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Dissertation/Thesis Abstract

The Effectiveness of the American Health Association Self-Management Program in Reducing High Blood Pressure in African Americans
by Howard, Ernestine R., D.N.P., Grand Canyon University, 2020, 122; 28257172
Abstract (Summary)

Proper education on chronic disease pathologies remains a constant burden in healthcare especially in the African American (AA) adult population regarding hypertension. Research has provided current resources and materials yet the community resource sites have been slow to adopt them. Therefore, the purpose of this quantitative, quasiexperimental project was to determine if the implementation of the American Heart Association’s (AHA) Hypertension Self-Management program would impact systolic blood pressure (SBP) and self-management using the Knowledge-Attitude-Practice(KAP) score among AA adults in a faith-based organization, in rural Alabama over four weeks. The overall KAP survey score was used to measure self-management of hypertension. Rosenstock’s health belief model (HBM) and Reed’s transcendence theory guided this project. The total sample size was 15 participants. An analysis of variance(ANOVA) was used to compare participants’ SBP at weekly intervals over four week. Nostatistically significant mean difference in systolic blood pressure (M = 6.93 mm Hg) was noted throughout the four weeks (F(3.42) =1.17, p = 0.33). Using a Wilcoxon Z to analyze the paired KAP surveys, no statistically significant difference was noted in the KAPsurvey scores before the intervention compared to the patient’s baseline (z = .95, p =.35).Despite the lack of statistical significance in reducing systolic blood pressure, there was clinical significance noted in the trends towards a therapeutic blood pressure. Therefore, it is recommended that the project be sustained at the community site and further analysis conducted to show statistical significance over a longer period of time.

Indexing (document details)
Advisor: Clark, Amanda
Commitee: Rigsby, Brenda
School: Grand Canyon University
Department: College of Doctoral Studies
School Location: United States -- Arizona
Source: DAI-A 82/7(E), Dissertation Abstracts International
Subjects: Nursing, Health education, African American Studies
Keywords: African American, American Heart Association, Hypertension, Knowledge-Attitude-Practice Survey, Reed's transcendence theory, Rosenstock's Health belief model
Publication Number: 28257172
ISBN: 9798557066600
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