Co-created health education intervention among older African American women living with hypertension

Wright, Kathy; Jones, Lenette M.; Adams, Ingrid; Moss, Karen; Still, Carolyn H; Nguyen, Christopher; Rose, Karen; Klatt, Maryanna

doi:10.1016/j.explore.2021.02.004

Cited by 6 publications

(12 citation statements)

References 30 publications

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“…In addition to medication, health education and exercise therapy also support blood pressure control. Due to the growing health needs of sufferers, the conventional health education model is relatively simple and the intervention effect is limited, so the health education model is a new trend in clinical development [3,4]. Previous studies have found that physical intervention for hypertensive sufferers has obvious antihypertensive effects, especially that health education is suitable for most hypertensive sufferers, but there are certain disparities in the physical conditions of different individuals, and individualized health education programs can reduce the risk.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Clinical Effect of Implementing Health Education in the Process of Ministration Elderly Hypertensive Sufferers

Lyu

et al. 2022

Contrast Media & Molecular Imaging

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The clinical effect of implementing health education in ministration elderly hypertensive sufferers is analyzed. Two hundred hypertensive sufferers admitted to our hospital from February 2020 to April 2021 are selected. The two sets of sufferers are randomly divided into the examination set and the control set using the random number table method, with 100 cases in each set. The control set is given routine ministration care, and the examination set is given routine ministration to implement health education; these indicators include: the blood pressure control compliance, Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), and the Chinese version of Perceived Stress Scale (CPSS) scores; the compliance rate of health knowledge score, serum Angiotensin II (Ang II), Endothelin-1 (ET-1) and Superoxide Dismutase (SOD) standards, medication compliance, prognosis quality of life, and cumulative occurrence of MACCE are compared. The experimental results show that the application of health education in the ministration process of elderly hypertensive sufferers can effectively enhance the blood pressure of the sufferers, reduce the negative emotions and psychological pressure of the sufferers, enhance the quality of life of the sufferers, and reduce the prognosis of recurrence and the occurrence of adverse cardiovascular events.

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Section: Introductionmentioning

confidence: 99%

Analysis of the Clinical Effect of Implementing Health Education in the Process of Ministration Elderly Hypertensive Sufferers

Lyu

et al. 2022

Contrast Media & Molecular Imaging

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“…In the parent study, participants discussed self‐management strategies to improve health behaviors such as sleep, exercise, and nutrition, with a goal of cocreating a self‐management intervention (Moss et al, 2019; Still et al, 2018; Wright et al, 2018, 2021). During the development of the intervention, participants could identify topics that they were interested in learning more about.…”

Section: Methodsmentioning

confidence: 99%

Challenges to dietary hypertension self‐management as described by a sample of African American older adults

Jones

Moss

Mitchell

et al. 2022

Worldviews Ev Based Nurs

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Background Hypertension rates are disproportionately higher among Black or African Americans (Black/African American) compared to other racial and ethnic groups in the United States. However, research on self‐management strategies to control hypertension through healthy eating such as the Dietary Approaches to Stop Hypertension (DASH), and ketogenic diets has underexplored the use of dietary strategies among older Black/African American adults. In reporting contemporary challenges with implementing dietary strategies targeting blood pressure control among Black/African American older adults living with hypertension, this study addresses a clear need. Aims Prior research has only partially addressed the challenges older Black/African Americans face in implementing and maintaining dietary strategies to control hypertension, therefore the current study aimed to address this gap by reporting contemporary challenges, as reported by a sample of Black/African American older adults living with hypertension. Methods Nineteen Black/African American older adults living with hypertension participated in a focus group. An interview guide with open‐ended questions on dietary approaches to self‐management hypertension was used to guide data collection. Responses were audio‐recorded, transcribed verbatim, and interpreted using qualitative thematic analysis. Results Study participants were 71.6 years (SD = 8.3), 87.1% were women, and all were self‐identified as Black/African American. Overall, participants shared that they were interested in improving their hypertension self‐management skills. They expressed uncertainty about dietary strategies related in part to a lack of knowledge about incorporating or excluding certain foods and adhering to complex dietary recommendations. Participants also related financial concerns about accessing the recommended foods to control hypertension and expressed confusion about how to manage hypertension alongside other comorbidities. Linking Evidence to Action This study highlights several barriers that Black/African American older adults face (lack of dietary knowledge, lack of financial resources, and unique barriers to managing multiple comorbid health conditions), which often pose simultaneous and intersecting barriers to managing hypertension using existing evidence‐based dietary strategies.

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“…All studies described used either qualitative or mixedmethods design for the co-design process. Studies were 40 for the scoping review process from a range of countries: the United States, [41][42][43][44][45][46][47][48][49][50] Australia, 24,[51][52][53][54][55] the United Kingdom and Ireland, 20,[56][57][58][59][60][61] New Zealand, 21,22,62 Canada 63,64 and Iran 23 (Table 2). Although we did not set limits on the publication date for co-designed interventions, 16 of the included studies were published in the past 5 years.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Although we did not set limits on the publication date for co-designed interventions, 16 of the included studies were published in the past 5 years. 22,24,41,43,44,49,50,52,53,[55][56][57]59,60,63…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Target participants of the intervention were adults with or at risk of chronic disease 23,43,44,55,59,63,64 ; stroke survivors 24,43 ; low-income households 41,42 ; carers or persons with additional needs 56 or intellectual disability 60 ; women after breast cancer treatment 47,48,54 ; adult hospital inpatients 52,53 ; and adults of African-American, 46,49,50 African-Caribbean, 20,57,58,61 Māori and Pasifika 21,22,62 or Appalachian descent. 45…”

Section: Participantsmentioning

confidence: 99%

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Co‐designing nutrition interventions with consumers: A scoping review

Meloncelli

Young

Christoffersen

et al. 2022

J Human Nutrition Diet

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Background: There is little known about nutrition intervention research involving consumer co-design. The aim of this scoping review was to identify and synthesise the existing evidence on the current use and extent of consumer co-design in nutrition interventions. Methods: This scoping review is in line with the methodological framework developed by Arksey and O'Malley and refined by the Joanna Briggs Institute using an adapted 2weekSR approach. We searched Medline, EMBASE, PsycInfo, CINAHL and Cochrane. Only studies that included consumers in the co-design and met the 'Collaborate' or 'Empower' levels of the International Association of Public Participation's Public Participation Spectrum were included. Studies were synthesised according to two main concepts: (1) co-design for (2) nutrition interventions. Results: The initial search yielded 8157 articles, of which 19 studies were included (comprising 29 articles). The studies represented a range of intervention types and participants from seven countries. Sixteen studies were published in the past 5 years. Co-design was most often used for intervention development, and only two studies reported a partnership with consumers across all stages of research. Overall, consumer involvement was not well documented. No preferred co-design framework or approach was reported across the various studies. Conclusions: Consumer co-design for nutrition interventions has become more frequent in recent years, but genuine partnerships with consumers across all stages of nutrition intervention research remain uncommon. There is an opportunity to improve the reporting of consumer involvement in co-design and enable equal partnerships with consumers in nutrition research.

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Co-created health education intervention among older African American women living with hypertension

Cited by 6 publications

References 30 publications

Analysis of the Clinical Effect of Implementing Health Education in the Process of Ministration Elderly Hypertensive Sufferers

Analysis of the Clinical Effect of Implementing Health Education in the Process of Ministration Elderly Hypertensive Sufferers

Challenges to dietary hypertension self‐management as described by a sample of African American older adults

Co‐designing nutrition interventions with consumers: A scoping review

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