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

一起行走：以家庭为基础的非裔美国人高血压干预措施

• 批准号: 10671038
• 负责人: Sarah B. Woods
• 金额: $ 20.39万
• 依托单位: UT SOUTHWESTERN MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-25 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10671038
• 关键词: Address; Adherence; Adopted; Adult; African American; African American population; Behavior; Behavior Therapy; Behavioral; Chronic; Communication; Communities; Disparity; Effectiveness; End stage renal failure; Family; Family health status; Family member; Family psychotherapy; Feedback; Focus Groups; Future; Guilt; Health; Health Status; Health behavior; Health behavior change; Heart failure; Hypertension; Internal Medicine; Intervention; Intervention Trial; Life Style; Medical; Needles; Outcome; Participant; Patients; Pilot Projects; Population; Primary Care; Protocols documentation; Recommendation; Reporting; Research; Risk; Safety; Science; Self Management; Social Work; Stress; Stroke; Testing; Time; Walking; acceptability and feasibility; arm; behavior change; cardiovascular health; diet and exercise; evidence base; experience; family support; health disparity; health disparity populations; health knowledge; high risk; high risk population; hypertension control; improved; individual patient; innovation; mortality disparity; novel; pilot trial; primary care setting; public health relevance; racial disparity; satisfaction; skills training; support network; therapy design

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.

项目概要/摘要 描述：高血压 (HTN) 是造成不同种族之间死亡率差异的最大因素 非裔美国人和白人，目前影响超过一半的非裔美国成年人。尽管 实证支持的高血压自我管理的好处，很少有非洲裔美国人能够控制高血压， 部分原因是与白人患者相比，他们对饮食和锻炼等行为的坚持程度较低。自我障碍 非裔美国人的管理问题包括健康知识有限、压力和维持困难 生活方式的改变。家庭成员对该人群的 HTN 自我管理做出了重大贡献， 然而，目前的 HTN 自我管理干预措施并未利用家庭支持。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人有益 慢性病。因此，迫切需要以经验为基础的家庭干预措施来改善 非裔美国患者高血压的自我管理。拟议的研究将开发一种新型的基于家庭的 HTN 自我管理干预措施“一起行走”改编自现有的经验支持的二元法 干预，以在初级保健中实施。具体来说，我们将 (1) 制定创新干预措施 HTN 整合了家庭支持对健康结果影响的理论驱动研究，以及 干预细节中基于社区的参与性文化观点；并且，（2）确定 一起行走干预措施的可行性、可接受性和安全性。拟议的以家庭为基础的干预措施 将是第一个通过融入家庭来针对非裔美国人的 HTN 自我管理行为 成员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 信息使我们更接近确定 Walk Together 对 HTN 控制的影响，并朝着 所提议协议的可扩展性。