Skip to main content

Advertisement

Log in

Power of Peer Support to Change Health Behavior to Reduce Risks for Heart Disease and Stroke for African American Men in a Faith-Based Community

  • Published:
Journal of Racial and Ethnic Health Disparities Aims and scope Submit manuscript

A Correction to this article was published on 26 March 2018

This article has been updated

Abstract

Introduction

Peer support has powerful potential to improve outcomes in a program of health behavior change; yet, how peer support is perceived by participants, its role, and how it contributes to intervention efficacy is not known, especially among African Americans. The purpose of this study was to identify the subjectively perceived experience and potential contributions of peer support to the outcomes of a peer group behavioral intervention designed to change health behavior to reduce risks for heart disease and stroke in African American men in a faith-based community.

Methods

A peer support group intervention was implemented to increase health knowledge and to improve health behaviors in line with the American Heart Association’s Life Simple 7 domains (get active, control cholesterol, eat better, manage blood pressure, lose weight, reduce blood sugar, and stop smoking). Fourteen peer group sessions and eight follow-up interviews with program participants were recorded, transcribed, and analyzed.

Results

Seven key themes emerged, including (1) enhancing access to health behavior information and resources, (2) practicing and applying problem-solving skills with group feedback and support, (3) discussing health behavior challenges and barriers, (4) sharing health behavior changes, (5) sharing perceived health outcome improvements and benefits, (6) feelings of belonging and being cared for, and (7) addressing health of family and community.

Conclusion

Qualitative findings revealed a positive perception of peer support and greater understanding of potential reasons why it may be an effective strategy for African American men.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Change history

  • 26 March 2018

    An error in Fig. 1 in this article as originally published (“Theme 6: feelings of belonging and being care for” was missing the numeral “6”) has been corrected. The original article has been corrected.

References

  1. Carnethon MR, Pu J, Howard G, Albert MA, Anderson CA, Bertoni AG, et al. Cardiovascular health in African Americans: a scientific statement from the American Heart Association. Circulation. 2017;136(21):e393–423. https://doi.org/10.1161/CIR.0000000000000534.

    Article  PubMed  Google Scholar 

  2. Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Heart disease and stroke statistics—2016 update. Circulation. 2016;133(4):e38–e360. https://doi.org/10.1161/CIR.0000000000000350.

    Article  PubMed  Google Scholar 

  3. Pilic L, Pedlar CR, Mavrommatis Y. Salt-sensitive hypertension: mechanisms and effects of dietary and other lifestyle factors. Nutr Rev. 2016;74(10):645–58. https://doi.org/10.1093/nutrit/nuw028.

    Article  PubMed  Google Scholar 

  4. Kochanek KD, Murphy SL, Xu J, Tejada-Vera B. Deaths: final data for 2014. Natl Vital Stat Rep. 2016;65(4):1–120. https://www.cdc.gov/nchs/data/nvsr/nvsr65/nvsr65_04.pdf.

  5. Wade JC. Masculinity ideology, male reference group identity dependence, and African American men's health-related attitudes and behaviors. Psychol Men Masculin. 2008;9(1):5–16. https://doi.org/10.1037/1524-9220.9.1.5.

    Article  Google Scholar 

  6. Hammond WP, Matthews D, Mohottige D, Agyemang A, Corbie-Smith G. Masculinity, medical mistrust, and preventive health services delays among community-dwelling African-American men. J Gen Intern Med. 2010;25(12):1300–8. https://doi.org/10.1007/s11606-010-1481-z.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Perzynski A, Blixen C, Cage J, Colón-Zimmermann K, Sajatovic M. Informing policy for reducing stroke health disparities from the experience of African-American male stroke survivors. J Racial Ethn Health Disparities. 2016 Sep;3(3):527–36. https://doi.org/10.1007/s40615-015-0171-2.

    Article  PubMed  Google Scholar 

  8. Havranek EP, Mujahid MS, Barr DA, Blair IV, Cohen MS, Cruz-Flores S, et al. Social determinants of risk and outcomes for cardiovascular disease. Circulation. 2015;132(9):873–98. https://doi.org/10.1161/CIR.0000000000000228.

    Article  PubMed  Google Scholar 

  9. Ravenell JE, Johnson WE Jr, Whitaker EE. African-American men’s perceptions of health: a focus group study. J Natl Med Assoc. 2006;98(4):544–50.

    PubMed  PubMed Central  Google Scholar 

  10. Heaney CA, Israel BA. Social networks and social support. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education. 4th ed. San Francisco: John Wiley & Sons, Inc.; 2008. p. 189–209.

    Google Scholar 

  11. House JS. Work stress and social support. Reading (MA): Addision-Wesley; 1981.

    Google Scholar 

  12. Ford CD. Building from within: pastoral insights into community resources and assets. Public Health Nurs. 2013;30(6):511–8. https://doi.org/10.1111/phn.12048​.

