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

基本信息

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
项目类别：
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

项目摘要

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。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，与白人患者相比，部分原因是对饮食和锻炼等行为的坚持程度较低。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对这一人群的高血压自我管理做出了重大贡献，然而，当前的 HTN 自我管理干预措施并未利用家庭支持。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因此，迫切需要以经验为基础的家庭干预措施来改善慢性疾病。拟议的研究将开发一种新型的基于家庭的高血压自我管理。 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具体而言，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，以及干预措施细节中基于社区的参与性文化观点；(2) 确定干预措施的具体内容；拟议的基于家庭的干预措施的可行性、可接受性和安全性。将是第一个通过融入家庭来针对非裔美国人的 HTN 自我管理行为干预设计和直接干预的成员将提供关键的研究结果。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。