title: Stroke Health and Risk Education (SHARE): design, methods, and theoretical basis.
abstract: BACKGROUND
  Stroke is a disease with tremendous individual, family, and societal impact across all race/ethnic groups. Mexican Americans, the largest subgroup of Hispanic Americans, are at even higher risk of stroke than European Americans.
  
  
  OBJECTIVE
  To test the effectiveness of a culturally sensitive, church-based, multi-component, motivational enhancement intervention for Mexican Americans and European Americans in reducing stroke risk factors.
  
  
  METHODS
  Participants enroll in family or friendship pairs, from the same Catholic church in the Corpus Christi Texas area, and are encouraged to change diet and physical activity behaviors and provide support for behavior change to their partners. Churches are randomized to either the intervention or control group. Goal enrollment for each of the 10 participating churches is 40 participant pairs. The intervention consists of self-help materials (including a motivational short film, cookbook/healthy eating guide, physical activity guide with pedometer, and photonovella), five motivational interviewing calls, two tailored newsletters, parish health promotion activities and environmental changes, and a peer support workshop where participants learn to provide autonomy supportive counseling to their partner. SHARE's three primary outcomes are self-reported sodium intake, fruit and vegetable intake, and level of physical activity. Participants complete questionnaires and have measurements at baseline, six months, and twelve months. Persistence testing is performed at 18 months in the intervention group. The trial is registered with clinicaltrials.gov (NCT01378780).
authors.affiliation: The Cardiovascular Center, Stroke Program, University of Michigan, Ann Arbor, MI 48109-5855, USA. devinb@umich.edu
authors.forename: Devin L
authors.initials: DL
authors.lastname: Brown
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Conley
authors.forename: Kenneth
authors.initials: K
authors.lastname: Resnicow
authors.forename: Jillian
authors.initials: J
authors.lastname: Murphy
authors.forename: Brisa N
authors.initials: BN
authors.lastname: Sánchez
authors.forename: Joan E
authors.initials: JE
authors.lastname: Cowdery
authors.forename: Emma
authors.initials: E
authors.lastname: Sais
authors.forename: Lynda D
authors.initials: LD
authors.lastname: Lisabeth
authors.forename: Lesli E
authors.initials: LE
authors.lastname: Skolarus
authors.forename: Darin B
authors.initials: DB
authors.lastname: Zahuranec
authors.forename: Geoffrey C
authors.initials: GC
authors.lastname: Williams
authors.forename: Lewis B
authors.initials: LB
authors.lastname: Morgenstern
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002410:Catholicism; D002985:Clinical Protocols; D054521:Cultural Competency; D004032:Diet; D015444:Exercise; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D017058:Mexican Americans; D008875:Middle Aged; D009042:Motivation; D012107:Research Design; D040242:Risk Reduction Behavior; D012944:Social Support; D020521:Stroke / Q000208:ethnology / Q000517:prevention & control*; D011795:Surveys and Questionnaires; D013781:Texas; D044465:White People; D055815:Young Adult