Lori Carter-Edwards

1. Understanding Hypertension among Black Men
in a Faith-Based Setting
A Pilot Project Sponsored by the University of Alabama Birmingham (UAB) in
Partnership with the National USA Foundation, Inc. (NUFI)
CHAAMPS Third Annual National Meeting
University of Minnesota
Minneapolis, MN
23-24 March 2016
Presented By:
Lori Carter-Edwards, PhD, MPH, Senior Consultant, NUFI
Funding Source: National Institutes of Health, National Institute on Minority Health and Health Disparities, NIH U54MD008620

2. Acknowledgments
University of Alabama at
Birmingham
James Shikany, DrPH
CHAAMPS Principal Investigator
Nicole Redmond, MD, PhD, MPH*
Pilot Principal Investigator
Jessica A. Oliver, MAEd
Research Assistant
Churches
Friendship Missionary Baptist Church
Rev. Clifford A. Jones, Sr., DMin, MDiv
Senior Pastor
Cassandra Harding, MSN, FNPC
Coordinator
First Missionary Baptist Church
Rev. Julius R. Scruggs, DMin, MDiv
Senior Pastor
Willie T. Littlepage, MBA
Co-Coordinator
Cynthia M. Turner, DNP, FNPC
Co-Coordinator
National USA Foundation, Inc.
Rev. Larry B. West, DRS, MTh
Chair, Board of Directors
Pilot Co-Investigator
Board of Directors
Rev. Dr. Marcus R. Davidson
Miss Toni D. Smith
Rev. Dr. Julius R. Scruggs
Rev. Dr. Clifford A. Jones, Sr.
Rev. Dr. Thomas Morris, Sr.
*Dr. Redmond contributed to this work as an
employee of the University of Alabama at
Birmingham (UAB). The views expressed are
her own and do not necessarily represent the
views of the National Institutes of Health or
the United States Government.
Understanding Hypertension Among Black Men in a Faith-Based Setting 2NIH U54MD008620

3. Presentation Overview
• Rationale
• Purpose and Aims
• Methods
• Progress Update and Next Steps
Understanding Hypertension Among Black Men in a Faith-Based Setting 3NIH U54MD008620

4. Rationale
• Blacks – highest burden of hypertension (HTN) in the U.S.
• Black men – HTN and related complications at earlier ages
• Prevention efforts needed for younger Black men
• Association of health and religiosity among Blacks
• Unknown – younger Black men’s contexts and attitudes related to
HTN prevention, treatment, and control
• Unknown – faith-based interventions targeting younger Black men
can help promote optimal health behaviors and improved outcomes
Understanding Hypertension Among Black Men in a Faith-Based Setting 4NIH U54MD008620

5. Purpose
Understanding Hypertension Among Black Men in a Faith-Based Setting 5
• To identify attitudes and beliefs associated with developing a HTN
prevention, treatment, and control intervention for Black men age
50 and under through two, leading NBCUSA, Inc. churches in the
southeastern U.S.
• Findings will help guide future interventions, with the national, longer-term
goals of:
• Sharing the findings throughout NBCUSA, Inc.
• Conducting the intervention across regions within NBCUSA, Inc.
Overarching Goal: To identify effective interventions to
improve HTN control in Black men age 50 and under
nationwide
NIH U54MD008620

6. Specific Aims
Understanding Hypertension Among Black Men in a Faith-Based Setting 6
1. Assess the organizational capacity and context of a
sample of NBCUSA, Inc. churches for conducting HTN
related, faith-based interventions.
• What do NBCUSA, Inc. church leaders perceive are
necessary church resources to be ready to conduct an
intervention that addresses HTN health among young
Black men age 50 and under?
2. Gather feedback from young Black men on how to
implement evidence based approaches to address
HTN.
• What factors do young Black men age 50 and under
believe it would take to successfully design and
implement a faith-based intervention to address HTN for
men of their age?
NIH U54MD008620

7. Methods – Study Design
Understanding Hypertension Among Black Men in a Faith-Based Setting 7
• Two Project Sites
• Charlotte, NC
• Huntsville, AL
• Mixed Methods Design
• Focus group survey
• Demographics
• General health status
• Family history of hypertension
• Clinical measures
• Blood pressure
• Height and weight
• Qualitative methods
• Key informant interviews (Aim 1)
• Focus groups (Aim 2)
NIH U54MD008620

8. Methods - Participants
Understanding Hypertension Among Black Men in a Faith-Based Setting 8
Key Informant Interviews
• Individuals identified by senior pastoral
leadership (Rev. Drs. Scruggs and
Jones)
• Leaders in NBCUSA, Inc. churches
• Influential in the church and community
• Live or work in the community
• Can be male or female
• Total of 24-30 key informants
• 12-15 individuals at each project site
• Approximately 45-60 minute call
• Questions on factors within the church that
can influence implementation of HTN
prevention programs
• Compensation: $25 gift card
Focus Groups
• Black men ages 18-50 years of age in the
project area
• 4 group-specific sessions at each
project site
• 2 – Men 18-34 years with HTN OR family
history of HTN
• 1 – Men 35-50 years with history of HTN
• 1 – Men 35-50 years without HTN but family
history of HTN
• Each session will have 6-8 participants
• Total of 48-60 men total across the two
project sites
• Approximately 60-75 minutes for each
session, held at the project site
• Demographic and health history survey
• BP, height, and weight
• Questions about HTN, health behaviors, faith
• Card sorting to rank intervention ideas
• Compensation: $20 gift card
NIH U54MD008620

9. Project Update and Next Steps
Understanding Hypertension Among Black Men in a Faith-Based Setting 9
• Project Update
• Protocol development completed 2015
• Kick-Off Meetings Started FEB2016
• 02FEB – Charlotte, NC (attendance: n~200)
• 11MAR – Huntsville, AL (attendance: n~60-70)
• Key Information Interviews – calls in progress
• ~ 30 in the recruitment pool
• 1 completed interview, 1 scheduled (as of 3/16/2016)
• Focus groups – recruitment in progress for dates in APR2016
• Next Steps
• Continue recruitment and screening efforts
• Key informant interviews – modify from 45-60-minute to 25-30-
minute calls; include direct pastoral support
• Focus groups – aim for 2 focus groups per site; include support
for project from men who agree to participate and men >50
• Complete data collection by MAY2016
• Interviews by mid-April
• Focus groups by end of May
• Preliminary analysis in May-June
NIH U54MD008620