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

项目总结/摘要 讲故事的慢性病干预措施，被描述为与健康生活的个人叙述， 条件以前的讲故事干预措施在促进健康行为和生活方式方面是有效的 变化对于高血压，讲故事干预有助于降低血压， 以及对生活方式和行为改变的接受度增加。传统上在保健领域代表性不足的群体 研究和干预，可能无法获得创新的生活方式干预，但这些社区， 他们往往最需要获得卫生干预措施。我们的初步工作包括宾州州立大学 临床和转化科学KL 2资助的项目，题为为非洲人发展讲故事的干预 美国人高血压在KL 2项目期间，9名患有高血压的非洲裔美国人接受了治疗， 在一个联邦合格的健康中心，被拍摄分享他们的故事，管理高血压和分享 改变生活方式以管理高血压的有用提示。我们提议的干预将包括三个方面 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+（小组讲故事会议+同伴主导的教育会议和目标设定）。同伴健康 教练一直是促进健康行为的成功方法，可以很容易地整合到一个 安全网设置我们假设，将同伴健康教练纳入讲故事干预将 通过讲故事的干预来加强参与。使用研究网站提供干预措施 增加干预的可及性，并允许参与者在其 压力抛之脑后拟议研究的结果是：1）评估实施 通过评估招募、保留、可接受性和忠诚度进行讲故事和讲故事+干预 和2）对自我报告的药物依从性和血压的初步影响。远景目标 该项目的目的是开发可以整合到临床工作流程中的讲故事干预措施 并有可能传播到其他社区卫生和健康中心和安全网环境，以促进健康行为， 非裔美国人高血压患者的生活方式改变。

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.