{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T14:07:44Z","timestamp":1788271664233,"version":"build-2803163510"},"reference-count":41,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2019,3,19]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Racial\/ethnic minority older adults have worse stroke burden than non\u2010Hispanic white and younger counterparts. Our academic\u2010community partner team tested a culturally tailored 1\u2010month (8\u2010session) intervention to increase walking and stroke knowledge among Latino, Korean, Chinese, and black seniors.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">We conducted a randomized wait\u2010list controlled trial of 233 adults aged 60\u00a0years and older, with a history of hypertension, recruited from senior centers. Outcomes were measured at baseline (T0), immediately after the 1\u2010month intervention (T1), and 2\u00a0months later (T2). The primary outcome was pedometer\u2010measured change in steps. Secondary outcomes included stroke knowledge (eg, intention to call 911 for stroke symptoms) and other self\u2010reported and clinical measures of health. Mean age of participants was 74\u00a0years; 90% completed T2. Intervention participants had better daily walking change scores than control participants at T1 (489 versus \u2212398 steps; mean difference in change=887; 97.5% CI, 137\u20131636), but not T2 after adjusting for multiple comparisons (233 versus \u2212714; mean difference in change=947; 97.5% CI, \u2212108 to 2002). The intervention increased the percent of stroke symptoms for which participants would call 911 (from 49% to 68%); the control group did not change (mean difference in change T0\u2013T1=22%; 99.9% CI, 9\u201334%). This effect persisted at T2. The intervention did not affect measures of health (eg, blood pressure).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">This community\u2010partnered intervention did not succeed in increasing and sustaining meaningful improvements in walking levels among minority seniors, but it caused large, sustained improvements in stroke preparedness.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Clinical Trial Registration<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              <jats:styled-content style=\"fixed-case\">URL<\/jats:styled-content>\n              :\n              <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.clinicaltrials.gov\">http:\/\/www.clinicaltrials.gov<\/jats:ext-link>\n              . Unique identifier:\n              <jats:styled-content style=\"fixed-case\">NCT<\/jats:styled-content>\n              02181062.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.118.011088","type":"journal-article","created":{"date-parts":[[2019,3,6]],"date-time":"2019-03-06T10:01:52Z","timestamp":1551866512000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":24,"title":["\u201cWorth the Walk\u201d: Culturally Tailored Stroke Risk Factor Reduction Intervention in Community Senior Centers"],"prefix":"10.1161","volume":"8","author":[{"given":"Josephine A.","family":"Menkin","sequence":"first","affiliation":[{"name":"David Geffen School of Medicine at UCLA Los Angeles CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather E.","family":"McCreath","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine at UCLA Los Angeles CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah Y.","family":"Song","sequence":"additional","affiliation":[{"name":"Rush University Medical Center Chicago IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen A.","family":"Carrillo","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine at UCLA Los Angeles CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen E.","family":"Reyes","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine at UCLA Los Angeles CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Trejo","sequence":"additional","affiliation":[{"name":"City of Los Angeles Department of Aging Los Angeles CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah E.","family":"Choi","sequence":"additional","affiliation":[{"name":"UCLA School of Nursing Los Angeles CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phyllis","family":"Willis","sequence":"additional","affiliation":[{"name":"Watts Labor Community Action Committee Los Angeles CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Jimenez","sequence":"additional","affiliation":[{"name":"Mexican American Opportunity Foundation Montebello CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sina","family":"Ma","sequence":"additional","affiliation":[{"name":"Chinatown Service Center Los Angeles CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emiley","family":"Chang","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine at UCLA Los Angeles CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Honghu","family":"Liu","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine at UCLA Los Angeles CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivy","family":"Kwon","sequence":"additional","affiliation":[{"name":"Science 37 Los Angeles CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Kotick","sequence":"additional","affiliation":[{"name":"The Kotick Network Los Angeles CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine A.","family":"Sarkisian","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine at UCLA Los Angeles CA"},{"name":"VA Greater Los Angeles Healthcare System Geriatric Research Education and Clinical Center Los Angeles CA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","first-page":"P25","volume-title":"Current Population Reports","author":"Ortman JM","year":"2014","unstructured":"Ortman JM, Velkoff VA, Hogan H. An aging nation: the older population in the United States. Current Population Reports. Washington, DC: U.S. Census Bureau; 2014:P25\u2013P1140."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0b013e3182213e24"},{"key":"e_1_3_2_4_2","first-page":"143","article-title":"Racial and ethnic differences in cardiovascular disease risk factors: a systematic review","volume":"17","author":"Kurian AK","year":"2007","unstructured":"Kurian AK, Cardarelli KM. Racial and ethnic differences in cardiovascular disease risk factors: a systematic review. Ethn Dis. 2007;17:143\u2013152.","journal-title":"Ethn Dis"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000485"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.111.000396"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000091843.02517.9D"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyh168"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i3857"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005768-200209000-00011"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.298.19.2296"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(03)00112-0"},{"key":"e_1_3_2_13_2","first-page":"A09","article-title":"Older adult perspectives on physical activity and exercise: voices from multiple cultures","volume":"1","author":"Belza B","year":"2004","unstructured":"Belza B, Walwick J, Shiu\u2010Thornton S, Schwartz S, Taylor M, LoGerfo J. Older adult perspectives on physical activity and exercise: voices from multiple cultures. Prev Chronic Dis. 2004;1:A09.","journal-title":"Prev Chronic Dis"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-015-0274-1"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-010-1514-7"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.03082.x"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.4172\/2155-9562.1000365"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afp196"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph13010023"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1159\/000047609"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-4949.2010.00428.x"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.115.002099"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/opn.12114"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5868-11-68"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-015-0346-9"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-5850-6"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.92.4.548"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90022-L"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1186\/1756-0500-7-952"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000162716.82295.ac"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200111000-00008"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/55.6.S352"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.0000107251.49515.c2"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/502948"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199603000-00003"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2001.49206.x"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.1002\/sim.4431"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0154587"},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.110.609495"},{"key":"e_1_3_2_41_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-409"},{"key":"e_1_3_2_42_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000002703"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.118.011088","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T10:58:11Z","timestamp":1715597891000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.118.011088"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,19]]},"references-count":41,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,3,19]]}},"alternative-id":["10.1161\/JAHA.118.011088"],"URL":"https:\/\/doi.org\/10.1161\/jaha.118.011088","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,19]]},"assertion":[{"value":"2018-09-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e011088"}}