DNP PROJECT : DATA COLLECTION AND ANALYSIS
Implementation Plan/Procedures
Phase 1: Program Development (Months 1-3)
Conduct comprehensive literature review on evidence-based practices for culturally tailored hypertension self-management
Collaborate with community stakeholders and minority health organizations to understand sociocultural determinants and barriers
Design culturally relevant, linguistically appropriate education curriculum with interactive multimedia resources
Recruit and train a diverse team of bilingual, culturally competent nurses and community health workers
Phase 2: Participant Recruitment (Month 4)
Establish partnerships with community organizations, faith-based institutions, and healthcare providers serving minorities
Conduct informational sessions to raise awareness about the program
Screen and enroll 300-400 minority adults with hypertension residing in Tulsa
Obtain informed consent and administer baseline assessments (blood pressure, SF-36 survey)
Phase 3: Program Implementation (Months 5-7)
Week 1: Introduction to hypertension and importance of self-management
Weeks 2-3: Skills training (BP monitoring, medication adherence, dietary education, cooking demos)
Week 4: Physical activity promotion and goal-setting
Week 5: Mid-program BP reassessment and progress evaluation
Week 6: Motivational interviewing and behavior change techniques
Week 7: Stress management and emotional well-being
Weeks 8-9: Connecting with community resources, peer support groups
Week 10: Post-intervention assessments, program evaluation
Phase 4: Data Analysis and Dissemination (Months 8-12)
Analyze quantitative data (e.g., blood pressure, SF-36 scores)
Conduct qualitative analysis of program feedback
Prepare results for publication and conference presentations
Develop plan for program refinement and broader dissemination
Project Management
Biweekly team meetings to coordinate activities
Ensure adherence to protocols and regulatory compliance
Ongoing input from community advisory board
Leverage nursing leadership and community health workers
Taken together, the above-described implementation plan will deliver a culturally tailored, multi-component intervention with a focus on skills building, behavior change, and community engagement that will help improve hypertension control and quality of life for minority populations in Tulsa.
Data Collection Procedures
This project will collect both quantitative and qualitative data to evaluate the effectiveness of the culturally tailored hypertension self-management education program for minority populations in Tulsa, Oklahoma.
Quantitative Data
The primary quantitative data collected will include blood pressure measurements (continuous data) and resting blood pressure readings which will be obtained at three time points: baseline, mid-point (6 weeks), and post-intervention (12 weeks). Measurements will be taken by trained research staff using validated automatic blood pressure monitors and standardized protocols. Three readings will be obtained at each session, with the average used for analysis.
36-Item...
In addition, brief semi-structured qualitative interviews or focus groups will be conducted after program completion to obtain participant feedback and experiences, which will be audio-recorded, transcribed verbatim, and analyzed using standard thematic analysis methods. In addition, as noted previously, permission to use this proprietary instrument will be obtained from the current copyright holder and included as an appendix to the final study.
Instrument Reliability and Validity
The SF-36 has well-established reliability and validity across numerous studies and populations. Likewise, the validity of the instrument has been demonstrated through strong correlation with other validated health status measures as well as expected relationships with factors like age, disease burden, and clinical indicators, supporting its construct validity (Wu et al., 2023). Extensive psychometric evaluation data supporting the SF-36s reliability and validity across diverse racial/ethnic groups will be included as an appendix, along with a copy of the full survey instrument and standardized instructions that will be provided to participants.
Ethics ad Human Subjects Protection
The study protocol will be reviewed and approved by an institutional review board before implementation to ensure ethical standards are upheld. All participants will provide informed consent after the study procedures, risks/benefits, and privacy protections are thoroughly explained. Data will be collected and stored using de-identified study codes to maintain confidentiality. Any identifiable information linked to coded data will be kept secure and separate. All staff involved will complete human subjects research and HIPAA privacy training. Likewise, for long-term data protection, de-identified electronic data files will be stored on encrypted, password-protected servers with restricted access only for authorized study personnel. Finally, any physical documents containing identifiable information will be kept in locked cabinets and scanned for long-term secure electronic storage after the requisite 5- to 7-year retention period (HIPAA Retention…
