1. Introduction
The disparities in hypertension prevalence in various racial or ethnic groups exist since 1960, being highest in the non-Hispanic African-American adults . Apart from having higher prevalence of hypertension, this group reportedly has poor blood pressure control as compared to non-Hispanic whites , and poor adherence . One of the theories used to explain medication adherence behavior in patients with hypertension is Bandura’s Self-efficacy theory. Self-efficacy is the person’s beliefs regarding his/her own capability to perform a particular task to achieve a desired result .
2. Background/Review of the Literature
It is often stated that programs and interventions will be more successful, when culturally designed, for the specific …show more content…
Kreuter et al reported that systematically integrating culture into individually tailored cancer prevention and control interventions may enhance their effectiveness in diverse populations6. Till date, no intervention targets the individual cultural beliefs of African-American patients with hypertension to improve medication adherence. Also, no single intervention has proven to be successful universally for medication adherence, specifically for patients belonging to ethnic minority groups including African-Americans .
3. Rationale
It is probable that within a group, an intervention targeting health-related behaviors, tailored according the group’s cultural norms, might persuade some individuals more than the rest. In such a scenario, it might be suitable to use the concept of cultural tailoring at an individual level. This would help focus on how individuals identify with their own culture at different levels and those specific attributes which hold importance to them.
4. Research …show more content…
Patients with a diagnosis of cognitive impairment and terminal illness will be excluded.
The intervention is a culturally tailored magazine based on two of the more dominating cultural constructs: religiosity, collectivism, racial pride, time orientation; measured at the baseline by the questionnaires developed by Kreuter et al6.
The magazines will be colored, including 8-9 pages, with patient’s name on each magazine and pictures of local African-American artwork. All magazines will contain stories that will be tailored on each of the two constructs selected. Each magazine will have eight stories, four tailored on the two dominating constructs and other four on general issues. To make the magazine more interesting, these 4 general stories would be around: sports, music, fitness, and gadgets (for men’s issue) and wellness, beauty, relationships, parenting (women’s
The disparities in hypertension prevalence in various racial or ethnic groups exist since 1960, being highest in the non-Hispanic African-American adults . Apart from having higher prevalence of hypertension, this group reportedly has poor blood pressure control as compared to non-Hispanic whites , and poor adherence . One of the theories used to explain medication adherence behavior in patients with hypertension is Bandura’s Self-efficacy theory. Self-efficacy is the person’s beliefs regarding his/her own capability to perform a particular task to achieve a desired result .
2. Background/Review of the Literature
It is often stated that programs and interventions will be more successful, when culturally designed, for the specific …show more content…
Kreuter et al reported that systematically integrating culture into individually tailored cancer prevention and control interventions may enhance their effectiveness in diverse populations6. Till date, no intervention targets the individual cultural beliefs of African-American patients with hypertension to improve medication adherence. Also, no single intervention has proven to be successful universally for medication adherence, specifically for patients belonging to ethnic minority groups including African-Americans .
3. Rationale
It is probable that within a group, an intervention targeting health-related behaviors, tailored according the group’s cultural norms, might persuade some individuals more than the rest. In such a scenario, it might be suitable to use the concept of cultural tailoring at an individual level. This would help focus on how individuals identify with their own culture at different levels and those specific attributes which hold importance to them.
4. Research …show more content…
Patients with a diagnosis of cognitive impairment and terminal illness will be excluded.
The intervention is a culturally tailored magazine based on two of the more dominating cultural constructs: religiosity, collectivism, racial pride, time orientation; measured at the baseline by the questionnaires developed by Kreuter et al6.
The magazines will be colored, including 8-9 pages, with patient’s name on each magazine and pictures of local African-American artwork. All magazines will contain stories that will be tailored on each of the two constructs selected. Each magazine will have eight stories, four tailored on the two dominating constructs and other four on general issues. To make the magazine more interesting, these 4 general stories would be around: sports, music, fitness, and gadgets (for men’s issue) and wellness, beauty, relationships, parenting (women’s