TY - JOUR
T1 - Improving hypertension knowledge, medication adherence, and blood pressure control
T2 - A feasibility study
AU - Marseille, Beatrice Remy
AU - Commodore-Mensah, Yvonne
AU - Davidson, Patricia M.
AU - Baker, Deborah
AU - D'Aoust, Rita
AU - Baptiste, Diana Lyn
N1 - Funding Information:
This study was supported by OMRON Healthcare Inc. Lake Forest, IL. USA. ®
Funding Information:
This study was supported by OMRON? Healthcare Inc. Lake Forest, IL. USA. The authors would like to thank the Haitian Community of Rockland County, New York for their participation and support for this project. Many thanks to Dr. Henry Okere, Dr. Ozuzu, Dr. Patricia D'Alissera and the medical assistant team at the thank Stat Health Clinic for providing a setting for this important project. We would also like to thank Mrs. Denise Rucker, Dr. Bushra Sabri, Dr. Kimberly Mc Iltrot and Dr. Brigit VanGraafeiland at the Johns Hopkins School of Nursing for their intellectual contributions. Finally, we extend special gratitude to Dr. Melissa Moreno for her mentorship.
Publisher Copyright:
© 2021 John Wiley & Sons Ltd
PY - 2021/10
Y1 - 2021/10
N2 - Aims and Objectives: To examine the feasibility of a culturally tailored education programme for Haitian immigrants diagnosed with hypertension. Background: Hypertension is a major public health problem, impacting more than 26% of the global population. The overall prevalence of hypertension is 45.4% in the United States with nearly 80,000 deaths due to hypertension in 2015. African Americans and other Black populations living in the U.S. are disproportionally affected by hypertension. Design: Pre-test and post-test feasibility study. Methods: A convenience sample of forty-four participants who identified as Haitian immigrants was enrolled in this evidence-based education programme. The intervention included culturally tailored education focused on improving knowledge, medication adherence and blood pressure. Outcomes were measured using the Hill-Bone Medication Adherence Scale and Hypertension Knowledge Test. The SQUIRE 2.0 guidelines were used for reporting outcomes. Results: Of the participants that completed the study (N=42), the mean age was 61.95 (± 9.75) years and 59% were female. Baseline systolic and diastolic blood pressures were 143 (±18.15) and 85 (±7.23), respectively. Six weeks after the intervention, there was a significant decrease in mean systolic, 126 (±12.07) and diastolic 78.50 (± 7.23) blood pressures. An increase in medication adherence and hypertension knowledge was also noted at the six-week follow-up period. Conclusion: The feasibility of healthcare provider implementation of a culturally tailored intervention to manage hypertension has been demonstrated. However, future research is warranted to gain a more in-depth understanding of how to approach hypertension management among Haitians and other Black immigrant communities. Relevance to clinical practice: Advanced practice nurses are uniquely qualified to implement evidence-based programmes that improve patient knowledge and adherence to hypertension management. Through tailoring and adopting an evidence-based methods for educating patients about medication adherence and adequate blood pressure management, there is a potential to see improvements in patient outcomes.
AB - Aims and Objectives: To examine the feasibility of a culturally tailored education programme for Haitian immigrants diagnosed with hypertension. Background: Hypertension is a major public health problem, impacting more than 26% of the global population. The overall prevalence of hypertension is 45.4% in the United States with nearly 80,000 deaths due to hypertension in 2015. African Americans and other Black populations living in the U.S. are disproportionally affected by hypertension. Design: Pre-test and post-test feasibility study. Methods: A convenience sample of forty-four participants who identified as Haitian immigrants was enrolled in this evidence-based education programme. The intervention included culturally tailored education focused on improving knowledge, medication adherence and blood pressure. Outcomes were measured using the Hill-Bone Medication Adherence Scale and Hypertension Knowledge Test. The SQUIRE 2.0 guidelines were used for reporting outcomes. Results: Of the participants that completed the study (N=42), the mean age was 61.95 (± 9.75) years and 59% were female. Baseline systolic and diastolic blood pressures were 143 (±18.15) and 85 (±7.23), respectively. Six weeks after the intervention, there was a significant decrease in mean systolic, 126 (±12.07) and diastolic 78.50 (± 7.23) blood pressures. An increase in medication adherence and hypertension knowledge was also noted at the six-week follow-up period. Conclusion: The feasibility of healthcare provider implementation of a culturally tailored intervention to manage hypertension has been demonstrated. However, future research is warranted to gain a more in-depth understanding of how to approach hypertension management among Haitians and other Black immigrant communities. Relevance to clinical practice: Advanced practice nurses are uniquely qualified to implement evidence-based programmes that improve patient knowledge and adherence to hypertension management. Through tailoring and adopting an evidence-based methods for educating patients about medication adherence and adequate blood pressure management, there is a potential to see improvements in patient outcomes.
KW - blood pressure control
KW - health promotion
KW - hypertension
KW - knowledge
KW - medication adherence
KW - public health
UR - http://www.scopus.com/inward/record.url?scp=85104464438&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85104464438&partnerID=8YFLogxK
U2 - 10.1111/jocn.15803
DO - 10.1111/jocn.15803
M3 - Article
C2 - 33872425
AN - SCOPUS:85104464438
SN - 0962-1067
VL - 30
SP - 2960
EP - 2967
JO - Journal of clinical nursing
JF - Journal of clinical nursing
IS - 19-20
ER -