Bulgin Dominique, Biola Holly R, Whitney Colette A, Bakovic Melanie, Kang Yunah, Raman Rohith Sai, Eck Cameron, Caesar Awanya, Chaplin Joan, Eisenson Howard, Granger Bradi B
College of Nursing, University of Tennessee, Knoxville, Tennessee, USA.
Lincoln Community Health Center, Durham, North Carolina, USA.
Worldviews Evid Based Nurs. 2022 Feb;19(1):42-46. doi: 10.1111/wvn.12550. Epub 2022 Jan 11.
Uncontrolled hypertension disproportionately affects Black men. Patient engagement with health promotion and health behavior programs for hypertension control is low. We held evidence-based hypertension classes at a Federally Qualified Health Center.
The aim of this project was to elicit patient preferences and expectations for community-based hypertension classes.
Group hypertension classes were held at a Federally Qualified Health Center. The priority population was Black men with hypertension. Semi-structured interviews were conducted with the group class attendees. Two independent coders performed content analysis using field notes from the interviews.
Seven group class attendees were interviewed. Six interviewees were Black males, one was a Black female, and the mean age was 65.7 years. Content analysis of the interview field notes revealed five content areas: (1) Recommendation of Group Classes to a Friend, (2) Expectations for the Group Classes, (3) Reasons for Continued Attendance, (4) Lifestyle Changes and Adopting the Group Class Lessons, and (5) Feedback and Recommendations to Improve Group Classes. Findings suggest that creating a cultural context in which open, transparent discussion of blood pressure occur can be achieved. Thus, regarding acceptability, classes fulfilled and often exceeded the attendees' expectations and needs.
Our findings suggest that community-based group classes are a viable intervention to contribute toward addressing the disparity of hypertension control among Black men. When designing peer-group interventions, taking patient preferences and expectations into account increases the effectiveness of these interventions. The qualitative narrative provided in this paper contributes to the development of similar community-based group classes for the management of severe hypertension.
未得到控制的高血压对黑人男性的影响尤为严重。患者参与高血压控制的健康促进和健康行为项目的积极性较低。我们在一家联邦合格健康中心举办了循证高血压课程。
本项目的目的是了解患者对社区高血压课程的偏好和期望。
在一家联邦合格健康中心举办了高血压小组课程。重点人群是患有高血压的黑人男性。对小组课程的参与者进行了半结构化访谈。两名独立编码员使用访谈的现场记录进行内容分析。
对七名小组课程参与者进行了访谈。六名受访者为黑人男性，一名为黑人女性，平均年龄为65.7岁。对访谈现场记录的内容分析揭示了五个内容领域：（1）向朋友推荐小组课程，（2）对小组课程的期望，（3）继续参加课程的原因，（4）生活方式的改变和采纳小组课程的经验教训，以及（5）对改进小组课程的反馈和建议。研究结果表明，可以营造一个能够公开、透明地讨论血压问题的文化环境。因此，在可接受性方面，课程满足并常常超出了参与者的期望和需求。
我们的研究结果表明，基于社区的小组课程是一种可行的干预措施，有助于解决黑人男性高血压控制方面的差异问题。在设计同伴小组干预措施时，考虑患者的偏好和期望可以提高这些干预措施的有效性。本文提供的定性叙述有助于开发类似的基于社区的小组课程，用于管理重度高血压。
