Improving hypertension knowledge, medication adherence, and blood pressure control: A feasibility study

Abstract

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. | 2961 MARSEILLE Et AL.

Modifiable Risk Factors for Dementia Among Migrants, Refugees and Asylum Seekers in Australia: A Systematic Review

“…The higher prevalence of hypertension among foreign-born than non-immigrant Australians could be due to the increase in the prevalence of hypertension in low-and middle-income countries [124]. There was a significant lowering of blood pressure, an increased knowledge of hypertension and greater compliance with medical treatment six weeks after the intervention [125]. Therefore, the high rates of hypertension among foreign-born populations from those countries may merely reflect the rising rates in the participants' countries of origin.…”

Evaluation of Psychological Distress, Self-Care, and Medication Adherence in Association with Hypertension Control

“…Each question has one point. Participants were categorized based on points to low (<6), moderate [ 6 , 7 ], and high [ 8 ] adherence groups. The validity and reliability of MMAS-8 were tested and verified in a previous study [ 18 ].…”

“…Multiple factors could affect medical and nonmedical adherence, such as age, race, social support, anxiety, and depression [ 7 ]. Proper management for HTN is reachable within the accompany of patients and health care providers [ 8 ]. Self-care is defined as the capabilities of patients and communities to involve in the activities related to health promotion and disease prevention and management.…”

Community-Based Culturally Tailored Education Programs for Black Communities with Cardiovascular Disease, Diabetes, Hypertension, and Stroke: Systematic Review Findings

“…For instance, researchers used outcome measures adapted for use with African Americans (e.g., Community Healthy Activities Model Program for Seniors physical activity questionnaire modified for African Americans and an adaption of Food Habits Questionnaire for participants) [52,111]. Others reported that the outcome measure was reliable and validated for use by this community [94,119]. See Supplementary Material 4 details the outcome measures used in each study.…”