Church-based Intervention to Improve Blood Pressure in African Americans
Abundant Living: A Church-based Intervention to Improve Blood Pressure in African Americans
Rush University Medical Center
312 participants
Mar 15, 2022
INTERVENTIONAL
Conditions
Summary
This is a 12-month behavioral cluster-randomized trial testing a church-based intervention to reduce blood pressure in African Americans with uncontrolled blood pressure.
Eligibility
Inclusion Criteria10
- Churches:
- At least 75 members and ability to recruit 15 study participants
- Predominantly African American congregants
- Participants:
- Age 18 or older
- Has blood pressure readings with uncontrolled blood pressure, defined as exceeding the blood thresholds for initiation of antihypertensive medication according to the 2017 American College of Cardiology/ American Heart Association (ACC/AHA) guidelines.
- \- The thresholds are 140/90 for the general population \< 65 years old, and 130/80 for individuals ≥ 65 or with diabetes, chronic kidney disease, or high cardiovascular risk (self-report of prior diagnosis of myocardial infarction, coronary heart disease, stroke or heart failure)
- Attends church (virtually or in-person) at least once per month
- Able to attend weekly Zoom meetings
- Consents and completes all baseline assessments
Exclusion Criteria10
- Churches:
- • Pastor unwilling to conduct Bible study
- Participants:
- Unable to make dietary changes due to lack of control over their food source (i.e., eat meals at shelter, nursing home)
- Has a medical condition that prohibits or severely restricts ability to eat vegetables (i.e., renal disease, Crohn's disease)
- Has a medical condition with an uncertain 6-month prognosis
- Inability to give informed consent (i.e., cognitive impairment, does not speak Englis
- Plans to move within the 6 months following enrollment
- Participated in prior ALIVE intervention
- Member of household participating in another church
Interventions
The Heart to Heart intervention will be delivered at the churches over 6 months. The intervention consists of 12 bible study sessions (45 minutes) led by the Senior Pastor and 24 behavior change small group sessions (90 minutes) led by a trained Rush staff interventionist. These sessions are open to the entire church membership and focus on improving diet and physical well being. A community health worker will provide individualized support to participants with uncontrolled blood pressure who do not reduce their blood pressure by participating in small groups.
The Money Smart program for adults was developed by the Federal Deposit Insurance Corporation (FDIC). It consists of training modules that cover basic financial topics including deposit and credit services offered by financial institutions, how to obtain and use credit effectively, and the basics of building or repairing credit. This group-based program will be delivered in 14 sessions over 6 months and will be led by a trained instructor.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT05220332