Polyak, Liliya. Culturally tailored intervention to improve self-efficacy and blood pressure control in Russian-speaking older adults with hypertension. Retrieved from https://doi.org/doi:10.7282/t3-5kmq-yc44
DescriptionPurpose of Project: Hypertension (HTN) is a condition that necessitates self-management skills and behaviors which are often difficult to build and sustain. Many Russian speaking older adults are lacking the essential knowledge needed to manage their blood pressure; therefore, a great focus should be paid to the health literacy of citizens. The purpose of this project was to develop a culturally tailored educational intervention to enhance self-efficacy with the goal to attain blood pressure control, thus reducing the risk of HTN-related health complications in the geriatric Russian-speaking population living in New Jersey.
Methodology: Descriptive statistics were used to describe the sample of participants. Analytical statistics were used to determine the efficacy of the project intervention. Parametric paired t-test was used to compare means of SBP and DBP pre and post intervention, as well as to compare self-efficacy scores.
Results: Ten patients participated in this project. The participants included 6 females and 4 males. Majority of the participants were 71-89 years of age, had a prolonged history of HTN (more than 10 years) and are currently treated with 2 or more antihypertensive medications. The study demonstrated that the 3 individualized educational sessions of older adults resulted in statistically significant improvement in systolic blood pressure, and self-efficacy. The decrease in diastolic blood pressure was not statistically significant.
Implications for Practice: This project demonstrated the importance of education in controlling systolic blood pressure and improvement in self-efficacy leading to a reduction in HTN-related morbidity and mortality in Russian speaking older adults.