Results from the Trial Using Motivational Interviewing, Positive Affect, and Self-Affirmation in African Americans with Hypertension (TRIUMPH)
Open accessAbstract
Objective: Our objective was to determine the the effectiveness in combining positive affect and self-affirmation strategies with motivational interviewing in improving blood pressure control among hypertensive African Americans compared with AA hypertensives in an education-only control group. Design: Randomized trial. Setting: Ambulatory practices in the South Bronx and Harlem, New York City. Participants: African American adults with uncontrolled hypertension. Interventions: Participants were randomized to a positive affect and self-affirmation intervention or an education control group. The positive affect and self-affirmation intervention involved having participants think about things that made them happy and that reminded them of their core values on a daily basis. These strategies were reinforced every two months through motivational interviewing. The control arm received a workbook of strategies on blood pressure control. All participants were called every two months for one year. Main outcomes: Blood pressure control rate. Results: A total of 238 participants were randomized. The average age was 56+ 11, approximately 70% were female, 80% were not married, and up to 70% completed high school. There was no difference in control rates between the intervention and the control group. However, at one year, female participants were more likely to be controlled. Participants with high depressive symptoms or high perceived stress at baseline were less likely to be controlled. Conclusions: While this study did not demonstrate an intervention effect, it does provide important insight into the psychosocial factors that may underlie blood pressure control in African Americans. Implications for future behavioral intervention trials are discussed. Ethn Dis. 2016;26(1):51-60; doi:10.18865/ed.26.1.51
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Interventions that explicitly target positive emotion show promise for improving health outcomes in a number of chronic illnesses.
“Interventions that explicitly target positive emotion show promise for improving health outcomes in a number of chronic illnesses, including diabetes [16,17], heart disease [18,19], hypertension [20,21], depression [22,23], and HIV [24].”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987) · Journal of Chronic Diseases · doi:10.1016/0021-9681(87)90171-8 · Cited by 49,742 · see citing works
Self-citationA Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807 · see citing works
Development and validation of brief measures of positive and negative affect: The PANAS scales.
Watson, D., Clark, L. A., & Tellegen, A. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.6.1063 · Cited by 32,433 · see citing works
Toprak, Ö., Kurt, H., Sarı, Y., Şarkış, C., Us, H., & Kırık, A. (2017) · Kidney & Blood Pressure Research · doi:10.1159/000468530 · Cited by 29,769 · see citing works
Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo, J. L., Jones, D. W., Materson, B. J., Oparil, S., Wright, J. T., et al. (2003) · Hypertension · doi:10.1161/01.hyp.0000107251.49515.c2 · Cited by 13,271 · see citing works
James, P. A., Oparil, S., Carter, B. L., Cushman, W. C., Dennison-Himmelfarb, C., Handler, J., Lackland, D. T., LeFevre, M. L., MacKenzie, T. D., Ogedegbe, O., et al. (2014) · JAMA · doi:10.1001/jama.2013.284427 · Cited by 7,950 · see citing works
Health Promotion by Social Cognitive Means
Bandura, A. (2004) · Health Education & Behavior · doi:10.1177/1090198104263660 · Cited by 7,238 · see citing works
A threat in the air: How stereotypes shape intellectual identity and performance
Steele, C. M. (1997) · American Psychologist · doi:10.1037/0003-066x.52.6.613 · Cited by 6,770 · see citing works
Sherbourne, C. D., & Stewart, A. L. (1991) · Social Science & Medicine · doi:10.1016/0277-9536(91)90150-b · Cited by 6,643 · see citing works
Social support and patient adherence to medical treatment: a meta-analysis.
DiMatteo, M. R. (2004) · Health Psychology · doi:10.1037/0278-6133.23.2.207 · Cited by 2,107 · see citing works
Does positive affect influence health?
