Graduation Semester and Year

Spring 2024

Language

English

Document Type

Dissertation

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Tiffany Trent, DNP, AGACNP-BC

Abstract

Abstract

Hypertension (HTN) occurs in all ethnicities in the United States, but the prevalence in Black adults is disproportionate due to unhealthy dietary patterns and physical inactivity lifestyle behavior. This quality improvement strategic effort strived to educate Black adults on HTN to curb the health disparity. The quality improvement project focused on using a Dietary Approaches to Stop Hypertension (DASH) diet and physical exercise to reduce blood pressure in Black adults 18 years and older with hypertension. A one-group pre-test-post-test design was used in this project. The Plan-Do-Study-Act framework was utilized. The program was eight weeks in duration. All the participants from the project site have a diagnosis of hypertension. Participants were selected at their own will at their physicians' office visits. The measurement tools were the project leader's pre-and post-intervention BP measurements, and participants independently answered the Dietary Approaches to Stop Hypertension Questionnaire (DASH-Q) and Godin Shephard Leisure Time Physical Exercise Questionnaire (GSLTPEQ). The intervention comprised education on the DASH diet eating plan/menu and 150 minutes/week of moderate-intensity physical exercise, providing patient handouts, and following up three times weekly with text message reminders. At the end of 8 weeks, the participants received repeated assessments with post-SBP and DBP measurements and post-intervention DASH-Q and GSLTPEQ assessments, respectively. The results showed reduced BP measurements and improved knowledge and utilization of the DASH diet and physical exercise to control BP among Black adults aged 18 and older with HTN.

Keywords

Hypertension in Black adults, Dietary Approaches to Stop Hypertension (DASH) diets, Physical activity.

Disciplines

Family Practice Nursing | Nursing

Comments

Acknowledgements

I want to thank Almighty God for his providence throughout this program. I want to thank my family and friends for their immense support.

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