Using Stories to Address Disparities in Hypertension

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01276197
Recruitment Status : Completed
First Posted : January 13, 2011
Results First Posted : September 30, 2016
Last Update Posted : December 2, 2016
Information provided by (Responsible Party):
VA Office of Research and Development

January 11, 2011
January 13, 2011
June 16, 2016
September 30, 2016
December 2, 2016
January 2013
May 2015   (Final data collection date for primary outcome measure)
  • Systolic BP at Follow-up [ Time Frame: 6 months after intervention ]
    Systolic Bp measurement at 6-month follow-up; we modeled the impact of Intervention assignment on SBP, adjusting for Baseline. Thus, baseline SBP was collected but not used as outcome; Baseline SBP us used as a covariate.
  • Diastolic BP Measurement at Follow-up [ Time Frame: 6-month following intervention ]
    Participants BP measurement at 6-month follow-up
control of blood pressure [ Time Frame: 6 months after intervention ]
Complete list of historical versions of study NCT01276197 on Archive Site
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Using Stories to Address Disparities in Hypertension
Using Stories to Address Disparities in Hypertension
The purpose of this study is to determine if patients with high blood pressure are better able to control their blood pressure after watching a DVD about blood pressure.

This project consists of two phases: (1) Collecting of stories and creating a stories DVD; and (2) delivering the DVD in a randomized control trial (RCT). Both phases are described below.

The investigators will make two DVDs of African-American Veterans who will tell their success stories with controlling hypertension (HTN). The investigators want to help African-American Veterans control their hypertension by showing them stories that are interesting and that they can identify with, as well as giving them information about ways they can manage hypertension in their everyday lives. This is important because a disproportionate number of minority patients, including Veterans, have poorly controlled blood pressure. By showing them stories, rather than using more traditional methods of health education, the investigators hope to overcome some typical barriers to HTN control among the African-American population, including: lower levels of health literacy and numeracy, less trust in the medical system, and different (non-medical) models to explain their illness.

The Veteran storytellers will come from three VA sites (Charleston, Chicago, and Philadelphia) and their stories will be chosen based on (1) the proven effectiveness of the strategies they suggest for controlling BP and (2) how authentic they are, or how much they will "ring true" with the experiences of other Veterans, including their struggles and lessons learned.

After the DVD is complete, the investigators will conduct a randomized control trial to evaluate how effective it is in helping vets control their hypertension: 780 African-American vets with uncontrolled hypertension, from the same three VA sites, will participate. Half of them will watch the "Stories" DVD the investigators created; and the other half will watch a control, a DVD with the same medical information but without the narrative component. The investigators will measure their blood pressure (BP) just before they watch the DVD and again six months later. The investigators hypothesize that, six months after enrollment, the Veterans who watched the "Stories" DVD will have greater reduction in BP, as compared with those who watch the control. The investigators will also test the "Stories" DVD's impact on medication adherence and HTN management behaviors.

Not Applicable
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Health Services Research
  • Other: Story-Telling DVD
    DVD will contain both informational and story-telling components.
  • Other: Non-Storytelling DVD
    DVD will contain only informational component.
  • Experimental: Arm 1: Story-Telling DVD
    Participant will receive a DVD with informational and story-telling components
    Intervention: Other: Story-Telling DVD
  • Active Comparator: Arm 2: Non-Storytelling DVD
    Participant will receive an informational DVD
    Intervention: Other: Non-Storytelling DVD

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
January 2016
May 2015   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • African-American
  • Diagnosis of HTN
  • Uncontrolled BP as defined by BP >140/90 twice in the preceding 12 months

Exclusion Criteria:

  • active substance abuse
  • severe mental illness
  • cognitive disabilities that might prevent them from actively or reliably participating in the interviews
Sexes Eligible for Study: All
19 Years and older   (Adult, Older Adult)
Contact information is only displayed when the study is recruiting subjects
United States
IIR 10-132
Not Provided
Plan to Share IPD: Yes
Plan Description: We plan to report on our primary outcome
VA Office of Research and Development
VA Office of Research and Development
Not Provided
Principal Investigator: Thomas K Houston, MD MPH Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA
VA Office of Research and Development
October 2016

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP