Decision-making Related to Prescribed Recommendations for Hypertension: Older Slavic Immigrant Women
American Academy of Nursing/BAGNC
7/1/2011 – 6/30/2014
The ethnic minority landscape in the United States is continuing to change rapidly. One of the fastest growing immigrant groups since 1991 has been those from the former Soviet Union (FSU). Slavic immigrants have low educational backgrounds, are not fluent in the English language, rely heavily on public assistance, lack trust in healthcare providers and have multiple chronic conditions such as high blood pressure, high cholesterol and diabetes. To be effective in managing a chronic condition, adherence to prescribed recommendations such as medication regimens and lifestyle modifications (e.g., diet and physical activity) are required. The purpose of this study is to explore decision-making by older Slavic women regarding their adherence to prescribed recommendations for managing hypertension. This study will use qualitative descriptive methodology to seek participant perspectives about decision-making related to hypertension. Using convenience and snowball sampling approximately 15-20 interviews will be conducted. Interviews will use open-ended questions such as “how do you take care of your high blood pressure?” and “what recommendations have you been given by your doctor?”. These questions will be followed/guided by additional open-ended interview probes which may include (a) “tell me about what helps and/or doesn’t help with following prescribed recommendations to treat your high blood pressure”, (b) “what decisions have you made about following or not following prescribed recommendations for your high blood pressure?”, and (c) “what remedies do you use to take care of your high blood pressure?” Following prescribed recommendations for managing of chronic conditions, such as hypertension, is critical to improving health outcomes for older adults. The ability to take medications regularly, increase physical activity and make dietary changes as prescribed are important health behaviors and can prevent the onset of more serious disease The data collected and analyzed from this qualitative descriptive study will guide the design of culturally sensitive interventions that can be pilot tested with older Slavic immigrant women.
Catherine Van Son, PhD