"A cuff is not enough": A community‐based participatory research approach to soliciting perspectives of African Americans with hypertension and their family members on self‐management intervention features.

We aimed to solicit the perspectives of African Americans with hypertension and their family members on the desired features of a behavioral hypertension self‐management intervention. Using a community‐based participatory approach to intervention design, we conducted four dyadic focus groups, includ...

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Publicado en:Family Process Vol. 63; no. 2; pp. 731 - 749
Autores principales: Woods, Sarah B., Udezi, Victoria, Roberson, Patricia N. E., Arnold, Elizabeth Mayfield, Nesbitt, Shawna, Hiefner, Angela
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2024
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      pub: Wiley-Blackwell
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        atl: "A cuff is not enough": A community‐based participatory research approach to soliciting perspectives of African Americans with hypertension and their family members on self‐management intervention features.
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        au:
          Woods, Sarah B.
          Udezi, Victoria
          Roberson, Patricia N. E.
          Arnold, Elizabeth Mayfield
          Nesbitt, Shawna
          Hiefner, Angela
        affil: Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas Texas,, USA
      sug:
        subj:
          African Americans Psychosocial Factors
          Hypertension
          Attitude to Health
          Patient Participation
          Patient Attitudes
          Family Relations
          Self Care
          Outcomes (Health Care)
          Human
          Male
          Female
          Middle Age
          Aged
          Funding Source
          Descriptive Statistics
          Health Behavior
          Focus Groups
          Grounded Theory
          Thematic Analysis
          Health Literacy
          Communication
          Healthcare Disparities
          Qualitative Studies
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: We aimed to solicit the perspectives of African Americans with hypertension and their family members on the desired features of a behavioral hypertension self‐management intervention. Using a community‐based participatory approach to intervention design, we conducted four dyadic focus groups, including African American community members with hypertension (n = 23) and their family members (n = 23), recruited from African American‐serving Christian churches in a large, southern metropolitan area. We used open‐ended questions to elicit participants' perspectives regarding program features they would recommend, intervention delivery, and barriers necessary to address. Our grounded theory analysis identified themes reflecting participants' recommendations for hypertension self‐management interventions to enhance health literacy and provide communication training via an accessible, population‐tailored, family‐based approach, which they believed has the potential to create family‐level impact on health across generations. Participants also recommended intervention researchers engage in advocacy (i.e., via physician education and policy change) as part of a broader impact on structural inequities driving worse hypertension and health outcomes for African Americans. The perceptions and recommendations of African Americans with a lived experience of hypertension, as well as their family members, aid in shaping acceptable and efficacious behavioral interventions aiming to promote hypertension self‐management behavior while leveraging the unique power of family relationships to create sustained behavior change.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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