:523-530.
144. Stillman FA, Bone LR, Rand C, Levine DM, Becker DM. Heart, body and soul: a church-based smoking-cessation peogram for urban African Americans. Prev Med. 1993;22:335-349.
145. Yancek LR, Becker DM, Moy T, Gittelson J, Koffman DM. Project Joy: faith based cardiovascular health promotion for African American women. Public Health Rep. 2001;116:68-81.
146. Becker DM, Tuggle TRMB, Prentice M. Building a gateway to promote cardiovascular health research in African-American communities: lessons and findings from the field. Am J Med Sci. 2001;322:288-293.
147. Quinn MT, McNabb WL. Training lay health educators to conduct a church-based weight-loss program for African-American women. Diabetes Educ. 2001;27:231-237.
148. Parker MW, Bellis JM, Bishop P, et al. A multidisciplinary model of health promotion incorporating spirituality into a successful aging intervention with African American and white elderly groups. Gerontologist. 2002;42:406-415.
149. Brown SA. Diabetes interventions for minority populations: “We're really not that difference you and I.” Diabetes Spect. 1998;11:145-149.
150. Chipkin SR, de Groot M. Contextual variables influencing outcome measures in minority populations with diabetes mellitus. Diabetes Spect. 1998;11:149-160.
151. Fujimoto WY. Community involvement and minority participation in clinical research. Diabetes Spect. 1998;11:161-166.
152. Osei K. Diabetes prevention and intervention programs for African Americans: a single center experience. Diabetes Spect. 1998;11:175-179.
153. Carter JS, Gilliland SS, Perez GE, et al. Native American Diabetes Project: designing culturally relevant education materials. Diabetes Educ. 1997;23:133-139.
154. Griffin JA, Gilliland SS, Perez GE, Helitzer D, Carter JS. Participant satisfaction with a culturally appropriate diabetes education program: The Native American Diabetes Project. Diabetes Educ. 1999;25:351-363.
155. Hosey GM, Freeman WL, Stracqualursi F, Gohdes D. Designing and evaluating diabetes education material for American Indians. Diabetes Educ. 1990;16:407-414.
156. Jackson MY, Broussard BA. Cultural challenges in nutrition education among American Indians. Diabetes Educ. 1987;13:47-50.
157. LeMaster PL, Connell CM. Health education interventions among Native Americans: a review and analysis. Health Educ Q. 1994;21:521-538.
158. Roubideaux YD, Moore K, Avery C, Muneta B, Knight M, Buchwald D. Diabetes education materials: recommendations of tribal leaders, Indian health professionals, and American Indian community members. Diabetes Educ. 2000;26:290-295.
159. Chyun DA, Langerman S, Namias B, Abram J, Melkus GD. Diabetes education in an urban Native American population. Diabetes. 2001;50:A197.
160. Melkus GD, Spollett G, Tuohy B, et al. Nursing intervention of care and education for black women with type 2 DM. Diabetes. 1998;48:AO158.
161. Melkus GD, Spollett G, Tuohy B, et al. Nursing intervention of care and education for black women with type 2 DM. Diabetes. 1999;48:A0158.
162. Melkus GD, Chyun D, Jefferson V, et al. Factors associated with metabolic control in African American women. Diabetes. 2000;49:A346.
163. Melkus GD, Jefferson V, Spollett G, et al. Culturally sensitive intervention of education and care improves glycemic control for black women with type 2 DM. Diabetes. 2001;50:A199.
164. Melkus G, Amend A, Chyun D, Jefferson V, McKnight A. Assessment of dietary intake and CV risk factors in African American women with T2DM. Diabetes. 2002;51:A217.
165. Kehoe KA, Melkus GD. Culture within the context of care: an integrative review. Ethn Dis. 2002;13.
166. Vorhees CC, Stillman FA, Swank RT, Heagerty PJ, Levine DM, Becker DM. Heart, body, and soul: impact of church-based smoking cessation interventions on readiness to quit. Prev Med. 1996;25:277-285.
167. Sussman S, Parker VC, Lopes C, Crippens DL, Elder P, Scholl D. Empirical development of brief smoking prevention videotapes which target African-American adolescents. Int J Addict. 1995;30:1141-1149.
168. Marlow E, Melkus GD, Bosma AM. STOP diabetes! An educational model for Native American adolescents in the prevention of diabetes. Diabetes Educ. 1998;24:441-445.
169. Alcalay R, Alvarado M, Balcazar H, Newman E, Huerta E. Salud para su corazon: a community-based Latino cardiovascular disease prevention and outreach model. J Community Health. 1999;24:359-379.
170. Brown WJ, Oyomopito R. Effectiveness of a bilingual heart health program for Greek-Australian women. Health Promot Int. 1996;11:117-125.