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: 10509609
• 负责人: Sarah B. Woods
• 金额: $ 25.97万
• 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 2024-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10509609
• 关键词: Address; Adherence; Adopted; Adult; African American; African American population; Behavior; Behavior Therapy; Behavioral; Chronic; Communication; Communities; 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 Health Care; Protocols documentation; Reporting; Research; Risk; Safety; Science; Self Management; Social Work; Stress; Stroke; Testing; Time; Walking; acceptability and feasibility; arm; base; 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.

项目摘要/摘要 描述：高血压（HTN）是种族分布的最大因果因素 非裔美国人和白人，目前影响了一半以上的非裔美国人成年人。尽管有 HTN自我管理的经验支持的好处，非裔美国人也很少获得HTN控制 与白人患者相比，一部分是由于对饮食和运动等行为的依从性较低。自我障碍 非裔美国人的管理包括有限的健康知识，压力和艰难的维持 生活方式改变。家庭成员为在该人群中的HTN自我管理做出了巨大贡献， 但是，当前的HTN自我管理干预措施并没有利用家庭支持。基于家庭的自我 利用患者家庭支持网络的管理干预措施已证明对其他 慢性条件。这是迫切需要以经验为基础的家庭干预措施来改善 非裔美国人患者HTN的自我管理。拟议的研究将开发出一种新颖的基于家庭的新型 HTN自我管理干预，一起行走，改编自现有的经验支持的二元 干预，用于初级保健。具体来说，我们将（1）开发一种创新的干预措施 HTN将理论上驱动的研究对家庭支持对健康结果的影响以及 基于社区的参与文化观点是干预措施的规格； （2）确定 步行干预的可行性，可接受性和安全性。拟议的基于家庭的干预 将是第一个针对非洲裔美国人的HTN自我管理行为的人 干预设计和干预措施的成员。这项研究的结果将提供关键 信息使我们更近，以确定步行对HTN控制的影响，并朝向 提出的协议的可伸缩性。