Examining medication adherence and preferences for a lifestyle intervention among Black and Latinx adults with hypertension: a feasibility study

Abstract Background Approximately 116.4 million adults in the USA have hypertension, and the rates of uncontrolled hypertension remain higher among racial and ethnic minorities. There is a need for effective interventions that promote healthy behaviors and long-term behavioral change in the manageme...

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Autores principales:	Emily C. Dougherty, Natasha Burse, Michael Butzner, Hongke Wu, Heather L. Stuckey, Jeroan J. Allison, Yendelela L. Cuffee
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Hypertension Blacks African Americans Latinx Medication adherence Health literacy Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b2da891cab414f6fb6f3d03d1e72560a
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spelling	oai:doaj.org-article:b2da891cab414f6fb6f3d03d1e72560a2021-11-28T12:10:42ZExamining medication adherence and preferences for a lifestyle intervention among Black and Latinx adults with hypertension: a feasibility study10.1186/s40814-021-00930-z2055-5784https://doaj.org/article/b2da891cab414f6fb6f3d03d1e72560a2021-11-01T00:00:00Zhttps://doi.org/10.1186/s40814-021-00930-zhttps://doaj.org/toc/2055-5784Abstract Background Approximately 116.4 million adults in the USA have hypertension, and the rates of uncontrolled hypertension remain higher among racial and ethnic minorities. There is a need for effective interventions that promote healthy behaviors and long-term behavioral change in the management of hypertension. The primary objective of this study was to determine the feasibility of developing a lifestyle intervention that would assess hypertension management and the use of technology among Blacks and Latinx with hypertension. The secondary objective is to explore perceptions of community-based resources for hypertension and preferences for a lifestyle intervention for hypertension among Blacks and Latinx with hypertension. Methods In this explanatory mixed-methods study, quantitative data were collected using surveys, participants reported their use of technology and adherence to antihypertensive medication. Participants were Black and Latinx adults with hypertension living in Central Pennsylvania, USA. Qualitative data were obtained from semi-structured interviews and focus groups, and participants were asked about managing hypertension, local resources, and preferences for a behavioral intervention. Data were examined using summary statistics for quantitative data and thematic analysis for qualitative data. Results Black and Latinx participants (n=30) completed surveys for the quantitative study. The majority (75%) of participants self-reported being confident in managing their medication without help and remembering to take their medication as prescribed. Fewer participants (54.2%) reported using technology to help manage medication. There were 12 participants in the qualitative phase of the study. The qualitative findings indicated that participants felt confident in their ability to manage hypertension and were interested in participating in a lifestyle intervention or program based online. Some participants reported a lack of resources in their community, while others highlighted local and national resources that were helpful in managing high blood pressure. Conclusion This study provides important insights on barriers and facilitators for managing hypertension, current use of technology and interest in using technology to manage hypertension, and preferences for future lifestyle interventions among racial and ethnic minorities. This study also provides insights to the health needs and resources available in this community and how future behavioral interventions could be tailored to meet the needs of this community. The findings of this study will be used to inform the tailoring of future lifestyle interventions; specifically, we will include text messaging reminders for medication and to disseminate educational materials related to hypertension and provide resources to connect study participants with local and national resources.Emily C. DoughertyNatasha BurseMichael ButznerHongke WuHeather L. StuckeyJeroan J. AllisonYendelela L. CuffeeBMCarticleHypertensionBlacksAfrican AmericansLatinxMedication adherenceHealth literacyMedicine (General)R5-920ENPilot and Feasibility Studies, Vol 7, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Hypertension Blacks African Americans Latinx Medication adherence Health literacy Medicine (General) R5-920
spellingShingle	Hypertension Blacks African Americans Latinx Medication adherence Health literacy Medicine (General) R5-920 Emily C. Dougherty Natasha Burse Michael Butzner Hongke Wu Heather L. Stuckey Jeroan J. Allison Yendelela L. Cuffee Examining medication adherence and preferences for a lifestyle intervention among Black and Latinx adults with hypertension: a feasibility study
description	Abstract Background Approximately 116.4 million adults in the USA have hypertension, and the rates of uncontrolled hypertension remain higher among racial and ethnic minorities. There is a need for effective interventions that promote healthy behaviors and long-term behavioral change in the management of hypertension. The primary objective of this study was to determine the feasibility of developing a lifestyle intervention that would assess hypertension management and the use of technology among Blacks and Latinx with hypertension. The secondary objective is to explore perceptions of community-based resources for hypertension and preferences for a lifestyle intervention for hypertension among Blacks and Latinx with hypertension. Methods In this explanatory mixed-methods study, quantitative data were collected using surveys, participants reported their use of technology and adherence to antihypertensive medication. Participants were Black and Latinx adults with hypertension living in Central Pennsylvania, USA. Qualitative data were obtained from semi-structured interviews and focus groups, and participants were asked about managing hypertension, local resources, and preferences for a behavioral intervention. Data were examined using summary statistics for quantitative data and thematic analysis for qualitative data. Results Black and Latinx participants (n=30) completed surveys for the quantitative study. The majority (75%) of participants self-reported being confident in managing their medication without help and remembering to take their medication as prescribed. Fewer participants (54.2%) reported using technology to help manage medication. There were 12 participants in the qualitative phase of the study. The qualitative findings indicated that participants felt confident in their ability to manage hypertension and were interested in participating in a lifestyle intervention or program based online. Some participants reported a lack of resources in their community, while others highlighted local and national resources that were helpful in managing high blood pressure. Conclusion This study provides important insights on barriers and facilitators for managing hypertension, current use of technology and interest in using technology to manage hypertension, and preferences for future lifestyle interventions among racial and ethnic minorities. This study also provides insights to the health needs and resources available in this community and how future behavioral interventions could be tailored to meet the needs of this community. The findings of this study will be used to inform the tailoring of future lifestyle interventions; specifically, we will include text messaging reminders for medication and to disseminate educational materials related to hypertension and provide resources to connect study participants with local and national resources.
format	article
author	Emily C. Dougherty Natasha Burse Michael Butzner Hongke Wu Heather L. Stuckey Jeroan J. Allison Yendelela L. Cuffee
author_facet	Emily C. Dougherty Natasha Burse Michael Butzner Hongke Wu Heather L. Stuckey Jeroan J. Allison Yendelela L. Cuffee
author_sort	Emily C. Dougherty
title	Examining medication adherence and preferences for a lifestyle intervention among Black and Latinx adults with hypertension: a feasibility study
title_short	Examining medication adherence and preferences for a lifestyle intervention among Black and Latinx adults with hypertension: a feasibility study
title_full	Examining medication adherence and preferences for a lifestyle intervention among Black and Latinx adults with hypertension: a feasibility study
title_fullStr	Examining medication adherence and preferences for a lifestyle intervention among Black and Latinx adults with hypertension: a feasibility study
title_full_unstemmed	Examining medication adherence and preferences for a lifestyle intervention among Black and Latinx adults with hypertension: a feasibility study
title_sort	examining medication adherence and preferences for a lifestyle intervention among black and latinx adults with hypertension: a feasibility study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/b2da891cab414f6fb6f3d03d1e72560a
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Examining medication adherence and preferences for a lifestyle intervention among Black and Latinx adults with hypertension: a feasibility study

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