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 #
5P60MD003421-05
Application #
8490196
Study Section
Special Emphasis Panel (ZMD1-PA)
Project Start
Project End
Budget Start
2013-06-01
Budget End
2014-05-31
Support Year
5
Fiscal Year
2013
Total Cost
$77,437
Indirect Cost
$19,950
Name
Weill Medical College of Cornell University
Department
Type
DUNS #
060217502
City
New York
State
NY
Country
United States
Zip Code
10065
Pai, Sucheta; Boutin-Foster, Carla; Mancuso, Carol A et al. (2014) "Looking out for each other": a qualitative study on the role of social network interactions in asthma management among adult Latino patients presenting to an emergency department. J Asthma 51:714-9
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
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
Winston, Ginger J; Caesar-Phillips, Erica; Peterson, Janey C et al. (2014) Knowledge of the health consequences of obesity among overweight/obese Black and Hispanic adults. Patient Educ Couns 94:123-7
Waseem, Muhammad; Boutin-Foster, Carla; Robbins, Laura et al. (2014) Perspectives on bullying among children who present to the emergency department with behavioral misconduct: a qualitative study. Pediatr Emerg Care 30:793-7
Cole, Helen; Schoenthaler, Antoinette; Braithwaite, R Scott et al. (2014) Community-based settings and sampling strategies: implications for reducing racial health disparities among black men, New York City, 2010-2013. Prev Chronic Dis 11:E105
Severe, Linda; Fitzgerald, Daniel W; Deschamps, Marie M et al. (2014) "I am proud of myself, just the way I am" (Mwen fyé de tét mwen, jan mwen ye ya): a qualitative study among young Haitian women seeking care for sexually transmitted infections (STIs) in Haiti. AIDS Educ Prev 26:158-69
Ravenell, Joseph; Thompson, Hayley; Cole, Helen et al. (2013) A novel community-based study to address disparities in hypertension and colorectal cancer: a study protocol for a randomized control trial. Trials 14:287
Williams, Stephen K; Fiscella, Kevin; Winters, Paul et al. (2013) Association of racial disparities in the prevalence of insulin resistance with racial disparities in vitamin D levels: National Health and Nutrition Examination Survey (2001-2006). Nutr Res 33:266-71
Hippolyte, Jessica M; Phillips-Caesar, Erica G; Winston, Ginger J et al. (2013) Recruitment and retention techniques for developing faith-based research partnerships, New York city, 2009-2012. Prev Chronic Dis 10:

Showing the most recent 10 out of 16 publications