An Evidence-Based Approach to Nonpharmacological Blood Pressure Management Among African Americans

Background: African Americans (AAs) are at increased risk of developing hypertension (HTN), which can lead to increased health care expenditures, related comorbidities, and mortality. Objective: This pilot study aimed to determine if receiving faith-based health education in a Southern Baptist setting would influence AAs' self-care behaviors and blood pressure (BP) management. Methods: A sample of 21 AA participants with self-reported HTN was recruited from a Southern U.S. Baptist church to participate in a one-group pretest-posttest study. The intervention consisted of 6 weekly 60-minute educational sessions utilizing American Heart Association education, biblical references, meditation, and inspirational messages. BP readings and pre- and post-survey responses on the Hypertension Self-Care Activity Level Effects were analyzed. Results: Results demonstrated that both systolic and diastolic BP measurements were reduced. Five of the six self-care behavior subscales also demonstrated improvement in lifestyle management. Conclusions: Healthy self-care habits related to HTN can be shaped by health promotion initiatives provided in a church setting. Implications for Nursing: This pilot study confirms that there is evidence that suggests a positive relationship exists between faith, health, and improved self-care behaviors among AAs.