Stevens, SEM as it collaborates with community-

                      Stevens, V. J., Obarzanek, E.,Cook, N. R., Lee, I., Appel, L.

J., West, D. S.

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, . . . Cohen, J. (2001, January 02). Long-Term Weight Loss and Changesin Blood Pressure: Results of the       Trialsof 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. Disease Control (CDC). High Blood Pressure.

(2017, November 13). Retrieved        January 21, 2018, from Trials of HypertensionPrevention (TOHP). (2006, January 3). Retrieved January 21,      2018, from https://biolincc. ListWe suggested two interventions that targeteddifferent levels of SEM model. The first intervention focused on the individualand the interpersonal level which sought to change individual’s behavior alongwith the help of support groups. The second intervention targeted broaderaudiences to raise awareness of hypertension. This shows how SEM serves as aframework when formulating an intervention plan.

With this in mind, we mustconsider Socio-economic factors when coming up with hypertension interventionfor Holmes County, Mississippi.Coordinated by the National Health, Lung, andBlood Institute (NHLBI) of the National Institute of Health, the National HighBlood Pressure Education Program (NHBPEP) was a community intervention thattargeted the public. With the help of mass media efforts and cooperation from federalagencies and community groups, NHBPEP raised hypertension awareness andformulated guidelines and recommendations about detection, evaluation, andtreatment of high blood pressure for clinicians and community organizations.Through such programs of professional, patient, and public education, thisintervention aimed to “reduce death and disability related to high bloodpressure” (IOM, 2010). NHBPEP targets the community level of SEM as itcollaborates with community- level institutions to facilitate change individualbehaviors. Centers for Disease Control (2016) reportsthat if hypertension is left untreated, individuals are at risk for heartdisease and stroke, “which are the leading cause of death in the United States.

” In this report, we will discuss how toimplement intervention and its impact on the three of the four levels of thesocial ecological model (individual, interpersonal and community).                                                                                                                                       Theintervention performed by the Trials of Hypertension Prevention Research Group(1997) targeted moderately overweight men and women, ages 30 to 54, with a high-normallevel of diastolic blood pressure. The goal of this intervention was to reduceblood pressure through sodium intake reduction and weight loss. Additionally, 3-year program of group meetings and individual counseling focused on dietarychange, physical activity, and social support was provided to help participantsachieve their desired goals (Stevens et al., 2001). The study concluded thatthese changes in individual’s diet and behavior “were effective in loweringsystolic and diastolic BP” (NHLBI, 2006). This intervention targets bothindividual and relationship level of SEM because it seeks to changeindividual’s behaviors while individuals actively interact and receive helpfrom the support groups.

            Hypertension, or high bloodpressure, is a major health risk factor that exists in the U.S. According tothe data from the Institution for Health Metrics and Evaluation (2016), the prevalenceof 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 ofhypertension among males in Holmes County is higher than both the state and thenational prevalence rate. These differences may be explained by the county’s incomelevel and demographics as areas with low income tend to have limited access tomedical cares and high-quality food.Hypertension Intervention16January 2018SPH380 A, ABSeongGwang Ju


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