“iAlegrate!”—A culturally adapted positive psychological intervention for Hispanics/Latinos with hypertension: Rationale, design, and methods

Q: What is the clinical evidence from this study?

Study design: RCT. Population: Hypertension (n=126). Intervention: ¡Alégrate! positive psychological intervention vs. Wait-list control. Primary outcome: Improvement in sitting and 24-hour ambulatory blood pressure at 8 and 12 weeks.

Rosalba Hernández; Martha L. Daviglus; Lizet Martinez; Ramón Durazo-Arvizú; Jeff C. Huffman; Ferney Ramirez; Lisett G. Tito; Judith T. Moskowitz

doi:10.1016/j.conctc.2019.100348

March 14, 2019Contemporary Clinical Trials CommunicationsOpen Access

“iAlegrate!”—A culturally adapted positive psychological intervention for Hispanics/Latinos with hypertension: Rationale, design, and methods

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Key result

The ¡Alégrate! trial is a planned cluster-randomized study designed to evaluate whether an 8-week culturally adapted positive psychological intervention improves blood pressure in 126 Hispanic/Latino adults with hypertension.

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Study Design

Type

RCT (n=126)

Blinding

Open-label

Randomization

Cluster randomization

Multicenter

Yes

PICO

P

Population

A planned cluster-randomized Phase II trial of 126 Hispanic/Latino adults with elevated blood pressure (≥140/90 mmHg) to evaluate an 8-week culturally adapted positive psychological intervention.

I

Intervention / Comparator

¡Alégrate! positive psychological intervention vs Wait-list control (8 weekly 90-120 minute sessions)

O

Primary Outcome

Improvement in sitting and 24-hour ambulatory blood pressure at 8 and 12 weeks

Limitations

Setting limited to the Chicagoland area, which may limit generalizability to other Hispanic/Latino populations.
Wait-list control arm may not adequately adjust for effects derived from social support and in-person contact.
Cluster-randomization may lead to significant baseline differences between treatment and control arms.
Potential recruitment and retention challenges in an underserved community with hypertension.
Potential selective enrollment bias based on baseline levels of psychological well-being.

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Implication

Does not yet support positive psychological interventions for hypertension in Hispanics; leaves open whether culturally adapted programs improve BP.

Abstract

" arm at follow up compared to the wait-list control group.

Discussion

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Cite This Study

Hernández et al. (2019) conducted an RCT in Hypertension (n=126). ¡Alégrate! positive psychological intervention vs. Wait-list control was evaluated on Improvement in sitting and 24-hour ambulatory blood pressure at 8 and 12 weeks. The ¡Alégrate! trial is a planned cluster-randomized study designed to evaluate whether an 8-week culturally adapted positive psychological intervention improves blood pressure in 126 Hispanic/Latino adults with hypertension.

synapsesocial.com/papers/6a1ede5699b676b6b9af630d https://doi.org/10.1016/j.conctc.2019.100348

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“iAlegrate!”—A culturally adapted positive psychological intervention for Hispanics/Latinos with hypertension: Rationale, design, and methods

Figures

Study Design

PICO

Limitations

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Implication

Abstract

Discussion

Cite This Study

“iAlegrate!”—A culturally adapted positive psychological intervention for Hispanics/Latinos with hypertension: Rationale, design, and methods

Figures

Study Design

PICO

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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