URBAN AFRICAN-AMERICAN COMMUNITY HYPERTENSION CONTROL

城市非裔美国人社区高血压控制

• 批准号: 2028995
• 负责人: DAVID MORRIS LEVINE
• 金额: $ 44.47万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-09-30 至 1998-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2028995
• 关键词: African American; adult human (21+); antihypertensive agents; behavior modification; cardiovascular disorder chemotherapy; cardiovascular disorder prevention; clinical trials; community health services; counseling; health behavior; health education; human subject; human therapy evaluation; prognosis; social support network; therapy compliance; urban area

The objective of this population based clinical trial is to investigate whether a health education program, developed in partnership with the community and delivered by nurse supervised community health workers (CHWs), lowers high blood pressure (HBP) in inner city African American adults. This two and a half year intervention trial seeks to extend and test the generalizability of our prior work, in a similar inner city African American community, which demonstrated the efficacy of planned health education programs that are culturally-sensitive, community-based and owned, and built upon appropriate behavioral and community activation theory and principles, in improving the control of HBP and decreasing related morbidity and mortality. Participants will be recruited from households in neighborhood blocks randomly assigned to a more less intensive educational-behavioral intervention. Both groups will receive usual medical care, community HBP education, and HBP patient education materials. In addition, the more intensive group will receive 1) individualized educational counseling sessions with the CHW to increase understanding of HBP and to address barriers to control of HBP; 2) outreach and follow-up to address inadequate health care resources and health behavior related skills through interim monitoring and education "booster" sessions; and 3) mobilization of social support from a family member/friend identified by the participant as the primary source of daily reinforcement. Five hundred males and five hundred females will be recruited. Statistical analysis will focus on BP change in all adults with HBP on randomized blocks whether or not they participated in either of the intervention groups (program effectiveness), as well as BP change in all adults participating in the two interventions regardless of their level of compliance (intervention efficacy). In addition, the analysis will focus on differences in the two groups regarding individuals' adherence to HBP lowering recommendations to enter/re-enter care, remain in care, modify lifestyle, and take HBP medication. Multiple regression will be done to determine the contribution of the changes in the major independent variables (perceived barriers, use of health care resources and health care skills, and social support) to changes in the outcome and intervening variables which include adherence to HBP lowering recommendations. This population based study is significant because it offers a multidisciplinary, community HBP control program to help close the gap in health status for African Americans.

这项基于人群的临床试验的目的是研究 是否有一个健康教育项目，与 由护士监督的社区卫生工作者提供 （CHWs），降低高血压（HBP）在内城非洲裔美国人 成年人了 这项为期两年半的干预试验旨在延长和 在一个类似的市中心测试我们先前工作的普遍性， 非洲裔美国人社区，这表明了计划的有效性， 健康教育计划，是文化敏感，以社区为基础， 拥有，并建立在适当的行为和社区激活 理论和原则，在提高控制HBP和减少 相关的发病率和死亡率。 参与者将从附近街区的家庭中招募 随机分配到一个更不密集的教育行为 干预 两组都将接受常规的医疗护理，社区HBP 教育和HBP患者教育材料。 此外，越 强化组将接受1）个性化教育咨询 与CHW举行会议，以增加对HBP的了解，并解决 控制HBP的障碍; 2）外展和随访，以解决 卫生保健资源和健康行为相关技能不足 通过临时监测和教育“助推器”会议;以及3） 动员家庭成员/朋友的社会支持， 参与者是日常强化的主要来源。 五 将招募一百名男性和五百名女性。 统计 分析将侧重于随机分组的所有HBP成人的血压变化 阻止他们是否参与任何一种干预 组（计划有效性），以及所有成年人的BP变化 参与这两项干预措施，无论其水平如何， 干预有效性（Intervention Efficiency）。 此外，分析将重点 两组个体对HBP的依从性差异 降低进入/重新进入护理、继续护理、修改 生活方式，并服用HBP药物。 将进行多元回归， 确定主要独立的变化的贡献 变量（感知障碍、卫生保健资源的使用和健康 护理技能和社会支持）对结果变化的影响， 干预变量包括对降低HBP的依从性 建议. 这项基于人口的研究意义重大，因为它 提供多学科的社区HBP控制计划，以帮助关闭 非裔美国人健康状况的差距。

项目成果

Community health survey in an urban African-American neighborhood: distribution and correlates of elevated blood pressure.

城市非裔美国人社区的社区健康调查：血压升高的分布和相关性。

• 发表时间: 2000
• 期刊: Ethnicity & disease.
• 作者: Bone,LR;Hill,MN;Stallings,R;Gelber,AC;Barker,A;Baylor,I;Harris,EC;Zeger,SL;Felix-Aaron,KL;Clark,JM;Levine,DM
• 通讯作者: Levine,DM

Obesity and approaches to weight in an urban African-American community.

城市非裔美国人社区的肥胖和体重控制方法。

• 发表时间: 2001
• 期刊: Ethnicity & disease.
• 作者: Clark,JM;Bone,LR;Stallings,R;Gelber,AC;Barker,A;Zeger,S;Hill,MN;Levine,DM
• 通讯作者: Levine,DM

Development and testing of the Hill-Bone Compliance to High Blood Pressure Therapy Scale.

• DOI: 10.1111/j.1751-7117.2000.tb00211.x
• 发表时间: 2000-01-01
• 期刊: Progress in cardiovascular nursing
• 作者: Kim, M T;Hill, M N;Levine, D M
• 通讯作者: Levine, D M