Document Type

DNP Project


School of Nursing

Date of Degree

Spring 2020


Doctor of Nursing Practice (DNP)

Primary Advisor

Quiping Pearl Zhou, PhD., RN; Mary-Michael Brown, DNP, RN, CENP


Background: Hypertension (HTN) is a major risk factor for life threatening events. Although evidence supports using faith-based settings to provide health education to better manage chronic conditions and prevent complications, HTN education is underutilized in this setting.

Aims/Objectives: This project aimed to assess the effectiveness of HTN education on knowledge, self-reported lifestyle behaviors and blood pressure (BP) management among parishioners in a suburban church.

Method: A pre-post educational intervention was used in this evidence-based project. BP screening identified 56 eligible adults and a convenience sample of 44 parishioners with HTN were enrolled. Participants received two 45-minutes educational sessions. Pre- and postintervention HTN knowledge scores and lifestyle behavior were compared using paired t-test. The differences in pre-, post-, and 2-week post-intervention systolic blood pressure (SBP) and diastolic blood pressure (DBP) were compared using a repeated measure ANOVA.

Results: 36 participants completed the study. There was an increase in HTN knowledge scores (9.31 to 13.6, p<0.001), increase in number of minutes participants exercised (123.23 minutes to 167.1 minutes, p=0.023), increase in number of participants watching their salt/sodium intake (57.6% to 84.8%, p=0.012), and decrease in SBP (139.11 mmHG to 132.4 mmHG, p=0.016). BP changes sustained to 2-weeks post intervention.

Conclusion: Providing HTN education in a faith-based setting is effective to favorably impact disease risk factors in the short term, fosters an environment of sustained support to engage parishioners, and can serve as a catalyst for spread into the community. Further study is recommended to evaluate longer term impact on disease management.

Open Access


Available for download on Friday, April 30, 2021

Included in

Nursing Commons