Understanding Hypertension among Black Men in a Faith-Based Setting

Understanding Hypertension among Black Men

in a Faith-Based Setting

A Pilot Project Sponsored by the University of Alabama Birmingham (UAB) in

Partnership with the National USA Foundation, Inc. (NUFI)

CHAAMPS Third Annual National Meeting

University of Minnesota

Minneapolis, MN

23-24 March 2016

Presented By:

Lori Carter-Edwards, PhD, MPH, Senior Consultant, NUFI

Funding Source: National Institutes of Health, National Institute on Minority Health and Health Disparities, NIH U54MD008620

Acknowledgments

University of Alabama at

Birmingham

James Shikany, DrPH

CHAAMPS Principal Investigator

Nicole Redmond, MD, PhD, MPH*

Pilot Principal Investigator

Jessica A. Oliver, MAEd

Research Assistant

Churches

Friendship Missionary Baptist Church

Rev. Clifford A. Jones, Sr., DMin, MDiv

Senior Pastor

Cassandra Harding, MSN, FNPC

Coordinator

First Missionary Baptist Church

Rev. Julius R. Scruggs, DMin, MDiv

Senior Pastor

Willie T. Littlepage, MBA

Co-Coordinator

Cynthia M. Turner, DNP, FNPC

Co-Coordinator

National USA Foundation, Inc.

Rev. Larry B. West, DRS, MTh

Chair, Board of Directors

Pilot Co-Investigator

Board of Directors

Rev. Dr. Marcus R. Davidson

Miss Toni D. Smith

Rev. Dr. Julius R. Scruggs

Rev. Dr. Clifford A. Jones, Sr.

Rev. Dr. Thomas Morris, Sr.

*Dr. Redmond contributed to this work as an

employee of the University of Alabama at

Birmingham (UAB). The views expressed are

her own and do not necessarily represent the

views of the National Institutes of Health or

the United States Government.

Understanding Hypertension Among Black Men in a Faith-Based Setting 2NIH U54MD008620

Presentation Overview

• Rationale

• Purpose and Aims

• Methods

• Progress Update and Next Steps


Rationale

• Blacks – highest burden of hypertension (HTN) in the U.S.

• Black men – HTN and related complications at earlier ages

• Prevention efforts needed for younger Black men

• Association of health and religiosity among Blacks

• Unknown – younger Black men’s contexts and attitudes related to

HTN prevention, treatment, and control

• Unknown – faith-based interventions targeting younger Black men

can help promote optimal health behaviors and improved outcomes


Purpose

Understanding Hypertension Among Black Men in a Faith-Based Setting 5

• To identify attitudes and beliefs associated with developing a HTN

prevention, treatment, and control intervention for Black men age

50 and under through two, leading NBCUSA, Inc. churches in the

southeastern U.S.

• Findings will help guide future interventions, with the national, longer-term

goals of:

• Sharing the findings throughout NBCUSA, Inc.

• Conducting the intervention across regions within NBCUSA, Inc.

Overarching Goal: To identify effective interventions to

improve HTN control in Black men age 50 and under

nationwide

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Specific Aims


1. Assess the organizational capacity and context of a sample of NBCUSA, Inc. churches for conducting HTN related, faith-based interventions.

• What do NBCUSA, Inc. church leaders perceive are necessary church resources to be ready to conduct an intervention that addresses HTN health among young Black men age 50 and under?

2. Gather feedback from young Black men on how to implement evidence based approaches to address HTN.

• What factors do young Black men age 50 and under believe it would take to successfully design and implement a faith-based intervention to address HTN for men of their age?

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Methods – Study Design


• Two Project Sites

• Charlotte, NC

• Huntsville, AL

• Mixed Methods Design

• Focus group survey

• Demographics

• General health status

• Family history of hypertension

• Clinical measures

• Blood pressure

• Height and weight

• Qualitative methods

• Key informant interviews (Aim 1)

• Focus groups (Aim 2)

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Methods - Participants


Key Informant Interviews

• Individuals identified by senior pastoral

leadership (Rev. Drs. Scruggs and

Jones)

• Leaders in NBCUSA, Inc. churches

• Influential in the church and community

• Live or work in the community

• Can be male or female

• Total of 24-30 key informants

• 12-15 individuals at each project site

• Approximately 45-60 minute call• Questions on factors within the church that

can influence implementation of HTN

prevention programs

• Compensation: $25 gift card

Focus Groups

• Black men ages 18-50 years of age in the

project area

• 4 group-specific sessions at each

project site• 2 – Men 18-34 years with HTN OR family

history of HTN

• 1 – Men 35-50 years with history of HTN

• 1 – Men 35-50 years without HTN but family

history of HTN

• Each session will have 6-8 participants

• Total of 48-60 men total across the two

project sites

• Approximately 60-75 minutes for each

session, held at the project site• Demographic and health history survey

• BP, height, and weight

• Questions about HTN, health behaviors, faith

• Card sorting to rank intervention ideas

• Compensation: $20 gift card

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Project Update and Next Steps


• Project Update• Protocol development completed 2015

• Kick-Off Meetings Started FEB2016

• 02FEB – Charlotte, NC (attendance: n~200)

• 11MAR – Huntsville, AL (attendance: n~60-70)

• Key Information Interviews – calls in progress

• ~ 30 in the recruitment pool

• 1 completed interview, 1 scheduled (as of 3/16/2016)

• Focus groups – recruitment in progress for dates in APR2016

• Next Steps• Continue recruitment and screening efforts

• Key informant interviews – modify from 45-60-minute to 25-30-

minute calls; include direct pastoral support

• Focus groups – aim for 2 focus groups per site; include support

for project from men who agree to participate and men >50

• Complete data collection by MAY2016

• Interviews by mid-April

• Focus groups by end of May

• Preliminary analysis in May-June

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Understanding Hypertension among Black Men in a Faith-Based Setting

Health & Medicine

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