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

项目摘要/摘要 慢性病的故事干预，被描述为与健康生活在一起的个人叙事 条件。以前的讲故事干预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以下人群的血压 以及对生活方式和行为改变的接受程度增加。传统上在健康方面代表性不足的群体 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 通常最需要获得卫生干预的人。我们的初步工作包括宾州州立大学 临床和转化科学KL2资助的项目，名为为非洲开发讲故事干预 患有高血压的美国人。在KL2项目期间，9名患有高血压的非洲裔美国人接受了护理 在联邦合格的健康中心，被拍到分享他们管理高血压的故事和分享 改变生活方式以管理高血压的有用提示。我们提议的干预措施将包括三项 小组：1)日常护理2)讲故事(讲故事+教育信息)使用学习网站访问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 教练一直是促进健康行为的一种成功方法，可以很容易地整合到 安全网设置。我们假设，将同伴健康教练纳入讲故事干预中将 通过讲故事的干预来加强参与度。使用研究网站进行干预 提高干预的可访问性，并允许参与者在其 方便。拟议研究的结果是：1)评估实施 通过评估招募、留住、可接受性和忠诚度来进行讲故事和讲故事加干预 2)对自我报告的服药依从性和血压的初步影响。长期目标 这个项目的目的是开发可以整合到FQHC临床工作流程中的讲故事干预措施 并可潜在地传播到其他FQHC和安全网环境中，以促进健康行为和 患有高血压的非裔美国人的生活方式改变。

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.