Examining the Feasibility of Implementing a Hypertension Storytelling among African Americans with Hypertension

检查在患有高血压的非裔美国人中实施高血压故事的可行性

• 批准号: 10570545
• 负责人: Yendelela Levana Cuffee
• 金额: $ 16.2万
• 依托单位: UNIVERSITY OF DELAWARE
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-06-15 至 2026-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10570545
• 关键词: Adherence; Affective; African American population; American Heart Association; Antihypertensive Agents; Area; Attitude; Behavior; Behavior Therapy; Behavioral; Biomedical Research; Blood Pressure; Cardiovascular Diseases; Caring; Chronic Disease; Clinical; Clinical Research; Clinical Sciences; Communities; Data; Delaware; Devices; Diastolic blood pressure; Education; Effectiveness; Ethnic Population; Faculty; Family health status; Feasibility Studies; Federally Qualified Health Center; Feedback; Film; Funding; Goals; Group Meetings; Health; Healthcare; Home Blood Pressure Monitoring; Hour; Hypertension; Individual; Intervention; K-Series Research Career Programs; Knowledge; Life Style; Measures; Medication Management; Mentors; Minority; National Heart, Lung, and Blood Institute; Online Systems; Outcome; Outcome Measure; Participant; Patient Self-Report; Pharmaceutical Preparations; Public Health; Randomized; Reporting; Research; Resources; Side; Social support; Technology; Training; Translational Research; Treatment Efficacy; Universities; Visit; Woman; Work; acceptability and feasibility; blood pressure reduction; design; ethnic minority; evidence base; experience; hypertension control; improved; innovation; lifestyle intervention; medication compliance; member; men; neighborhood disadvantage; peer; personal narratives; racial minority; racial population; recruit; research study; safety net; socioeconomic disadvantage; treatment as usual; uptake; web site; web-based intervention

PROJECT SUMMARY/ABSTRACT Storytelling interventions for chronic disease, are described as personal narratives of living with the health condition. Previous storytelling interventions have been effective in promoting healthy behaviors and lifestyle change. For hypertension, storytelling interventions have contributed to reductions in blood pressure among and increased uptake of lifestyle and behavioral change. Groups traditionally underrepresented in health research and interventions, may not have access to innovative lifestyle interventions, but these communities often have the greatest need for access to health interventions. Our preliminary work includes the Penn State Clinical and Translational Science KL2 funded project titled Developing a Storytelling Intervention for African Americans with Hypertension. During the KL2 project, nine African Americans with hypertension receiving care at a Federally Qualified Health Center, were filmed sharing their stories of managing hypertension and sharing helpful tips for lifestyle changes to manage hypertension. Our proposed intervention will consist of three groups: 1) usual care 2) Storytelling (storytelling + educational information) accessed using a study website 3) Storytelling Plus (group storytelling sessions + peer-led educational sessions and goal setting). Peer health coaching has been a successful approach for promoting healthy behaviors and can be easily integrated into a safety-net setting. We hypothesize that incorporating Peer Health Coaches into the storytelling intervention will bolster the engagement with a storytelling intervention. Delivering the intervention using a study website increases the accessibility of the intervention and allows the participant to view study materials at their convenience. The outcomes for the proposed study are 1) to assess the feasibility of implementing the Storytelling and Storytelling Plus interventions by assessing recruitment, retention, acceptability, and fidelity and 2) the preliminary impact on self-reported medication adherence and blood pressure. The long-term goal of this project is to develop storytelling interventions that can be integrated into the clinical workflow of a FQHC and can potentially be disseminated to other FQHC and safety-net settings to promote healthy behaviors and lifestyle change among African Americans with hypertension.

项目概要/摘要 针对慢性病的讲故事干预措施被描述为健康生活的个人叙述 健康）状况。以前的讲故事干预措施可以有效促进健康的行为和生活方式 改变。对于高血压，讲故事干预措施有助于降低血压 以及生活方式和行为改变的增加。传统上在健康领域代表性不足的群体 研究和干预措施，可能无法获得创新的生活方式干预措施，但这些社区 通常最需要获得健康干预措施。我们的前期工作包括宾夕法尼亚州立大学 临床和转化科学 KL2 资助的项目名为“为非洲人开发讲故事的干预措施” 患有高血压的美国人。在 KL2 项目期间，九名患有高血压的非裔美国人接受护理 在联邦合格的健康中心，被拍摄分享他们管理高血压的故事并分享 改变生活方式以控制高血压的有用提示。我们建议的干预措施将包括三项 小组：1) 常规护理 2) 讲故事（讲故事 + 教育信息）使用研究网站访问 3) 讲故事+（小组讲故事课程+同伴主导的教育课程和目标设定）。同伴健康 辅导是促进健康行为的成功方法，并且可以很容易地融入到 安全网设置。我们假设将同伴健康教练纳入讲故事干预措施将 通过讲故事的干预来增强参与度。使用研究网站提供干预 增加干预的可及性，并允许参与者在自己的位置查看研究材料 方便。拟议研究的结果是 1) 评估实施该计划的可行性 讲故事和讲故事加干预措施，评估招募、保留、可接受性和忠诚度 2）对自我报告的药物依从性和血压的初步影响。长期目标 该项目的目的是开发可以集成到 FQHC 临床工作流程中的讲故事干预措施 并有可能传播到其他 FQHC 和安全网环境，以促进健康行为和 患有高血压的非裔美国人生活方式的改变。