title: Adapting hypertension self-management interventions to enhance their sustained effectiveness among urban African Americans.
abstract: 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.
authors.affiliation: 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).
authors.forename: Jessica M
authors.initials: JM
authors.lastname: Ameling
authors.forename: Patti L
authors.initials: PL
authors.lastname: Ephraim
authors.forename: Lee R
authors.initials: LR
authors.lastname: Bone
authors.forename: David M
authors.initials: DM
authors.lastname: Levine
authors.forename: Debra L
authors.initials: DL
authors.lastname: Roter
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Wolff
authors.forename: Felicia
authors.initials: F
authors.lastname: Hill-Briggs
authors.forename: Stephanie L
authors.initials: SL
authors.lastname: Fitzpatrick
authors.forename: Gary J
authors.initials: GJ
authors.lastname: Noronha
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Fagan
authors.forename: LaPricia
authors.initials: L
authors.lastname: Lewis-Boyer
authors.forename: Debra
authors.initials: D
authors.lastname: Hickman
authors.forename: Michelle
authors.initials: M
authors.lastname: Simmons
authors.forename: Leon
authors.initials: L
authors.lastname: Purnell
authors.forename: Annette
authors.initials: A
authors.lastname: Fisher
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Cooper
authors.forename: Hanan J
authors.initials: HJ
authors.lastname: Aboumatar
authors.forename: Michael C
authors.initials: MC
authors.lastname: Albert
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: Flynn
authors.forename: L Ebony
authors.initials: LE
authors.lastname: Boulware
mesh_terms: D001741:Black or African American; D055812:Community-Based Participatory Research; D006801:Humans; D006973:Hypertension / Q000208:ethnology* / Q000523:psychology / Q000628:therapy*; D018802:Patient-Centered Care; D012648:Self Care / Q000379:methods* / Q000523:psychology; D016896:Treatment Outcome; D014505:Urban Population