Campbell, E'Loria Simon

Empowerment as a Hypertension Management Strategy for African American Women E'Loria Simon Campbell - Tyler, Tex University of Tyler at Texas 2011 - 124 pages

Dissertation (PhD) - University of Texas at Tyler, 2011.

Includes bibliographical references.

Successful health management strategies remain elusive for the 25 million African-
American (AA) women afflicted with high blood pressure. The purpose of this study was
to determine if a psychological empowerment coaching (PEC) intervention had an impact
on health promotion outcomes. The primary research strategy measured the impact of a
PEC intervention on health care empowerment, self-efficacy, intent to exercise, and
health outcomes among hypertensive AA women. Pender’s Revised Health Promotion
Model (Figure 1) served as the theoretical model for this quasi-experimental study
utilizing pretest-posttest measurement with subjects serving as their own controls. A
convenience sample of 35 hypertensive women from predominately-AA churches in rural
and urban Texas attended a one-time psychological empowerment coaching class on
hypertension management with a follow-up intervention session to reinforce positive
behaviors and collect post-test data. Findings demonstrate that a directed psychological intervention aimed at promoting the self-confidence and health knowledge of AA women increased their feeling of empowerment and their intent to manage the blood pressure in the future. Two articles derived from this study are included which describe a qualitative pre-study interview of AA women regarding perceptions of their hypertension which advised the main study. The second article is a report of the findings with recommendations for further research.


African American women
Hypertension in women
Empowerment
Self-efficacy