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A Mixed-Methods Pilot Study of Behavior Change Theory-Guided Heart Disease Education Program in Incarcerated Men Rhode Island Department of Corrections (RIDOC): Heart & Sole Debate

Overview

Year:
2019
Contributor:
Godfrey, Melissa Marie (creator)
Martin, Rosemarie (Advisor)
Cioe, Patricia (Reader)
Brown University. School of Public Health (sponsor)
Genre:
theses
Subject:
Cardiovascular system--Diseases--Prevention
Imprisonment
Extent:
4, 83 p.
DOI
https://doi.org/10.26300/mk0c-b271

Files

Description

Abstract:
Prisoners suffer a higher prevalence of cardiovascular disease (CVD) relative to the general population in the United States. Communities of prisoners do not have consistent access to health care or health education for the duration of their sentences leaving them potentially more vulnerable to developing a chronic disease. Due to these gaps, prisoners may forgo timely preventative care. This presents a unique opportunity to intervene prior to the development of chronic illnesses, such as cardiovascular disease (CVD), or early in the disease state, to prevent late-stage disease which could result in higher rates of morbidity and mortality in this population. The present article describes the development and implementation of a pilot program CVD education class, DOC Heart & Sole Debate, for incarcerated individuals at the Rhode Island Department of Corrections Medium facility. Formative research included a focus group consisting of 17 individuals and 3 key informant interviews. The intervention was developed as a 10-session course teaching primary CVD education to 22 incarcerated individuals, guided by the Theory of Planned Behavior (TPB) and Implementation Intention (II) theory. Surveys were administered pre- and post-intervention to analyze change in behavioral intentions to improve health habits by assessing attitudes, perceived behavior control, subjective norms, plan of action, and intentions. Linear regression models evaluated behavior change. Significant improvement was noted in in that 80% of participants reported practicing stress reduction and 85% of participants were exercising sufficiently post-intervention to promote heart health and minimize cardiac disease risk. We also noted significantly improved intrapersonal communication skills, suggesting heart health education may be effective in promoting positive behavior change in incarcerated males.
Notes:
Thesis (M. P. H.)--Brown University, 2019

Content

Access Conditions

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In Copyright
Restrictions on Use
Collection is open for research.

Citation

Godfrey, Melissa Marie, "A Mixed-Methods Pilot Study of Behavior Change Theory-Guided Heart Disease Education Program in Incarcerated Men Rhode Island Department of Corrections (RIDOC): Heart & Sole Debate" (2019). Public Health Theses and Dissertations. Brown Digital Repository. Brown University Library. https://doi.org/10.26300/mk0c-b271