Faith-Based Approaches in the Treatment of Hypertension (FAITH)

基于信仰的高血压治疗方法 (FAITH)

• 批准号: 8527973
• 负责人: KRISTIE J LANCASTER
• 金额: $ 7.23万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-05 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8527973
• 关键词: Abbreviations; Accounting; Address; Adherence; American Heart Association; Attention; Behavior; Behavior Therapy; Behavioral; Blood Pressure; Blood Pressure Monitors; Body Weight Changes; Body Weight decreased; Body mass index; Cardiovascular Diseases; Cardiovascular system; Church; Communities; Conduct Clinical Trials; Counseling; Diabetes Mellitus; Diastolic blood pressure; Dietary Assessment; Dietary intake; Eating; Effectiveness; Exhibits; Fatty acid glycerol esters; Goals; Health; Health Promotion; Health education; Healthy People 2010; High Prevalence; Hypertension; Hypotension; Individual; Influentials; Institution; Intake; Intervention; Joints; Kidney Diseases; Life Style; Link; Literature; Maintenance; Maps; Measures; Morbidity - disease rate; National Cancer Institute; National Heart, Lung, and Blood Institute; New York City; Outcome; Participant; Patients; Phase; Physical activity; Printing; Procedures; Public Health; Public Health Practice; Publications; Questionnaires; Randomized; Randomized Controlled Trials; Recruitment Activity; Reporting; Research; Research Personnel; Risk; Self Determination; Sodium; Testing; Therapeutic; Training; Translational Research; Translations; United States National Institutes of Health; Weight; base; behavior change; blood pressure regulation; design; digital; evidence base; fruits and vegetables; hypertension control; hypertension treatment; improved; innovation; lectures; lifestyle intervention; mortality; motivational enhancement therapy; primary outcome; secondary outcome; skills; theories; therapeutic lifestyle change

Project Summary: Hypertension (HTN) accounts for the greatest portion of racial disparities in mortality between blacks and whites. Poor BP control in blacks is attributed to higher prevalence of adverse lifestyle behaviors such as lack of physical activity, high sodium intake, poor intake of fruits and vegetables. Despite compelling evidence of the beneficial effects of therapeutic lifestyle changes (TLC) on BP reduction, their effectiveness in community-based settings remains untested, particularly in churches - an influential institution for health promotion in black communities. We address this gap in the literature by testing the effect of a church-based lifestyle intervention on BP reduction in 400 hypertensive blacks (BP> 140/90 mm hg). The intervention, delivered through group classes and motivational interviewing (MINT-TLC) will be compared to an attention control condition (CC). 20 churches will be randomly assigned equally to either group. We hypothesize that subjects in MINT-TLC group will exhibit at 6 months, greater BP reduction; more physical activity; increased intake of fruits and vegetables; greater within-participant weight reduction; a higher proportion with adequate BP control (9 months). Subjects in the CC group will receive group health education classes that will be delivered by experts on various health topics unrelated to hypertension. In addition to the lectures, participants in the churches randomized to the health education CC condition will receive print versions of the NHLBI publications "Your Guide to Lowering Blood Pressure"; and "Facts about the DASH Eating Plan." Those in the MINT-TLC will attend weekly group classes focused on TLC for 12 weeks (intensive phase); plus monthly individual motivational interviewing sessions for three months (maintenance phase). MINT-TLC is designed to help participants make appropriate TLC and develop skills to maintain these changes long-term. MINT-TLC will be delivered by trained Lay Health Advisors recruited from the churches. The primary outcome is within-subject change in BP from baseline to 6 months. Secondary outcomes are levels of targeted lifestyle behaviors; and proportion with adequate BP control at 9 months (BP<140/90 mm Hg). Regardless of group assignments, all outcomes will be assessed at baseline, 3, 6, and 9 months (for BP control only) with well-validated procedures and measures. BP will be assessed with an automated digital BP monitor. Lifestyle behaviors will be assessed with NCI's brief fruit/vegetable and fat dietary assessment questionnaires and the 7-day physical activity recall. Weight loss will be the difference in weight between baseline and 6 months. The long-term goal is to refine and integrate MINT-TLC into standard practices delivered by LHA in black churches.

项目摘要：高血压（HTN）占种族差异最大的部分 黑人和白人之间的死亡率。黑人中的BP控制不良归因于较高的患病率 不利的生活方式行为，例如缺乏体育锻炼，高钠摄入量，水果摄入量不佳和 蔬菜。尽管有令人信服的证据表明治疗生活方式改变有益影响（TLC） 在减少BP时，它们在社区设置中的有效性仍未经过测试，尤其是在 教堂 - 黑人社区健康促进的有影响力的机构。我们解决了这个差距 通过测试基于教会的生活方式干预对减少BP的影响400的文献 高血压黑人（BP> 140/90 mm Hg）。干预措施，通过小组课程进行， 动机访谈（MINT-TLC）将与注意力控制条件（CC）进行比较。 20 教会将被随机分配给任何一个群体。我们假设Mint-TLC中的受试者 小组将在6个月时表现出更大的BP降低；更多的体育锻炼；摄入量的增加 和蔬菜；较大的参与性体重减轻；足够的BP较高比例 控制（9个月）。 CC小组中的科目将获得小组健康教育课程 由专家就与高血压无关的各种健康主题交付。除了讲座外， 教会的参与者随机与健康教育条件一起将获得印刷版本 NHLBI出版物“降低血压的指南”；和“关于破折号饮食的事实 计划。“薄荷-TLC中的人将参加每周的小组课程，重点是TLC（密集） 阶段）;加上每月的个人动机面试会议三个月（维护 阶段）。 Mint-TLC旨在帮助参与者制作适当的TLC并发展技能 长期保持这些变化。 Mint-TLC将由受过训练的外行健康顾问提供 来自教堂。主要结果是BP从基线到6个月的受试者内部变化。 次要结果是有针对性的生活方式行为的水平；和足够的BP控制的比例 在9个月（BP <140/90 mm Hg）。无论小组分配如何，所有结果都将在 基线，3、6和9个月（仅用于BP对照），并采用验证的程序和措施进行验证。 BP会 通过自动数字BP监视器进行评估。 NCI的简短案件将评估生活方式的行为 水果/蔬菜和脂肪饮食评估问卷以及7天的体育锻炼召回。重量 损失将是基线至6个月之间体重的差异。长期目标是完善和 将Mint-TLC整合到LHA在黑人教堂中提供的标准实践中。