    Article  PubMed  Google Scholar 

  13. Campbell MK, Hudson MA, Resnicow K, Blakeney N, Paxton A, Baskin M. Church-based health promotion interventions: evidence and lessons learned. Annu Rev Public Health. 2007;28(1):213–34. https://doi.org/10.1146/annurev.publhealth.28.021406.144016.

    Article  PubMed  Google Scholar 

  14. Hoey LM, Ieropoli SC, White VM, Jefford M. Systematic review of peer-support programs for people with cancer. Patient Educ Couns. 2008;70(3):315–37. https://doi.org/10.1016/j.pec.2007.11.016.

    Article  PubMed  Google Scholar 

  15. Repper J, Carter T. A review of the literature on peer support in mental health services. J Ment Health. 2011;20(4):392–411. https://doi.org/10.3109/09638237.2011.583947.

    Article  PubMed  Google Scholar 

  16. Morris R, Morris P. Participants’ experiences of hospital-based peer support groups for stroke patients and carers. Disabil Rehabil. 2012;34(4):347–54. https://doi.org/10.3109/09638288.2011.607215.

    Article  PubMed  Google Scholar 

  17. Heisler M, Vijan S, Makki F, Piette JD. Diabetes control with reciprocal peer support versus nurse care management: a randomized trial. Ann Intern Med. 2010;153(8):507–15. https://doi.org/10.7326/0003-4819-153-8-201010190-00007.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Gómez-Pardo E, Fernández-Alvira JM, Vilanova M, Haro D, Martínez R, Carvajal I, et al. A comprehensive lifestyle peer group-based intervention on cardiovascular risk factors: the randomized controlled Fifty-Fifty Program. J Am Coll Cardiol. 2016;67(5):476–85. https://doi.org/10.1016/j.jacc.2015.10.033.

    Article  PubMed  Google Scholar 

  19. Shaya FT, Chirikov VV, Daniel Mullins C, Shematek J, Howard D, Foster C, et al. Social networks help control hypertension. J Clin Hypertens. 2013;15(1):34–40. https://doi.org/10.1111/jch.12036.

    Article  Google Scholar 

  20. Bandura A. Social cognitive theory. In: Vasta R, editor. Annals of child development. vol 6. Six theories of child development. Greenwich: JAI Press; 1989. p. 1–60.

    Google Scholar 

  21. LaMorte WW. The social cognitive theory. Retrieved from http://sphweb.bumc.bu.edu/otlt/MPH-Modules/SB/BehavioralChangeTheories/BehavioralChangeTheories5.html. Accessed 28 Nov 2017.

  22. Young MD, Plotnikoff RC, Collins CE, Callister R, Morgan PJ. A test of social cognitive theory to explain men’s physical activity during a gender-tailored weight loss program. Am J Mens Health. 2016;10(6):NP176–87. https://doi.org/10.1177/1557988315600063.

    Article  PubMed  Google Scholar 

  23. Joseph RP, Ainsworth BE, Mathis L, Hooker SP, Keller C. Utility of social cognitive theory in intervention design for promoting physical activity among African-American women: a qualitative study. Am J Health Behav. 2017;41(5):518–33. https://doi.org/10.5993/AJHB.41.5.1.

    Article  PubMed  PubMed Central  Google Scholar 

  24. American Heart Association. My life check—Life’s Simple 7. http://www.heart.org/HEARTORG/Conditions/My-Life-Check---Lifes-Simple-7_UCM_471453_Article.jsp#.V9Gi0PkrLRY. Accessed 15 Feb 2017.

  25. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–88. https://doi.org/10.1177/1049732305276687.

    Article  PubMed  Google Scholar 

  26. Kessler D, Egan M, Kubina LA. Peer support for stroke survivors: a case study. BMC Health Serv Res. 2014 Jun 16;14(1):256. https://doi.org/10.1186/1472-6963-14-256.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Funding

Research reported in this article was supported by the National Institute of Minority Health and Health Disparities through a grant from the National Institutes of Health under award number U54MD008620. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sohye Lee.

Ethics declarations

The Institutional Review Board at the University of Minnesota reviewed and approved the study.

Additional information

The original version of this article was revised: An error in Fig. 1 as originally published (“Theme 6: feelings of belonging and being cared for” was missing the numeral “6”) has been corrected.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lee, S., Schorr, E., Hadidi, N.N. et al. Power of Peer Support to Change Health Behavior to Reduce Risks for Heart Disease and Stroke for African American Men in a Faith-Based Community. J. Racial and Ethnic Health Disparities 5, 1107–1116 (2018). https://doi.org/10.1007/s40615-018-0460-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40615-018-0460-7

Keywords

Navigation