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

Journal Article


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.

Publication Date


  • 2021

Citation


  • Marseille, B. R., Commodore-Mensah, Y., Davidson, P. M., Baker, D., D'Aoust, R., & Baptiste, D. L. (2021). Improving hypertension knowledge, medication adherence, and blood pressure control: A feasibility study. Journal of Clinical Nursing, 30(19-20), 2960-2967. doi:10.1111/jocn.15803

Scopus Eid


  • 2-s2.0-85104464438

Start Page


  • 2960

End Page


  • 2967

Volume


  • 30

Issue


  • 19-20

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.

Publication Date


  • 2021

Citation


  • Marseille, B. R., Commodore-Mensah, Y., Davidson, P. M., Baker, D., D'Aoust, R., & Baptiste, D. L. (2021). Improving hypertension knowledge, medication adherence, and blood pressure control: A feasibility study. Journal of Clinical Nursing, 30(19-20), 2960-2967. doi:10.1111/jocn.15803

Scopus Eid


  • 2-s2.0-85104464438

Start Page


  • 2960

End Page


  • 2967

Volume


  • 30

Issue


  • 19-20