Designing a Cocreated Intervention with African American Older Adults for Hypertension Self-Management

Hypertension is a lifelong disease that requires self-management. Additionally, there are disparities in hypertension self-management that disproportionately affect African Americans. Interventions designed in collaboration with older adults have the potential to improve hypertension self-management...

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Main Authors: Kathy D. Wright, Carolyn H. Still, Lenette M. Jones, Karen O. Moss
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:International Journal of Hypertension
Online Access:http://dx.doi.org/10.1155/2018/7591289
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author Kathy D. Wright
Carolyn H. Still
Lenette M. Jones
Karen O. Moss
author_facet Kathy D. Wright
Carolyn H. Still
Lenette M. Jones
Karen O. Moss
author_sort Kathy D. Wright
collection DOAJ
description Hypertension is a lifelong disease that requires self-management. Additionally, there are disparities in hypertension self-management that disproportionately affect African Americans. Interventions designed in collaboration with older adults have the potential to improve hypertension self-management. The purpose of this design paper is to describe the process in which African American older adults and nurse researchers cocreated an intervention to address stress in the self-management of hypertension. A semistructured interview guide was used to elicit feedback on self-management behaviors to cocreate an intervention with the participants. Participants provided constant iterative feedback on the design used for the intervention. Participants prioritized the content and mode of delivery. African American older adults with hypertension (N=31; 87% women) participated in two focus group sessions. The primary stressors identified by the group that influenced their blood pressure self-management were as follows: (a) measuring blood pressure and using home blood pressure monitors; (b) difficulty communicating with family and friends; (c) sleep management and pain at night; and (d) healthy eating. Based on the participants’ feedback, we created four biweekly (2-hour) group sessions that incorporated their suggestions and addressed their concerns. Health care providers can use this technique to engage African American older adults in participant-centered hypertension self-management.
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spelling doaj-art-d5219eea4d8642218f7f16d145f2b05e2025-02-03T01:22:15ZengWileyInternational Journal of Hypertension2090-03842090-03922018-01-01201810.1155/2018/75912897591289Designing a Cocreated Intervention with African American Older Adults for Hypertension Self-ManagementKathy D. Wright0Carolyn H. Still1Lenette M. Jones2Karen O. Moss3College of Nursing, Discovery Themes-Chronic Brain Injury, The Ohio State University, Columbus, OH 43210, USAFrances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106-4904, USASchool of Nursing, University of Michigan, Ann Arbor, MI 48109, USAFrances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106-4904, USAHypertension is a lifelong disease that requires self-management. Additionally, there are disparities in hypertension self-management that disproportionately affect African Americans. Interventions designed in collaboration with older adults have the potential to improve hypertension self-management. The purpose of this design paper is to describe the process in which African American older adults and nurse researchers cocreated an intervention to address stress in the self-management of hypertension. A semistructured interview guide was used to elicit feedback on self-management behaviors to cocreate an intervention with the participants. Participants provided constant iterative feedback on the design used for the intervention. Participants prioritized the content and mode of delivery. African American older adults with hypertension (N=31; 87% women) participated in two focus group sessions. The primary stressors identified by the group that influenced their blood pressure self-management were as follows: (a) measuring blood pressure and using home blood pressure monitors; (b) difficulty communicating with family and friends; (c) sleep management and pain at night; and (d) healthy eating. Based on the participants’ feedback, we created four biweekly (2-hour) group sessions that incorporated their suggestions and addressed their concerns. Health care providers can use this technique to engage African American older adults in participant-centered hypertension self-management.http://dx.doi.org/10.1155/2018/7591289
spellingShingle Kathy D. Wright
Carolyn H. Still
Lenette M. Jones
Karen O. Moss
Designing a Cocreated Intervention with African American Older Adults for Hypertension Self-Management
International Journal of Hypertension
title Designing a Cocreated Intervention with African American Older Adults for Hypertension Self-Management
title_full Designing a Cocreated Intervention with African American Older Adults for Hypertension Self-Management
title_fullStr Designing a Cocreated Intervention with African American Older Adults for Hypertension Self-Management
title_full_unstemmed Designing a Cocreated Intervention with African American Older Adults for Hypertension Self-Management
title_short Designing a Cocreated Intervention with African American Older Adults for Hypertension Self-Management
title_sort designing a cocreated intervention with african american older adults for hypertension self management
url http://dx.doi.org/10.1155/2018/7591289
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AT karenomoss designingacocreatedinterventionwithafricanamericanolderadultsforhypertensionselfmanagement