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Translating the Dietary Approaches to Stop Hypertension ( DASH ) diet for use in underresourced , urban African American communities , 2010 . INTRODUCTION Randomized trials have demonstrated the effectiveness of the Dietary Approaches to Stop Hypertension ( DASH ) program for lowering blood pressure ; however , program participation has been limited in some populations . The objective of this pilot study was to test the feasibility of using a culturally modified version of DASH among African Americans in an underresourced community . METHODS This randomized controlled pilot study recruited African Americans in 2 North Carolina neighborhoods who had high blood pressure and used fewer than 3 antihypertension medications . We offered 2 individual and 9 group DASH sessions to intervention participants and 1 individual session and printed DASH educational materials to control participants . We collected data at baseline ( March 2010 ) and 12 weeks ( June 2010 ) . RESULTS Of 152 potential participants , 25 were randomly assigned to either the intervention ( n = 14 ) or the control ( n = 11 ) group ; 22 were women , and 21 were educated beyond high school . At baseline , mean blood pressure was 130/78 mm Hg ; 19 participants used antihypertension medications , and mean body mass index was 35.9 kg/m ( 2 ) . Intervention participants attended 7 of 9 group sessions on average . After 12 weeks , we observed significant increases in fruit and vegetable consumption and increases in participants ' confidence in their ability to reduce salt and fat consumption and eat healthier snacks in intervention compared with control participants . We found no significant decreases in blood pressure . CONCLUSION Implementation of a culturally modified , community-based DASH intervention was feasible in our small sample of African Americans , which included people being treated for high blood pressure . Future studies should evaluate the long-term effect of this program in a larger sample .
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Intervention_Pharmacological
Dietary Approaches to Stop Hypertension ( DASH ) diet
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Intervention_Pharmacological
Dietary Approaches to Stop Hypertension ( DASH )
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Intervention_Pharmacological
DASH
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Intervention_Educational
individual
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Intervention_Physical
group DASH sessions
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Intervention_Educational
1 individual session and printed DASH educational materials to control participants
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Intervention_Educational
intervention
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Intervention_Control
control
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Intervention_Educational
community-based DASH intervention
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Outcome_Physical
blood pressure ;
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Outcome_Mental
fruit and vegetable consumption
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Outcome_Mental
participants ' confidence in their ability to reduce salt and fat consumption and eat healthier snacks
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Outcome_Physical
blood pressure .
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Participant_Condition
underresourced , urban African American communities , 2010 .
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Participant_Condition
African Americans in an underresourced community .