title: Pilot study evaluating the effects of an intervention to enhance culturally appropriate hypertension education among healthcare providers in a primary care setting.
abstract: BACKGROUND
  To improve hypertension care for ethnic minority patients of African descent in the Netherlands, we developed a provider intervention to facilitate the delivery of culturally appropriate hypertension education. This pilot study evaluates how the intervention affected the attitudes and perceived competence of hypertension care providers with regard to culturally appropriate care.
  
  
  METHODS
  Pre- and post-intervention questionnaires were used to measure the attitudes, experienced barriers, and self-reported behaviour of healthcare providers with regard to culturally appropriate cardiovascular and general care at three intervention sites (N = 47) and three control sites (N = 35).
  
  
  RESULTS
  Forty-nine participants (60%) completed questionnaires at baseline (T0) and nine months later (T1). At T1, healthcare providers who received the intervention found it more important to consider the patient's culture when delivering care than healthcare providers who did not receive the intervention (p = 0.030). The intervention did not influence experienced barriers and self-reported behaviour with regard to culturally appropriate care delivery.
  
  
  CONCLUSIONS
  There is preliminary evidence that the intervention can increase the acceptance of a culturally appropriate approach to hypertension care among hypertension educators in routine primary care.
authors.affiliation: Department of General Practice/Clinical Methods and Public Health, Academic Medical Centre, University of Amsterdam, Meibergdreef 15, Amsterdam, The Netherlands. e.j.beune@amc.uva.nl.
authors.forename: Erik Jaj
authors.initials: EJ
authors.lastname: Beune
authors.forename: Patrick Je
authors.initials: PJ
authors.lastname: Bindels
authors.forename: Jacob
authors.initials: J
authors.lastname: Mohrs
authors.forename: Karien
authors.initials: K
authors.lastname: Stronks
authors.forename: Joke A
authors.initials: JA
authors.lastname: Haafkens
references.citation: Int J Epidemiol. 1995;24 Suppl 1:S79-84
references.pmid: 7558558
references.citation: Am J Med. 2006 Jan;119(1):70.e9-15
references.pmid: 16431192
references.citation: J Hypertens. 2008 Apr;26(4):648-56
references.pmid: 18327072
references.citation: Arch Intern Med. 2003 Mar 10;163(5):525-41
references.pmid: 12622600
references.citation: Implement Sci. 2009 Feb 19;4:7
references.pmid: 19228414
references.citation: Milbank Q. 2007;85(1):93-138
references.pmid: 17319808
references.citation: Neth J Med. 2008 Apr;66(4):169-74
references.pmid: 18424866
references.citation: BMC Public Health. 2006 Mar 27;6:78
references.pmid: 16566833
references.citation: Acad Med. 2003 Jun;78(6):560-9
references.pmid: 12805034
references.citation: Lancet. 2003 Oct 11;362(9391):1225-30
references.pmid: 14568747
references.citation: Diabetes Care. 2001 Nov;24(11):1997-8
references.pmid: 11679471
references.citation: Qual Saf Health Care. 2003 Feb;12(1):47-52
references.pmid: 12571345
references.citation: J Hum Hypertens. 2006 Dec;20(12):946-55
references.pmid: 17051238
references.citation: JAMA. 2005 Sep 7;294(9):1058-67
references.pmid: 16145026
references.citation: J Health Soc Behav. 1996 Dec;37(4):350-61
references.pmid: 8997890
references.citation: Patient Educ Couns. 2003 Nov;51(3):247-58
references.pmid: 14630381
references.citation: BMC Public Health. 2006 Apr 24;6:104
references.pmid: 16635262
references.citation: Soc Sci Med. 2005 Jul;61(1):133-55
references.pmid: 15847968
references.citation: Soc Sci Med. 1996 Sep;43(6):903-17
references.pmid: 8888461
references.citation: BMC Health Serv Res. 2009 Oct 22;9:193
references.pmid: 19849857
references.citation: J Hypertens. 2006 Nov;24(11):2299-304
references.pmid: 17053554
references.citation: Ann Intern Med. 1978 Feb;88(2):251-8
references.pmid: 626456
references.citation: J Hum Hypertens. 2010 Apr;24(4):280-90
references.pmid: 19641519
references.citation: Curr Opin Cardiol. 2005 Jul;20(4):296-300
references.pmid: 15956826
references.citation: JAMA. 2003 May 21;289(19):2560-72
references.pmid: 12748199
references.citation: Cochrane Database Syst Rev. 2008 Jul 16;(3):CD006424
references.pmid: 18646153
references.citation: Am J Hypertens. 1992 Nov;5(11):787-92
references.pmid: 1457078
references.citation: Am J Prev Med. 2001 Oct;21(3):221-32
references.pmid: 11567845
references.citation: J Hum Hypertens. 2006 Nov;20(11):874-81
references.pmid: 16929341
references.citation: Med Care. 2001 Aug;39(8 Suppl 2):II2-45
references.pmid: 11583120
references.citation: J Hypertens. 2005 Nov;23(11):1971-7
references.pmid: 16208137
references.citation: Public Health. 2006 Jun;120(6):525-33
references.pmid: 16684547
references.citation: J Hum Hypertens. 1997 Sep;11(9):571-6
references.pmid: 9364274
references.citation: Am J Med. 2002 Jan;112(1):26-30
references.pmid: 11812403
references.citation: Eur Heart J. 2003 Sep;24(17):1601-10
references.pmid: 12964575
references.citation: Ethn Dis. 1999 Winter;9(1):10-21
references.pmid: 10355471
references.citation: BMJ. 1997 Jan 18;314(7075):209-13
references.pmid: 9022442