Implementing Hypertension Management Interventions in Immigrant Communities in the U.S. a Narrative Review of Recent Developments and Suggestions for Programmatic Efforts

Shahmir H. Ali, Nadia S. Islam, Yvonne Commodore-Mensah, Stella S. Yi

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: To outline intervention efforts focused on reducing hypertension disparities in immigrant communities in the U.S. and to identify areas in the design, implementation, and evaluation of these interventions that warrant further exploration guided by an implementation science framework. Recent Findings: Studies examined (n = 11) included immigrant populations of African, Hispanic, and Asian origin. Men were underrepresented in most studies. Culturally tailored group-based educational sessions in religious or community spaces were common. Intervention agents included research assistants, registered nurses, community health workers, and faith-based organization volunteers. Community stakeholders were engaged in most studies, although most commonly for recruitment efforts. Surveys/interviews were used for intervention evaluation, and documentation of intervention activities and trainings was used to assess fidelity. Summary: Identified pathways for further intervention innovation included gender or migration-status–based targeting, diversifying intervention agents, enhancing mixed-method process evaluations, and tailoring to emerging needs during the COVID-19 pandemic.

Original languageEnglish (US)
Article number5
JournalCurrent hypertension reports
Volume23
Issue number1
DOIs
StatePublished - Jan 2021

Keywords

  • COVID-19
  • Community-based participatory research
  • Hypertension
  • Immigrants
  • Implementation science
  • Intervention

ASJC Scopus subject areas

  • Internal Medicine

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