Hypertension
Conditions
Keywords
motivational interviewing, lay health advisers
Brief summary
The purpose of this study is to test the effect of a church-based lifestyle intervention on blood pressure reduction in 400 hypertensive blacks (BP\> 140/90 mm hg).
Detailed description
This study will test the effectiveness of a church-based lifestyle intervention in improving blood pressure control among 400 hypertensive blacks in a group randomized controlled trial. The lifestyle intervention will be delivered by trained lay health advisers through group-based behavioral counseling and motivational interviewing (MINT-TLC) in 24 predominantly black churches in New York City.
Interventions
The MINT-TLC lifestyle intervention lead by lay health advisers will be compared to the health education attention control condition (CC). Twenty churches will participate in the study and each church will be randomly assigned to receive either MINT-TLC or CC. They will be compared on blood pressure reduction, physical activity levels, intake of fruits and vegetables, and weight reduction.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 years or older * Diagnosis of hypertension * Self-identified Black or African American * SBP \> 140 mmHg or DBP \> 90 mmHg (based on the average of 3 blood pressure readings); or average SBP \> 130 mm Hg or DBP \> 80 mm hg (for those with diabetes or kidney disease) at the screening/baseline visits * Able to speak English
Exclusion criteria
* Unable to comply with the study protocol (either self-selected or by indicating during screening that s/he could not complete all requested tasks). * Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Within-individual change in systolic blood pressure and diastolic blood pressure | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Levels of physical activity | 6 months |
| Percent change in weight | 6 months |
| Dietary intake of fruits and vegetables | 6 months |
| Proportion of blood pressure control | 9 months |
Countries
United States