Participant Satisfaction in a Cardiovascular Disease Prevention Intervention for Midlife Black Women.
Holly J Jones, Melinda Butsch Kovacic, Patricia Bacchus and 2 others
PMID 37905540WHAT IT FOUND
Satisfaction scores did not differ between midlife Black women randomized to a culturally tailored cardiovascular prevention program or a Wellness comparison, although both groups reported high satisfaction.
This does not show either program prevented cardiovascular disease.
Key findings
01Satisfaction was high for both groups, and total mean satisfaction scores were similar (B-SWELL 4.57, Wellness 4.56; t(46) = 0.14, p = .89).
02Individual satisfaction items ranged from 4.22 to 4.87, and the lowest-rated statement was that weekly Zoom meetings were convenient (means 4.28 and 4.22).
03Short-answer responses frequently mentioned sisterhood, comradery, support, culturally adapted materials, and a program specifically for midlife Black women.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The analysed sample was 48, although a sample size of 50 was proposed, and the authors state the small sample prohibited making inferences. The study assessed satisfaction, not cardiovascular outcomes; primary outcome data are reported elsewhere. The coronavirus pandemic may have influenced satisfaction ratings because participants were longing for social interaction. Findings may not generalize to midlife Black women across the United States. Both groups received culturally tailored materials, a tablet, and virtual Zoom sessions, so satisfaction cannot be separated from those shared features.
The easy way to misread this
Do not conclude that B-SWELL was more satisfying than Wellness, or that it prevented cardiovascular disease. The satisfaction scores were similar between groups, and this paper reports satisfaction and feasibility, not cardiovascular outcomes.