ArticleFrontiers in public health2026
Feasibility and acceptability of an adapted community-based cardiovascular disease prevention program: a pilot study of the StrongPeople strong hearts intervention for women living in urban settings.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Black/African American and Hispanic/Latina women living in urban areas are at increased risk of cardiovascular diseases (CVD). Adapting evidence-based interventions (EBIs) to different contexts offers a resource-efficient alternative to developing new interventions. StrongPeople Strong Hearts (SPSH; formerly Strong Hearts, Healthy Communities) is an EBI that significantly improved CVD-related health outcomes and behaviors among rural women. SPSH was adapted for a racially diverse urban female population. Our study examined the feasibility and acceptability of the adapted program to improve behavior and health outcomes. Methods: We conducted a single-group pre-post pilot study with Black/African American and Hispanic/Latinx women living in an urban area, with a BMI ≥ 25, and engaging in ≤ 150 min of moderate physical activity per week. The 12-week intervention focused on improving diet, physical activity, and CVD prevention skills. We assessed feasibility outcomes (recruitment, attendance, fidelity) and evaluated acceptability through surveys and thematic analysis of interviews. Results: We enrolled 51 participants; 72.5% ( Conclusion: Results suggest that the adapted SPSH program is feasible and acceptable among racially diverse women, while additional program refinements (i.e., hybrid program delivery and flexible scheduling) may further enhance program feasibility and acceptability. The desire for digital tools and personalization should be considered in behavior change intervention development.
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