Year: 2021
Type: article
Study design: Clinical Trial
Abstract: Objectives: We examined the feasibility of a multi-level, faith-based hypertension (HTN) control program called HEALS in an urban, African American church. Methods:In a prospective, quasi-experimental design, we implemented a 9-month HTN program.A 3-month intervention (weekly sessions for 12 weeks) followed by a 6-month maintenance program (monthly sessions for 6-months) was delivered by lay church members.The program was offered at the group, individual, and church levels.The primary outcome was a change in systolic blood pressure (SBP).Results: 52 participants were screened, 51 met the eligibility criteria, and 37 provided written informed consent (N = 37).A retention rate of 92% (34/37) and 73% (28/37) was observed after the 3-and 9-months program, respectively.A SBP reduction of 12.6 mm Hg (p=0.019) and 1.7 mm Hg (p=0.999) were seen from the baseline at 3 and 9-months, respectively.Most SBP changes were seen from baseline to 5 months (p=0.04). Conclusion:Our study presents a feasible model for HTN control and prevention in a minority community.Though the 3-month intervention showed significant SBP reduction that remained until 5 months, more research is needed to understand the issues of retention and sustainability of community-based programs.
Author: Sunita Dodani
Institution: Eastern Virginia Medical School
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4207046164