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Storytelling may help control blood pressure in African-Americans
Date:1/18/2011

Controlling blood pressure is not only a medical challenge, but a social one as well. Because patients are required to strictly adhere to a treatment plan that may include medication, dietary restrictions and regular doctor visits, the ideas of wellness and health are also powerful parts of the social reinforcement needed for behavioral change.

This is especially true in the African American population, which is particularly susceptible to hypertension. Social and cultural barriers have been found to contribute to African American patients being far more likely than white patients to suffer from uncontrolled high blood pressure and resulting complications.

A new study suggests that a storytelling approachin which recognizable members of a community provide positive messages aimed at controlling hypertension through diet and medication adherencemay offer a unique opportunity to communicate positive disease management choices in a culturally appropriate context.

Researchers at UMass Medical School, working with colleagues at Cooper Green Mercy Hospital and the University of Alabama at Birmingham have identified one promising approach. They identified "exceptionally eloquent and persuasive" patients with hypertension from focus groups where blood pressure control and the benefits of intervention were discussed; these volunteers were then videotaped, and edited DVDs, distilled from 80 hours of taping, were created.

The study, "Stories to Improve Blood Pressure: Findings from a Culturally Sensitive Randomized Trial," appears in the Jan. 18 issue of the Annals of Internal Medicine. Researchers randomly assigned 299 African American patients with hypertension to receive either usual care or to view three videos that presented stories of real patients with hypertension. Among patients who had uncontrolled hypertension, those assigned to view the stories had better blood pressure control than those assigned to usual caret
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Contact: Mark Shelton
mark.shelton@umassmed.edu
508-856-2000
University of Massachusetts Medical School
Source:Eurekalert

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