Protect Your Heart: A Culture-Specific Multimedia Cardiovascular Health Education Program

Abstract

South Asians, the second fastest growing racial/ethnic minority in the United States, have high rates of coronary heart disease. Few coronary heart disease prevention efforts target this population. The authors developed and tested a culture-specific, multimedia coronary heart disease prevention education program in English and Hindi for South Asians. Participants were recruited from community organizations in Chicago, Illinois, between June and October of 2011. Bilingual interviewers used questionnaires to assess participants’ knowledge and perceptions before and after the patient education program. The change from pretest score to posttest score was calculated using a paired t test. Linear regression was used to determine the association between posttest scores and education and language. Participants’ (N = 112) average age was 41 years, 67% had more than a high school education, and 50% spoke Hindi. Participants’ mean pretest score was 15 (SD = 4). After the patient education program, posttest scores increased significantly among all participants (posttest score = 24, SD = 4), including those with limited English proficiency. Lower education was associated with a lower posttest score (β = −2.2, 95% CI [–0.68, −3.83]) in adjusted regression. A culture-specific, multimedia patient education program significantly improved knowledge and perceptions about coronary heart disease prevention among South Asian immigrants. Culturally salient multimedia education may be an effective and engaging way to deliver health information to diverse patient populations.

Acknowledgments

The authors thank Neerja Khurana for assistance with data collection and Metropolitan Asian Family Services, Asian Human Services Family Health Center, and Volta Elementary School in Chicago, IL for their assistance with recruitment. Author contributions were as follows: Amy Shah, data collection, analysis, drafting of article; Marla L. Clayman, concept/design, drafting of article; Sara Glass, concept/design, data collection, and critical review; Namratha R. Kandula, concept/design, data analysis and interpretation, critical revision of article, approval of article.