Storytelling Intervention for African Americans Living With Hypertension

Study Overview
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Brief Summary
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Narrative communication (e.g., storytelling) is an approach that has contributed to behavioral change for individuals with conditions such as diabetes, breast cancer, and hypertension. The objective of this study is to conduct a feasibility and pilot study storytelling intervention for African Americans with hypertension. In the feasibility phase 30 African Americans with hypertension will be recruited to view nine patient stories and provide feedback on the effectiveness, usefulness, and satisfaction with the stories. Nine African Americans adults with hypertension were filmed, sharing experiences living with and managing hypertension; including, diet and exercise tips, suggestions for locating healthy foods, and motivational stories about successfully controlling hypertension. During the feasibility phase feedback will also be elicited from the participants about the best approaches for delivering a storytelling intervention, and obtain feedback on the resources and health information that would be helpful to an individual participating in a storytelling intervention. In the pilot study phase, 30 African Americans adults with hypertension will be recruited to participate in a 6-week trial, each week the participants will watch one story and review one module of health information accessible through the study specific website developed for the HBPStories study. Data will be collected at baseline and 6-weeks including systolic and diastolic blood pressure, medication adherence, health behaviors such as diet and physical activity, and psychosocial measures including positive affect and self-efficacy in the management of hypertension.

Official Title
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Developing and Implementing a Storytelling Intervention for African Americans Living With Hypertension

Conditions
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Hypertension

Intervention / Treatment
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* Behavioral: HBPStories


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The study inclusion criteria are as follows: self-reported hypertension race/ethnicity: Black or African American prescribed antihypertensive medication age ≥ 18 years Exclusion Criteria: The exclusion criteria are: cognitive limitations that limit the ability to provide informed consent unable to speak or read English

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Web-based Storytelling<br>Participants will participate in a 6-week web-based storytelling study. | Behavioral: HBPStories<br>* A 6-week web-based study. Systolic blood pressure, diastolic blood pressure, and medication adherence will be measured at baseline and 6-weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Blood Pressure | Systolic and Diastolic Blood Pressure, Unit of Measure: Percentage of Individuals with Elevated or High Blood Pressure | 6 weeks | 
| Medication Adherence | Self-reported using the DOSE-Nonadherence Scale, Unit of Measure: Percentage of Individuals reporting low, moderate, or high adherence | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Diet | Self-reported using the Assessment of Dietary Adherence and Identification of Barriers to Healthy Eating, Unit of Measure: Percent of participants reporting a healthy diet | 6 week | 
| Physical Activity | Self-reported using the Yale Physical Activity Scale, Unit of Measure: Rates of physical inactivity | 6 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Storytelling, Hypertension