Hypertension Improvement Project (HIP) Latino: results of a pilot study of lifestyle intervention for lowering blood pressure in Latino adults.
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2010-06
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Abstract
Objectives
To assess the feasibility of a culturally tailored behavioral intervention for improving hypertension-related health behaviors in Hispanic/Latino adults.Design
Feasibility pilot study in a community health center and a Latino organization in Durham, North Carolina.Intervention
The culturally adapted behavioral intervention consisted of six weekly group sessions incorporating motivational interviewing techniques. Goals included weight loss if overweight, adoption of the Dietary Approaches to Stop Hypertension dietary pattern, and increased physical activity. Participants were also encouraged to monitor their daily intake of fruits, vegetables, dairy and fat, and to record physical activity. Cultural adaptations included conducting the study in familiar places, using Spanish-speaking interventionist, culturally appropriate food choices, and physical activity.Main outcomes
Systolic blood pressure (BP), weight, body mass index (BMI), exercise, and dietary pattern were measured at baseline and at 6 weeks follow-up. Qualitative evaluations of the recruitment process and the intervention were also conducted.Results
There were 64 potential participants identified via healthcare provider referrals (33%), printed media (23%), and direct contact (44%). Seventeen participants completed the intervention and had main outcome data available. Participants 'strongly agreed/agreed' that the group sessions provided them with the tools they needed to achieve weight loss, BP control, and the possibility of sustaining the lifestyle changes after completing the intervention. At the end of the intervention, all physiological, diet, and exercise outcomes were more favorable, with the exception of fat. After 6 weeks, systolic BP decreased an average of -10.4+/-10.6 mmHg, weight decreased 1.5+/-3.2 lbs, BMI decreased 0.3+/-0.5, and physical activity increased 40 minutes per week.Conclusion
Our findings suggest that lifestyle interventions for preventing and treating hypertension are feasible and potentially effective in the Hispanic/Latino population.Type
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Rocha-Goldberg, Maria Del Pilar, Leonor Corsino, Bryan Batch, Corrine I Voils, Carolyn T Thorpe, Hayden B Bosworth and Laura P Svetkey (2010). Hypertension Improvement Project (HIP) Latino: results of a pilot study of lifestyle intervention for lowering blood pressure in Latino adults. Ethnicity & health, 15(3). pp. 269–282. 10.1080/13557851003674997 Retrieved from https://hdl.handle.net/10161/34214.
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Scholars@Duke
Leonor Corsino
Dr. Leonor Corsino is a Board-Certified Adult Endocrinologist, physician-scientist, and nationally recognized leader in organizational and health professional education. With a distinguished career spanning clinical care, research, and workforce development, she brings a unique and integrative perspective to advancing and improving patient care and medical education. Her leadership encompasses basic science, clinical, and community-engaged research, curriculum innovation, and the implementation of transformative clinical programs.
Dr. Corsino’s research centers on diabetes, obesity, and their associated complications. She is also deeply committed to medical education and mentoring, having guided numerous trainees and junior faculty through successful academic and clinical careers. Her work has been instrumental in shaping inclusive and impactful learning environments.
She has led and collaborated on a wide range of initiatives at the local, national, and international levels, including NIH-funded studies, cross-institutional partnerships, and global health efforts. Among her many contributions are the development of the Duke Master of Biomedical Sciences (MBS) selective curriculum, the CTSI/CERI Population Health Improvement Award, consultations, e-library, community consultations studio, educational programs, innovative platforms for population health mapping, and MD program courses such as the medical Spanish course and others. These initiatives have significantly enhanced patient care, improved population health strategies, and strengthened the training and support systems for health profession learners and faculty.
Dr. Corsino is widely respected for her ability to bridge clinical excellence with visionary leadership in education and research.
Bryan Courtney Batch
Type 2 Diabetes, Obesity/Overweight, Behavior change, Non-pharmacologic intervention, Health disparities
Hayden Barry Bosworth
Dr. Bosworth is a health services researcher and Deputy Director of the Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT) at the Durham VA Medical Center. He is also Vice Chair of Education and Professor of Population Health Sciences. He is also a Professor of Medicine, Psychiatry, and Nursing at Duke University Medical Center and Adjunct Professor in Health Policy and Administration at the School of Public Health at the University of North Carolina at Chapel Hill. His research interests comprise three overarching areas of research: 1) clinical research that provides knowledge for improving patients’ treatment adherence and self-management in chronic care; 2) translation research to improve access to quality of care; and 3) eliminate health care disparities.
Dr. Bosworth is the recipient of an American Heart Association established investigator award, the 2013 VA Undersecretary Award for Outstanding Achievement in Health Services Research (The annual award is the highest honor for VA health services researchers), and a VA Senior Career Scientist Award. In terms of self-management, Dr. Bosworth has expertise developing interventions to improve health behaviors related to hypertension, coronary artery disease, and depression, and has been developing and implementing tailored patient interventions to reduce the burden of other chronic diseases. These trials focus on motivating individuals to initiate health behaviors and sustaining them long term and use members of the healthcare team, particularly pharmacists and nurses. He has been the Principal Investigator of over 30 trials resulting in over 400 peer reviewed publications and four books. This work has been or is being implemented in multiple arenas including Medicaid of North Carolina, private payers, The United Kingdom National Health System Direct, Kaiser Health care system, and the Veterans Affairs.
Areas of Expertise: Health Behavior, Health Services Research, Implementation Science, Health Measurement, and Health Policy
Laura Pat Svetkey
Laura P. Svetkey, MD MHS is Professor of Medicine/Nephrology, Vice Chair for Faculty Development and Diversity in the Department of Medicine. She is also the Director of Duke’s CTSA-sponsored internal career development award program (KL2) and the Associate Director of Duke’s REACH Equity Disparities Research Center, in which she also leads the Investigator Development Core.
Dr. Svetkey has over 30 years of experience in the investigation of hypertension, obesity, and related areas, conducting NIH-sponsored clinical research ranging from behavioral intervention trials to metabolomics and genetics, with a consistent focus on prevention, non-pharmacologic intervention, health disparities and minority health. Her research has affected national guidelines, having served on the 2013 national Hypertension Guideline Panel (JNC) and the Lifestyle Guideline Working Group. She is an American Society of Hypertension certified hypertension specialist, and a member of the Association of American Physicians (AAP). She is the Associate Director, Core Director and Project PI of Duke’s NIH-sponsored REACH Equity Disparities Research Center (PI: Kimberly Johnson).
As Department of Medicine Vice Chair for Faculty Development and Diversity, she implements a wide range of programs to enhance the experience and advancement of faculty and trainees, with particular emphasis on those from racial and ethnic groups under-represented in medicine, and women.
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