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HEALS: A Faith-Based Hypertension Control Program for African-Americans: A Feasibility Study

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DOI: 10.4236/ojim.2014.43015    2,697 Downloads   3,424 Views   Citations


Objective: To determine the feasibility of a behavioral faith-based PREMIER study modified hypertension (HTN) control intervention in a semi urban African-American (AA) church. Methods: In a prospective longitudinal study design, a 12-week behavioral HEALS (Healthy Eating and Living Spiritually) intervention was tested for its feasibility and efficacy in a semi urban AA church. High-risk adult church members with HTN were recruited. Program sessions were weekly delivered by the trained church members. Data were analyzed using repeated measures ANOVA. Results: 22 of 34 subjects (65% retention) provided complete information on the outcome measures. Mean systolic blood pressure (SBP) reduction from baseline was 22 mmHg (p < 0.001) and 6.5 mmHg for diastolic BP (p = 0.0048). Mean weight reduction of 3.11 kg from the baseline (p < 0.0001) was also observed. 91% subjects attended 7 - 9 sessions. Conclusion: Promoting behavioral HTN control interventions in high risk AAs by empowering AA church communities is feasible and efficacious.

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The authors declare no conflicts of interest.

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Dodani, S. , Arora, S. and Kraemer, D. (2014) HEALS: A Faith-Based Hypertension Control Program for African-Americans: A Feasibility Study. Open Journal of Internal Medicine, 4, 95-100. doi: 10.4236/ojim.2014.43015.


[1] Dodani, S., Arora, S., Lynch, S. and Mahin, C. (2014) HEALS—Faith Based Hypertension Control Program: Focus Group Findings. Health Behavior and Policy Review, 1, 103-110.
[2] Lewington, S., Clarke, R., Qizilbash, N., Peto, R., Collins, R. and Collaboration, P.S. (2002) Age-Specific Relevance of Usual Blood Pressure to Vascular Mortality: A Meta-Analysis of Individual Data for One Million Adults in 61 Prospective Studies. Lancet, 360, 1903-1913.
[3] Appel, L.J., Moore, T.J., Obarzanek, E., Vollmer, W.M., Svetkey, L.P., Sacks, F.M., et al. (1997) A Clinical Trial of the Effects of Dietary Patterns on Blood Pressure. DASH Collaborative Research Group. The New England Journal of Medicine, 336, 1117-1124.
[4] Heidenreich, P.A., Trogdon, J.G., Khavjou, O.A., Butler, J., Dracup, K., Ezekowitz, M.D., et al. (2011) Forecasting the Future of Cardiovascular Disease in the United States: A Policy Statement from the American Heart Association. Circulation, 123, 933-944.
[5] Appel, L.J., Champagne, C.M., Harsha, D.W., Cooper, L.S., Obarzanek, E., Elmer, P.J., et al. (2003) Effects of Comprehensive Lifestyle Modification on Blood Pressure Control: Main Results of the PREMIER Clinical Trial. The Journal of the American Medical Association, 289, 2083-2093.
[6] Dodani, S., Sullivan, D., Pankey, S. and Champagne, C. (2011) HEALS: A Faith-Based Hypertension Control and Prevention Program for African American Churches: Training of Church Leaders as Program Interventionists. International Journal of Hypertension, 2011, Article ID: 820101.
[7] Bandura, A. (1986) Social Foundations of Thought and Action: A Social Cognitive Theory. Prentice Hall, Upper Saddle River.
[8] Dodani, S. and Fields, J.Z. (2010) Implementation of the Fit Body and Soul, a Church-Based Life Style Program for Diabetes Prevention in High-Risk African Americans: A Feasibility Study. The Diabetes Educator, 36, 465-472.
[9] Carroll, R.J., Midthune, D., Subar, A.F., Shumakovich, M., Freedman, L.S., Thompson, F.E., et al. (2012) Taking Advantage of the Strengths of 2 Different Dietary Assessment Instruments to Improve Intake Estimates for Nutritional Epidemiology. American Journal of Epidemiology, 175, 340-347.
[10] Chobanian, A.V. (2009) Shattuck Lecture. The Hypertension Paradox—More Uncontrolled Disease Despite Improved Therapy. The New England Journal of Medicine, 361, 878-887.
[11] Lasco, R.A., Curry, R.H., Dickson, V.J., Powers, J., Menes, S. and Merritt, R.K. (1989) Participation Rates, Weight Loss, and Blood Pressure Changes among Obese Women in a Nutrition-Exercise Program. Public Health Reports, 104, 640-646.
[12] Rankins, J., Sampson, W., Brown, B. and Jenkins-Salley, T. (2005) Dietary Approaches to Stop Hypertension (DASH) Intervention Reduces Blood Pressure among Hypertensive African American Patients in a Neighborhood Health Care Center. Journal of Nutrition Education and Behavior, 37, 259-264.

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