Departments of Medicine (Mss Ameling, Bone, Flynn, and Lewis-Boyer and Drs Levine, Hill-Briggs, Fitzpatrick, Noronha, Cooper, Aboutamar, Albert and Boulware) and Psychiatry and Behavioral Sciences (Dr Fagan) and Division of Geriatric Medicine and Gerontology (Dr Wolff), Johns Hopkins University School of Medicine, Baltimore Maryland; Welch Center for Prevention, Epidemiology and Clinical Research (Mss Ameling, Ephraim, Lewis-Boyer, and Flynn and Drs Hill-Briggs, Fitzpatrick, Cooper, and Boulware) and Johns Hopkins Community Physicians (Dr Albert), Johns Hopkins Medical Institutions, Baltimore, Maryland; Departments of Epidemiology (Ms Ephraim and Drs Cooper and Boulware), Health Behavior and Society (Ms Bone and Drs Roter, Hill-Briggs, and Cooper) and Health Policy and Management (Drs Levine and Wolff) Johns Hopkins Bloomberg School of Public Health, Baltimore Maryland; Department of Preventive Medicine, Rush University Medical Center, Chicago, Illinois (Dr Fitzpatrick); Center for Primary Care, University of Rochester School of Medicine and Dentistry, Rochester, New York (Dr Noronha); Johns Hopkins Health Care, LLC, Glen Burnie, Maryland (Drs Noronha and Fagan); Sister Together and Reaching, Inc, Baltimore, Maryland (Ms. Hickman); Community Advisory Board, Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, Maryland (Mss Hickman, Simmons, and Fisher and Mr Purnell); The Men and Families Center Inc., Baltimore, Maryland (Mr Purnell); American Heart Association, Baltimore Branch, Baltimore, Maryland (Ms Fisher); Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, Maryland (Dr Aboutamar); and Division of General Internal Medicine, Duke University School of Medicine, Durham, North Carolina (Dr Boulware).
Fam Community Health. 2014 Apr-Jun;37(2):119-33. doi: 10.1097/FCH.0000000000000020.
African Americans suffer disproportionately poor hypertension control despite the availability of efficacious interventions. Using principles of community-based participatory research and implementation science, we adapted established hypertension self-management interventions to enhance interventions' cultural relevance and potential for sustained effectiveness among urban African Americans. We obtained input from patients and their family members, their health care providers, and community members. The process required substantial time and resources, and the adapted interventions will be tested in a randomized controlled trial.
尽管有有效的干预措施，非洲裔美国人的高血压控制情况仍不理想。我们采用社区参与式研究和实施科学的原则，对现有的高血压自我管理干预措施进行了调整，以增强干预措施在城市非洲裔美国人中的文化相关性和持续有效性。我们从患者及其家属、他们的医疗保健提供者和社区成员那里获得了意见。这一过程需要大量的时间和资源，调整后的干预措施将在一项随机对照试验中进行测试。
