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• W4383621290 abstract "Objective Hypertension (HTN) represents a primary risk factor for cardiovascular complications and cognitive decline among older adults. DASH-Plus (Dietary Approaches to Stop Hypertension diet with exercise and HTN self-care skills) aims to build a sustainable, community-based HTN management program for hypertensive older adults by combining research, extension and educational activities. This abstract reports the findings of baseline data and intervention implementation. Description Using a quasi-experimental design, 14 senior centers were recruited in seven Maryland counties. The intervention includes an eight-week DASH-plus education, weekly produce delivery for 24 weeks, and self-measured blood pressure (BP) monitoring. A HTN recipe booklet tailored to the nutritional needs of older adults was developed by dietetic students through a formal classroom setting. Implementation of the DASH-plus program was tracked through participant attendance and produce pick-up logs and participant interviews. Measures included BP, self-care behaviors, diet quality, health literacy, etc. Evaluation A total of 187 older adults participated in the program. The average participant age was 74.2±7.7. A majority (88.2%) were female, 52.9% were White, 84.3% were overweight /obese and 96.8% took anti-hypertensive medication. Average systolic and diastolic BP were 138.3±20.5 and 79.1±11.2, respectively. The average medication adherence score was 10.9±1.5 (range 4-12) and only 28.3% had an adequate health literacy level. In our sample, 32.2% of the participants had controlled BP (defined as ≤130/≤80mmHg). There were no statistically significant differences in overall dietary quality scores between the two groups at baseline; however, a slight trend of self-reported diet aligns more closely with the DASH diet recommendations in the controlled BP group. Conclusions and Implications The second of this three-year project included recruitment of senior centers, hypertensive older adults, data collection at baseline, eight weeks and 24 weeks, and intervention implementation. In the third year, the delayed intervention will be prepared and implemented. Funding Year 2021-68015-33435 Funding Acknowledgement This work is supported by the USDA National Institute of Food and Agriculture. Hypertension (HTN) represents a primary risk factor for cardiovascular complications and cognitive decline among older adults. DASH-Plus (Dietary Approaches to Stop Hypertension diet with exercise and HTN self-care skills) aims to build a sustainable, community-based HTN management program for hypertensive older adults by combining research, extension and educational activities. This abstract reports the findings of baseline data and intervention implementation. Using a quasi-experimental design, 14 senior centers were recruited in seven Maryland counties. The intervention includes an eight-week DASH-plus education, weekly produce delivery for 24 weeks, and self-measured blood pressure (BP) monitoring. A HTN recipe booklet tailored to the nutritional needs of older adults was developed by dietetic students through a formal classroom setting. Implementation of the DASH-plus program was tracked through participant attendance and produce pick-up logs and participant interviews. Measures included BP, self-care behaviors, diet quality, health literacy, etc. A total of 187 older adults participated in the program. The average participant age was 74.2±7.7. A majority (88.2%) were female, 52.9% were White, 84.3% were overweight /obese and 96.8% took anti-hypertensive medication. Average systolic and diastolic BP were 138.3±20.5 and 79.1±11.2, respectively. The average medication adherence score was 10.9±1.5 (range 4-12) and only 28.3% had an adequate health literacy level. In our sample, 32.2% of the participants had controlled BP (defined as ≤130/≤80mmHg). There were no statistically significant differences in overall dietary quality scores between the two groups at baseline; however, a slight trend of self-reported diet aligns more closely with the DASH diet recommendations in the controlled BP group. The second of this three-year project included recruitment of senior centers, hypertensive older adults, data collection at baseline, eight weeks and 24 weeks, and intervention implementation. In the third year, the delayed intervention will be prepared and implemented." @default.
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• W4383621290 date "2023-07-01" @default.
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• W4383621290 title "Implementing an Integrated Hypertension Management Program for Community Dwelling Older Adults Through Extension" @default.
• W4383621290 doi "https://doi.org/10.1016/j.jneb.2023.05.233" @default.
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