Date of Graduation

Fall 12-17-2021

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Population Health Leadership

First Advisor

Dr. Francine Serafin-Dickson

Second Advisor

Dr. Marilyn Knighten


Providing Hypertension Education for African Immigrants at a Southern California Congregation During the COVID-19 Pandemic


Background: Hypertension (HTN) is one of the major risk factors for cardiovascular disease and the prevalence is highest among African Americans (AAs) (American Heart Association, 2017). The difference in the management and outcomes of HTN between African Americans and Whites is most disparate with lack of education being a major contributor to uncontrolled HTN among African Americans, especially among African Immigrants (Lackland, 2014).

Problem: According to church leadership at the project setting, the majority of their adult African Immigrant population is believed to have hypertension, and a few have developed complications of hypertension, such as stroke and kidney disease.

Methods: Pre- and post-intervention surveys were used to assess and evaluate HTN knowledge and blood pressure. Analysis was done utilizing Statistical Package for Social Sciences (SPSS) Version 24 and Excel Spreadsheet.

Interventions: Hypertension education incorporated as storytelling was used in the delivery of the education by providing an educational toolkit. Pre- and post-intervention surveys and blood pressure checks were utilized for assessment and evaluation respectively.

Results: Participants reported increased HTN knowledge by 68.2% after the educational intervention. The mean Systolic Blood Pressure (BP) decreased from 146.05 to 140.41 (3.86%) while the mean Diastolic BP decreased from 89.45 to 82.55 (7.71%) at five months post intervention.

Conclusions: Findings demonstrated the importance of evidence-based HTN education among African Americans, especially African Immigrants in a culturally appropriate setting like a church.

Keywords: African Americans, Education, Hypertension, Immigrants

Included in

Nursing Commons