BACKGROUND: Although the efficacy of therapeutic lifestyle change (TLC) interventions are well proven, their relative effectiveness vs. single-session lifestyle counseling (SSC) on blood pressure (BP) reduction in primary care practices remains largely untested in @entity101 Blacks. The aim of this trial was to evaluate the comparative effectiveness of a comprehensive practice-based TLC intervention (motivational interviewing (MINT)-TLC) vs. SSC on BP reduction among 194 Blacks with uncontrolled @entity101 . METHODS: The @entity6080 arm included 10 weekly group classes on TLC, followed by 3 individual MINT sessions. The SSC group received 1 individual counseling session on lifestyle modification plus print versions of the intervention material. The primary outcome was within- @entity1 change in @entity13519 (DBP) from baseline to 6 months. The secondary outcome was BP control at 6 months. RESULTS: Mean age of the total sample was 57 (10.2) years; 50% were @entity1 , and the mean baseline BP was 147.4/89.3mm Hg. Eighty-four percent of SSC and 77% of @entity6080 @entity1 completed the final 6-month assessments. BP declined significantly (P < 0.001) in both groups at 6 months with a net-adjusted systolic BP reduction of 12.9mm Hg for the SSC group vs. 9.5mm Hg for the @entity6080 group (P = 0.18); and @entity551 .6 and 7.2mm Hg for the SSC and @entity6080 group, respectively (P = 0.79). The between-group difference in proportion of @entity1 with adequate BP control at 6 months was nonsignificant (P = 0.82). CONCLUSION: A significant group difference in BP between the intervention groups was not observed among a sample of @entity101 Blacks. Implementation of the pragmatic single-session intervention and its effects on utilization of healthcare services should be further evaluated. CLINICAL TRIAL REGISTRATION: Trial Number NCT01070056 at http://clinicaltrials.gov/ct2/show/NCT01070056?term=TLC+clinic_rank=1.

Comparative Effectiveness of a Practice-Based Comprehensive Lifestyle Intervention vs. Single Session Counseling in XXXX Blacks.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension', 'hypertensive'] @entity13519 :: ('8991', 'Gene') :: ['systolic BP (SBP) and diastolic BP'] @entity551 :: ('MESH:D007022', 'Disease') :: ['diastolic BP reduction of 7'] @entity6080 :: ('MESH:D018467', 'Disease') :: ['MINT-TLC']
@entity101 :: (MESH:D006973,Disease) :: ['Hypertensive']
