Establishing Validity of the Midlife Black Women's Stress-Reduction Wellness Program Materials Using a Mixed Methods Approach.
Holly J Jones, Melinda Butsch Kovacic, Tamilyn Bakas
PMID 34935740WHAT IT FOUND
Twelve experts rated the B-SWELL materials highly for relevance, cultural fit and ease, but comments asked for more stress, safety and smoking context for midlife Black women.
Use this to refine education, not as proof it improves heart health.
Key findings
01Twelve experts rated the B-SWELL modules at 4.00 or above on average.
02Experts noted that some modules did not adequately connect stress or healthy behaviors to being a midlife Black woman.
03The overall binder averaged 4.76, and its ratings ranged from 4.58 to 4.91.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 12 experts rated the materials, and they were chosen purposefully, so the ratings may not represent all midlife Black women or all health professionals. The expert sample was mostly female, with 11 female participants, and 8 Black/African American participants. Some integrative health specialists rated modules 3, 4 and 5 below 4.00, at 3.75, 3.95 and 3.94, so agreement was not uniform. The study did not test whether the binder changed stress, heart disease risk or healthy behaviors in patients. The feasibility pilot and planned randomized trial were not reported in this paper.
Declared interests
The authors declared no conflicts of interest. The supplied article text does not give a detailed funding statement.
The easy way to misread this
Do not read the high expert ratings as proof the B-SWELL program improves stress or heart health in midlife Black women. The paper reports only a validation of prototype materials by 12 experts before a pilot; no patient outcomes were tested.