Walk Together: A Family-Based Intervention for Hypertension In African Americans

项目总结/摘要 描述：高血压（HTN）是种族间死亡率差异的最大原因， 非洲裔美国人和白人，目前影响了一半以上的非洲裔美国成年人。尽管 HTN自我管理的好处得到了有力的支持，很少有非洲裔美国人实现HTN控制， 部分原因是与白色患者相比，患者对饮食和运动等行为的依从性较低。自我的障碍- 非裔美国人的管理包括有限的健康知识，压力和难以维持 生活方式的改变家庭成员对这一人群的HTN自我管理做出了重大贡献， 然而，目前的高血压新生儿自我管理干预措施并没有利用家庭支持。以家庭为基础的自我- 利用患者家庭支持网络的管理干预措施已被证明对其他患者有益。 慢性病因此，迫切需要采取以家庭为基础的干预措施， 非裔美国患者的HTN自我管理。这项研究将开发一种新的基于家庭的 HTN自我管理干预，走在一起，改编自现有的精神支持的二元 干预，在初级保健中实施。具体而言，我们将（1）开发一种创新的干预措施， HTN整合了关于家庭支持对健康结果影响的理论驱动研究， （2）在具体的干预措施中采用以社区为基础的参与性文化观点;（3）确定 可行性、可接受性和安全性。拟议的家庭干预措施 将是第一个通过纳入家庭来针对非裔美国人的HTN自我管理行为的公司。 参与干预设计和直接参与干预。这项研究的结果将提供关键的 这些信息使我们更接近于确定Walk Together对HTN控制的影响， 所提出的协议的可扩展性。

PROJECT SUMMARY/ABSTRACT DESCRIPTION: Hypertension (HTN) is the largest causal factor of racial disparities in mortality between African Americans and Whites, and currently impacts more than half of African American adults. Despite the empirically-supported benefits of HTN self-management, too few African Americans achieve HTN control, in part due to lower adherence to behaviors like diet and exercise, compared to White patients. Barriers to self- management among African Americans include limited health knowledge, stress, and difficulty sustaining lifestyle changes. Family members make substantial contributions to HTN self-management in this population, however, family support is not leveraged by current HTN self-management interventions. Family-based self- management interventions that leverage patients’ family support networks have proven beneficial for other chronic conditions. Thus, there is a critical need for empirically-driven family-based interventions to improve the self-management of HTN for African American patients. The proposed study will develop a novel family-based HTN self-management intervention, Walk Together, adapted from an existing empirically-supported dyadic intervention, for implementation in primary care. Specifically, we will (1) develop an innovative intervention for HTN that integrates theoretically-driven research on family support effects on health outcomes, and community-based participatory cultural perspectives in the specifics of the intervention; and, (2) determine the feasibility, acceptability, and safety of the Walk Together intervention. The proposed family-based intervention will be the first to target the HTN self-management behaviors of African Americans via incorporating family members in both intervention design and directly in the intervention. Results of this study will provide critical information to move us closer to determining the impact of Walk Together on HTN control, and toward scalability for the proposed protocol.