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    A Teaching Kitchen Medical Groups Visit with an eHealth Platform for Hypertension and Cardiac Risk Factors: A Qualitative Feasibility Study

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    Authors
    Rohela, Pallavi
    Olendzki, Barbara C.
    McGonigal, Lisa J.
    Villa, Ariel
    Gardiner, Paula
    UMass Chan Affiliations
    Center for Integrated Primary Care
    Department of Population and Quantitative Health Sciences
    Department of Family Medicine and Community Health
    Document Type
    Journal Article
    Publication Date
    2021-11-01
    Keywords
    hypertension
    low socioeconomic status
    medical group visit
    mindfulness
    teaching kitchen
    technology
    Alternative and Complementary Medicine
    Cardiovascular Diseases
    Dietetics and Clinical Nutrition
    Health Information Technology
    Health Services Administration
    Public Health Education and Promotion
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    Link to Full Text
    https://doi.org/10.1089/acm.2021.0148
    Abstract
    Introduction: Our Whole Lives-Hypertension (OWL-H) is an eHealth toolkit for hypertension and cardiac risks factors. It is a hybrid online self-management platform that teaches blood pressure (BP) self-monitoring and evidence-based lifestyle modifications combined with in-person teaching kitchen medical group visit. Qualitative feedback from participants regarding the facilitators and barriers of using OWL-H has been discussed in this article. Methods: The OWL-H platform was pilot tested in a pre-post trial with two cohorts of participants with hypertension (N = 24). The online intervention utilized OWL-H for teaching mindfulness meditation, the Dietary Approaches to Stop Hypertension nutrition plan, and evidence-based strategies for lifestyle modifications. Three in-person teaching kitchen medical group visits were held to demonstrate cooking skills to reinforce the online platform. Semi-structured focus group discussions (FGDs) were held after the intervention. Results: Fourteen of the 24 participants in the trial participated in the FGDs, and 1 participant provided feedback in a solo interview. Major themes that emerged included: (1) participants' request to tailor OWL-H's recipes and meal planning to suit their own dietary needs or preferences, to personalize the Home Practices (e.g., meditation) according to individual preferences (e.g., addition of nature sounds or guided visual imagery); (2) the strengths and weaknesses of OWL-H as a BP self-monitoring tool; (3) the need for community support in managing BP; and (4) participants noted lack of time, work and commute, Internet connectivity, stress, and sickness as obstacles in using OWL-H. Participants described feeling outpaced by the growth of technology and raised concerns of poor Internet connectivity hampering their use of OWL-H. Conclusion: OWL-H and the accompanying teaching kitchen medical group visit are potential tools to help reduce hypertension and cardiac risk factors. The intervention was found to have acceptability among people with lower income. Clinical Trials Registration#: NCT03974334.
    Source

    Rohela P, Olendzki B, McGonigal LJ, Villa A, Gardiner P. A Teaching Kitchen Medical Groups Visit with an eHealth Platform for Hypertension and Cardiac Risk Factors: A Qualitative Feasibility Study. J Altern Complement Med. 2021 Nov;27(11):974-983. doi: 10.1089/acm.2021.0148. Epub 2021 Aug 5. PMID: 34357790. Link to article on publisher's site

    DOI
    10.1089/acm.2021.0148
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/29942
    PubMed ID
    34357790
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1089/acm.2021.0148
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    UMass Chan Faculty and Researcher Publications
    Population and Quantitative Health Sciences Publications
    Center for Integrated Primary Care Publications

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