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Patient expectations and preferences for community-based hypertension classes with implications for action.

Publication ,  Journal Article
Bulgin, D; Biola, HR; Whitney, CA; Bakovic, M; Kang, Y; Raman, RS; Eck, C; Caesar, A; Chaplin, J; Eisenson, H; Granger, BB
Published in: Worldviews Evid Based Nurs
February 2022

BACKGROUND: 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. AIMS: The aim of this project was to elicit patient preferences and expectations for community-based hypertension classes. METHODS: 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. RESULTS: 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. LINKING EVIDENCE TO ACTION: 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.

Duke Scholars

Published In

Worldviews Evid Based Nurs

DOI

EISSN

1741-6787

Publication Date

February 2022

Volume

19

Issue

1

Start / End Page

42 / 46

Location

United States

Related Subject Headings

  • Nursing
  • Motivation
  • Male
  • Life Style
  • Hypertension
  • Humans
  • Health Promotion
  • Female
  • Blood Pressure
  • Aged
 

Citation

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Bulgin, D., Biola, H. R., Whitney, C. A., Bakovic, M., Kang, Y., Raman, R. S., … Granger, B. B. (2022). Patient expectations and preferences for community-based hypertension classes with implications for action. Worldviews Evid Based Nurs, 19(1), 42–46. https://doi.org/10.1111/wvn.12550
Bulgin, Dominique, Holly R. Biola, Colette A. Whitney, Melanie Bakovic, Yunah Kang, Rohith Sai Raman, Cameron Eck, et al. “Patient expectations and preferences for community-based hypertension classes with implications for action.Worldviews Evid Based Nurs 19, no. 1 (February 2022): 42–46. https://doi.org/10.1111/wvn.12550.
Bulgin D, Biola HR, Whitney CA, Bakovic M, Kang Y, Raman RS, et al. Patient expectations and preferences for community-based hypertension classes with implications for action. Worldviews Evid Based Nurs. 2022 Feb;19(1):42–6.
Bulgin, Dominique, et al. “Patient expectations and preferences for community-based hypertension classes with implications for action.Worldviews Evid Based Nurs, vol. 19, no. 1, Feb. 2022, pp. 42–46. Pubmed, doi:10.1111/wvn.12550.
Bulgin D, Biola HR, Whitney CA, Bakovic M, Kang Y, Raman RS, Eck C, Caesar A, Chaplin J, Eisenson H, Granger BB. Patient expectations and preferences for community-based hypertension classes with implications for action. Worldviews Evid Based Nurs. 2022 Feb;19(1):42–46.
Journal cover image

Published In

Worldviews Evid Based Nurs

DOI

EISSN

1741-6787

Publication Date

February 2022

Volume

19

Issue

1

Start / End Page

42 / 46

Location

United States

Related Subject Headings

  • Nursing
  • Motivation
  • Male
  • Life Style
  • Hypertension
  • Humans
  • Health Promotion
  • Female
  • Blood Pressure
  • Aged