Among blacks with uncontrolled hypertension, this randomized controlled trial will evaluate the impact of a behavioral intervention that combines positive affect and self-affirmation with motivational interviewing on blood pressure control in comparison to a patient education/behavioral contract control group. This study ntitled Trial Using Motivational Interviewing Positive Affect and Self-Affirmation in Hypertension (TRIUMPH) builds upon a preliminary NHLBI funded study conducted by Drs. Carla Boutin Foster and Gbenga Ogedegbe. TRIUMPH is framed upon Social Cognitive Theory and applies positive affect and selfaffirmation induction and motivational interviewing as behavioral strategies. TRIUMPH focuses on hypertension because it is the single most common cause of excess mortality in blacks, accounting for more years of life lost than HIV, diabetes, and homicide. The primary aim is to evaluate whether an intervention that combines positive affect and self-affirmation with motivational interviewing improves blood pressure control compared to an educational/behavioral contract intervention at 12 months. The secondary aims are 1) to evaluate the impact of TRIUMPH on within-patient change in systolic blood pressure (SBP) and withinpatient change diastolic blood pressure (DBF) and 2) to evaluate the impact of TRIUMPH on within-patient change in self-efficacy for medication adherence. This will be a randomized controlled trial conducted among 220 patients recruited from Renaissance Health Network in Central Harlem. The primary outcome is blood pressure control rate at 12 months. Blood pressure(BP) will be assessed with a valid automated digital BP monitor (BPTru) following American Heart Association guidelines. Patients will be categorized as having controlled BP if they have an average BP that fulfills the Seventh Joint National Committee on Detection, Evaluation and Treatment of Hypertension criteria of SBP <130 and DBP <80 mmHg ( for patients with diabetes or chronic kidney disease);or SBP <140 and DBP <90 mmHg (for all other patients). Dr. Boutin- Foster (PI) has assembled experts in biostatistics and epidemiology as co-investigators, including Dr. Ogedegbe a behavioral hypertension specialist. TRIUMPH will address a major public health threat in Central Harlem, where 1 in 3 residents live in poverty and more than 50% have uncontrolled hypertension and provide a model for translating basic behavioral science theories to community interventions.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Comprehensive Center (P60)
Project #
5P60MD003421-04
Application #
8378593
Study Section
Special Emphasis Panel (ZMD1-PA)
Project Start
Project End
Budget Start
2012-06-14
Budget End
2013-05-31
Support Year
4
Fiscal Year
2012
Total Cost
$169,636
Indirect Cost
$43,704
Name
Weill Medical College of Cornell University
Department
Type
DUNS #
060217502
City
New York
State
NY
Country
United States
Zip Code
10065
Eldridge, Johanna D; Devine, Carol M; Wethington, Elaine et al. (2016) Environmental influences on small eating behavior change to promote weight loss among Black and Hispanic populations. Appetite 96:129-37
Cole, Helen; Duncan, Dustin T; Ogedegbe, Gbenga et al. (2016) Neighborhood Socioeconomic Disadvantage; Neighborhood Racial Composition; and Hypertension Stage, Awareness, and Treatment Among Hypertensive Black Men in New York City: Does Nativity Matter? J Racial Ethn Health Disparities :
Boutin-Foster, Carla; Offidani, Emanuela; Kanna, Balavenkatesh et al. (2016) Results from the Trial Using Motivational Interviewing, Positive Affect, and Self-Affirmation in African Americans with Hypertension (TRIUMPH). Ethn Dis 26:51-60
Phillips-Caesar, Erica G; Winston, Ginger; Peterson, Janey C et al. (2015) Small Changes and Lasting Effects (SCALE) Trial: the formation of a weight loss behavioral intervention using EVOLVE. Contemp Clin Trials 41:118-28
Dy, Christopher J; Lyman, Stephen; Boutin-Foster, Carla et al. (2015) Do patient race and sex change surgeon recommendations for TKA? Clin Orthop Relat Res 473:410-7
Winston, Ginger J; Phillips, Erica G; Wethington, Elaine et al. (2015) Social network characteristics associated with weight loss among black and hispanic adults. Obesity (Silver Spring) 23:1570-6
Parks, Michael L; Hebert-Beirne, Jennifer; Rojas, Mary et al. (2014) A qualitative study of factors underlying decision making for joint replacement among African Americans and Latinos with osteoarthritis. J Long Term Eff Med Implants 24:205-12
Pai, Sucheta; Mancuso, Carol A; Loganathan, Raghu et al. (2014) Characteristics of asthmatic patients with and without repeat emergency department visits at an inner city hospital. J Asthma 51:627-32
Martinez, Johanna; Phillips, Erica; Harris, Christina (2014) Where do we go from here? Moving from systems-based practice process measures to true competency via developmental milestones. Med Educ Online 19:24441
Charlson, Mary E; Wells, Martin T; Peterson, Janey C et al. (2014) Mediators and moderators of behavior change in patients with chronic cardiopulmonary disease: the impact of positive affect and self-affirmation. Transl Behav Med 4:7-17

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