Stevens, SEM as it collaborates with community-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stevens, V. J., Obarzanek, E.,
Cook, N. R., Lee, I., Appel, L. J., West, D. S., . . . Cohen, J. (2001, January 02). Long-Term Weight Loss and Changes
in Blood Pressure: Results of the       Trials
of Hypertension Prevention, Phase II. Retrieved January 22, 2018, from             http://annals.org/aim/fullarticle/714088/long-term-weight-loss-changes-blood- pressure-

Institute of Medicine (US)
Committee on Public Health Priorities to Reduce and Control             Hypertension. (1970, January 01).
Interventions Directed at the General Population.     Retrieved January 21, 2018, from https://www.ncbi.nlm.nih.gov/books/NBK220088/

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Centers
for Disease Control (CDC). High Blood Pressure. (2017, November 13). Retrieved        January 21, 2018, from https://www.cdc.gov/bloodpressure/index.htm

BioLINCC: Trials of Hypertension
Prevention (TOHP). (2006, January 3). Retrieved January 21,      2018, from https://biolincc.nhlbi.nih.gov/studies/tohp/

Reference List

We suggested two interventions that targeted
different levels of SEM model. The first intervention focused on the individual
and the interpersonal level which sought to change individual’s behavior along
with the help of support groups. The second intervention targeted broader
audiences to raise awareness of hypertension. This shows how SEM serves as a
framework when formulating an intervention plan. With this in mind, we must
consider Socio-economic factors when coming up with hypertension intervention
for Holmes County, Mississippi.

Coordinated by the National Health, Lung, and
Blood Institute (NHLBI) of the National Institute of Health, the National High
Blood Pressure Education Program (NHBPEP) was a community intervention that
targeted the public. With the help of mass media efforts and cooperation from federal
agencies and community groups, NHBPEP raised hypertension awareness and
formulated guidelines and recommendations about detection, evaluation, and
treatment of high blood pressure for clinicians and community organizations.
Through such programs of professional, patient, and public education, this
intervention aimed to “reduce death and disability related to high blood
pressure” (IOM, 2010). NHBPEP targets the community level of SEM as it
collaborates with community- level institutions to facilitate change individual
behaviors.

Centers for Disease Control (2016) reports
that if hypertension is left untreated, individuals are at risk for heart
disease and stroke, “which are the leading cause of death in the United States.”
 In this report, we will discuss how to
implement intervention and its impact on the three of the four levels of the
social ecological model (individual, interpersonal and community).                                                                                                                                       The
intervention performed by the Trials of Hypertension Prevention Research Group
(1997) targeted moderately overweight men and women, ages 30 to 54, with a high-normal
level of diastolic blood pressure. The goal of this intervention was to reduce
blood pressure through sodium intake reduction and weight loss. Additionally, 3-
year program of group meetings and individual counseling focused on dietary
change, physical activity, and social support was provided to help participants
achieve their desired goals (Stevens et al., 2001). The study concluded that
these changes in individual’s diet and behavior “were effective in lowering
systolic and diastolic BP” (NHLBI, 2006). This intervention targets both
individual and relationship level of SEM because it seeks to change
individual’s behaviors while individuals actively interact and receive help
from the support groups.

            Hypertension, or high blood
pressure, is a major health risk factor that exists in the U.S. According to
the data from the Institution for Health Metrics and Evaluation (2016), the prevalence
of hypertension among males in Holmes County, Mississippi, 2009 was 54.43 %, 45.84
% in Mississippi State, and 38.49 % in the U.S. Overall, the prevalence of
hypertension among males in Holmes County is higher than both the state and the
national prevalence rate. These differences may be explained by the county’s income
level and demographics as areas with low income tend to have limited access to
medical cares and high-quality food.

Hypertension Intervention

16
January 2018

SPH
380 A, AB

Seong
Gwang Ju