Understanding Health Care Information for African Americans With High Blood Pressure



Status:Completed
Conditions:High Blood Pressure (Hypertension)
Therapuetic Areas:Cardiology / Vascular Diseases
Healthy:No
Age Range:18 - Any
Updated:12/13/2017
Start Date:October 2011
End Date:June 2014

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Promoting Health Literacy of African Americans With High Blood Pressure

This clinical trial focuses on helping African Americans with high blood pressure to manage
their disease. The study will target their ability to read and understand health information
(also called health literacy). The research method relies on community participation in equal
partnership with the researchers to provide interactive workshops and home blood pressure
self-monitoring with the assistance of telephone counseling by community health workers.

The purpose of this study is to develop a culturally sensitive intervention focused on health
literacy that is designed to reduce high blood pressure (HBP) in a vulnerable African
American (AA) population. A community-based participatory research approach delivered by
community health workers (CHW) will be used to address the following specific aims: Aim 1. To
examine the effect of health literacy on self-care skills, including HBP knowledge, adherence
to HBP and substance abuse treatment recommendations, communication skills, health care
utilization, and BP outcomes in AAs with HBP. Aim 2. To conduct a pilot randomized,
controlled trial with a delayed intervention control group to test the effectiveness of a
health literacy-focused self-help HBP intervention program using CHWs in 100 AAs who reside
in Baltimore City.

Inclusion Criteria:

1. Self-identified as African American aged 18 years or older;

2. Systolic BP >140 and/or Diastolic BP >90 mmHg or SBP >135 and/or DBP >85 mmHg for
individuals with diabetes mellitus or chronic kidney disease or on HBP medication; and

3. Has a land-based telephone in the home or a cellular phone.

Exclusion Criteria:

1. Participation in another ongoing trial;

2. Acute and/or terminal condition precluding participation, such as terminal cancer;

3. Hospitalization for stroke, myocardial infarction, coronary artery vascularization in
the past 3 months;

4. Recipient of an organ transplant or on kidney dialysis; and

5. Psychiatric diagnosis precluding participation, such as schizophrenia or cognitive
impairment as measured by Mini-Mental State Exam (score < 24)
We found this trial at
1
site
3400 N Charles St
Baltimore, Maryland 21205
410-516-8000
Johns Hopkins University The Johns Hopkins University opened in 1876, with the inauguration of its...
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mi
from
Baltimore, MD
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