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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

ABSTRACT

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.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

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.

References

[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.
http://dx.doi.org/10.14485/HBPR.1.2.2
[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. http://dx.doi.org/10.1016/S0140-6736(02)11911-8
[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. http://dx.doi.org/10.1056/NEJM199704173361601
[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.
http://dx.doi.org/10.1161/CIR.0b013e31820a55f5
[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.
http://dx.doi.org/10.1177/0145721710366756
[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.
http://dx.doi.org/10.1093/aje/kwr317
[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.
http://dx.doi.org/10.1056/NEJMsa0903829
[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. http://dx.doi.org/10.1016/S1499-4046(06)60281-9

  
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