According to a study, ecclesial communities redouble efforts to reduce blood pressure of African-Americans



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"That turned out to be absolutely correct," said Hoyte-Badu, who was 24 when she participated in the program. "They just appreciated that someone really listens to them and is understanding and non-critical."

His leadership role was part of a new study on denominational approaches in the treatment of hypertension in the black community; the results were published Tuesday in Circulation: Cardiovascular Quality and Outcomes Journal.

The researchers found that people who received counseling about their therapeutic lifestyle and motivational interviews in a church had a greater reduction in systolic blood pressure levels than those who received health education in churches.

"What we found was that for the group that benefited from the intervention, their blood pressure reduction was significantly lower than that of the other group, in other words, this group had a reduction in their blood pressure. blood pressure by almost 6 points compared to the control group., "said Dr. Olugbenga Ogedegbe, author of the study, professor and director of the Division of Health and Behavior of the Department of Population Health of the NYU Langone Medical Center.
Blood pressure is measured in two parts: systolic and diastolic. According to the United States Centers for Disease Control and Prevention, the systolic pressure is the pressure exerted when your heart beats, and the diastolic pressure, its pressure at rest. A healthy blood pressure measurement is less than 120/80 millimeters of mercury (in mmHg), with the first systolic number and the second diastolic. High blood pressure is 140/90 or higher.
How Hair Salons Could Help Reduce Blood Pressure
The American Heart Association indicates that nearly half of non-Hispanic black adults in the United States are suffering from some form of cardiovascular disease. According to the recommendations of the American College of Cardiology for the prevention, screening, assessment and management of arterial hypertension in adults, 45.6% of US adults suffer from # 39; hypertension.

For the new study, the researchers divided 373 people from 32 churches in New York City into two groups. One of them, called the MINT-TLC group, attended 11 weekly 90-minute group sessions devoted to healthy lifestyle changes. The sessions were led by church members acting as non-professional health advisers. These were followed by three monthly phone calls to inform one of the group leaders of the weekly sessions of their progress.

The other group received a session dedicated to the lifestyle devoted to high blood pressure, also called hypertension, and ten sessions given by health experts on another topic, such as the disease. Alzheimer's or fire safety. The members of this group did not receive motive calls.

The blood pressure of both groups was measured at the beginning of the program, six months after the start of the program and nine months after the start of the program.

The MINT-TLC group showed a reduction in systolic blood pressure of 16.53 mmHg after six months; members of the health education group had a reduction in systolic blood pressure of 10.74. This resulted in a net reduction of 5.8 mmHg. The drop in MINT-TLC had dropped by nine months to 5.3, but this remained clinically significant, according to Ogedegbe, who is also director of NYU Langone's Center for Healthful Behavior Change.

The church of Hoyte-Badu was one of the first to get involved in the project.

Dr. Olugbenga Ogedegbe, second from right, shows the proper technique for measuring blood pressure in a church in New York.

She said that she wanted to bring this project in there because of the prevalence of high blood pressure and her own experience with family members suffering from hypertension.

"I thought it would be great to work with a program that would help people with this disease reduce their high blood pressure and simply give them the skills they need to improve their overall health," she said.

In her role as a health consultant, Hoyte-Badu has been trained to lead sessions on topics such as lowering blood pressure and setting goals for improving health. She and two other counselors from her church also followed the participants in the months following the intervention.

"The program has encouraged more dialogue and collaboration, as opposed to what we give them lectures, and I think they appreciate that we are more collaborators rather than teachers," Hoyte-Badu said. "I think it created a safe environment and a supportive environment so that they could share how they came out with the challenges and feel comfortable sharing their journey by trying to do it." behavioral changes, because it's really difficult. "

Sessions were always opened with a prayer from a health advisor or participant, including scriptures related to the subject of the week, said Hoyte-Badu.

Nearly half of Americans now have high blood pressure, according to new guidelines

The members of her church welcomed the project and were delighted to be part of it, she said. At the end of the program, they ate a coffee-based meal and all bought a healthy dish that they had learned or had found.

"The lay health model was a good example for the design," said Mimi Kiser, research assistant professor at the Rollins School of Public Health at Emory University, who did not participate in the study. 39; study. "This fits perfectly in church culture and in effective community strategies."

She also said that the study helped fill a gap in the literature on the effectiveness of faith-based intervention projects.

The use of the church as a location is important for Kiser, who is also the senior director of the interfaith health program at Emory, particularly in a community that may not have a relationship of trust with health care.

"Faith-based settings tend to be sources of reliable information, so when public health can align with these sources of trust in community efforts, it strengthens disease prevention and disease promotion activities. health, "she said.

Dr. Joseph Ravenell, Associate Professor of Population Health and Medicine at the University of New York School of Medicine, also found the benefits of health advisers. Although methods recently used successfully in the community have used doctoral counselors and focused on drugs, Ogedegbe's study emphasizes the need for other approaches.

The study "supports the notion that community-based non-clinicians can be effective messengers for healthy behavioral change in blacks suffering from high blood pressure," said Ravenell, who does not discuss the issue. did not participate in the new search.

A study published in the New England Journal of Medicine in April found that the placement of health educators in hair salons in Los Angeles had led 63.6% of participants to reduce their blood pressure to a satisfactory level . This has shown how the combination of health promotion by community personalities such as hairdressers, combined with the use of drugs, could have beneficial effects on health.

Ravenell also praised the latest study for his setting and his focus on the need to alter the lifestyle of black adults with high blood pressure, which he describes as "a cornerstone of treatment for the treatment of hypertension." 39, both underestimated and under-studied blood pressure in black populations. "

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