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Strategies for implementing and sustaining therapeutic lifestyle changes as part of hypertension management in African Americans.

Publication ,  Journal Article
Scisney-Matlock, M; Bosworth, HB; Giger, JN; Strickland, OL; Harrison, RV; Coverson, D; Shah, NR; Dennison, CR; Dunbar-Jacob, JM; Jones, L ...
Published in: Postgrad Med
May 2009

African Americans with high blood pressure (BP) can benefit greatly from therapeutic lifestyle changes (TLC) such as diet modification, physical activity, and weight management. However, they and their health care providers face many barriers in modifying health behaviors. A multidisciplinary panel synthesized the scientific data on TLC in African Americans for efficacy in improving BP control, barriers to behavioral change, and strategies to overcome those barriers. Therapeutic lifestyle change interventions should emphasize patient self-management, supported by providers, family, and the community. Interventions should be tailored to an individual's cultural heritage, beliefs, and behavioral norms. Simultaneously targeting multiple factors that impede BP control will maximize the likelihood of success. The panel cited limited progress with integrating the Dietary Approaches to Stop Hypertension (DASH) eating plan into the African American diet as an example of the need for more strategically developed interventions. Culturally sensitive instruments to assess impact will help guide improved provision of TLC in special populations. The challenge of improving BP control in African Americans and delivery of hypertension care requires changes at the health system and public policy levels. At the patient level, culturally sensitive interventions that apply the strategies described and optimize community involvement will advance TLC in African Americans with high BP.

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Published In

Postgrad Med

DOI

EISSN

1941-9260

Publication Date

May 2009

Volume

121

Issue

3

Start / End Page

147 / 159

Location

England

Related Subject Headings

  • United States
  • Prognosis
  • Prevalence
  • Practice Guidelines as Topic
  • Life Style
  • Life Change Events
  • Hypertension
  • Humans
  • General & Internal Medicine
  • Black or African American
 

Citation

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Scisney-Matlock, M., Bosworth, H. B., Giger, J. N., Strickland, O. L., Harrison, R. V., Coverson, D., … Jamerson, K. A. (2009). Strategies for implementing and sustaining therapeutic lifestyle changes as part of hypertension management in African Americans. Postgrad Med, 121(3), 147–159. https://doi.org/10.3810/pgm.2009.05.2015
Scisney-Matlock, Margaret, Hayden B. Bosworth, Joyce Newman Giger, Ora L. Strickland, R Van Harrison, Dorothy Coverson, Nirav R. Shah, et al. “Strategies for implementing and sustaining therapeutic lifestyle changes as part of hypertension management in African Americans.Postgrad Med 121, no. 3 (May 2009): 147–59. https://doi.org/10.3810/pgm.2009.05.2015.
Scisney-Matlock M, Bosworth HB, Giger JN, Strickland OL, Harrison RV, Coverson D, et al. Strategies for implementing and sustaining therapeutic lifestyle changes as part of hypertension management in African Americans. Postgrad Med. 2009 May;121(3):147–59.
Scisney-Matlock, Margaret, et al. “Strategies for implementing and sustaining therapeutic lifestyle changes as part of hypertension management in African Americans.Postgrad Med, vol. 121, no. 3, May 2009, pp. 147–59. Pubmed, doi:10.3810/pgm.2009.05.2015.
Scisney-Matlock M, Bosworth HB, Giger JN, Strickland OL, Harrison RV, Coverson D, Shah NR, Dennison CR, Dunbar-Jacob JM, Jones L, Ogedegbe G, Batts-Turner ML, Jamerson KA. Strategies for implementing and sustaining therapeutic lifestyle changes as part of hypertension management in African Americans. Postgrad Med. 2009 May;121(3):147–159.

Published In

Postgrad Med

DOI

EISSN

1941-9260

Publication Date

May 2009

Volume

121

Issue

3

Start / End Page

147 / 159

Location

England

Related Subject Headings

  • United States
  • Prognosis
  • Prevalence
  • Practice Guidelines as Topic
  • Life Style
  • Life Change Events
  • Hypertension
  • Humans
  • General & Internal Medicine
  • Black or African American