Pressman, S. D., & Cohen, S. (2005) · Psychological Bulletin · doi:10.1037/0033-2909.131.6.925 · Cited by 2,087 · see citing works
The use of the Center for Epidemiologic Studies Depression Scale in adolescents and young adults
Radloff, L. S. (1991) · Journal of Youth and Adolescence · doi:10.1007/bf01537606 · Cited by 1,997 · see citing works
Men and health help‐seeking behaviour: literature review
Galdas, P. M., Cheater, F., & Marshall, P. (2005) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2004.03331.x · Cited by 1,739 · see citing works
The Role of Self-Efficacy in Achieving Health Behavior Change
Strecher, V. J., DeVellis, B. M., Becker, M. H., & Rosenstock, I. M. (1986) · Health Education Quarterly · doi:10.1177/109019818601300108 · Cited by 1,621 · see citing works
Human blood pressure determination by sphygmomanometry.
Perloff, D., Grim, C. M., Flack, J. M., Frohlich, E. D., Hill, M. D., McDonald, M., & Morgenstern, B. Z. (1993) · Circulation · doi:10.1161/01.cir.88.5.2460 · Cited by 1,592 · see citing works
The influence of positive affect on the components of expectancy motivation.
Erez, A., & Isen, A. M. (2002) · Journal of Applied Psychology · doi:10.1037/0021-9010.87.6.1055 · Cited by 642 · see citing works
Experimental manipulations of self-affirmation: A systematic review
MCQueen, A., & Klein, W. M. P. (2006) · Self and Identity · doi:10.1080/15298860600805325 · Cited by 563 · see citing works
Management of High Blood Pressure in Blacks
Flack, J. M., Sica, D. A., Bakris, G. L., Brown, A. L., Ferdinand, K. C., Grimm, R. H., Hall, W. D., Jones, W. E., Kountz, D. S., Lea, J. P., et al. (2010) · Hypertension · doi:10.1161/hypertensionaha.110.152892 · Cited by 444 · see citing works
Krousel-Wood, M. A., Thomas, S., Muntner, P., & Morisky, D. E. (2004) · Current Opinion in Cardiology · doi:10.1097/01.hco.0000126978.03828.9e · Cited by 417 · see citing works
The cessation of rumination through self-affirmation.
Koole, S. L., Smeets, K., van Knippenberg, A., & Dijksterhuis, A. (1999) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.77.1.111 · Cited by 403 · see citing works
Noncompliance with antihypertensive medications
Wang, P. S., Bohn, R. L., Knight, E. L., Glynn, R. J., Mogun, H., & Avorn, J. (2002) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2002.00406.x · Cited by 373 · see citing works
Prevalence of hypertension and controlled hypertension - United States, 2005-2008.
Keenan, N. L., & Rosendorf, K. A. (2011) · PubMed · Cited by 295 · see citing works
(2012) · PubMed · Cited by 264 · see citing works
Ogedegbe, G. G., Mancuso, C. A., Allegrante, J. P., & Charlson, M. E. (2003) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(03)00053-2 · Cited by 236 · see citing works
Self-citationAntihypertensive Medication Adherence in the Department of Veterans Affairs
Siegel, D., Lopez, J., & Meier, J. L. (2007) · The American Journal of Medicine · doi:10.1016/j.amjmed.2006.06.028 · Cited by 227 · see citing works
A Practice-Based Trial of Motivational Interviewing and Adherence in Hypertensive African Americans
Ogedegbe, G. G., Chaplin, W. F., Schoenthaler, A., Statman, D., Berger, D. B., Richardson, T., Phillips, E. L., Spencer, J., & Allegrante, J. P. (2008) · American Journal of Hypertension · doi:10.1038/ajh.2008.240 · Cited by 201 · see citing works
Self-citationEnhanced cardiovascular and catecholamine responses in women with depressive symptoms
Light, K. C., Kothandapani, R. V., & Allen, M. T. (1998) · International Journal of Psychophysiology · doi:10.1016/s0167-8760(97)00093-7 · Cited by 189 · see citing works
Harris, P. R., & Epton, T. (2009) · Social and Personality Psychology Compass · doi:10.1111/j.1751-9004.2009.00233.x · Cited by 168 · see citing works
Depression increases the risk for uncontrolled hypertension.
Rubio-Guerra, A. F., Rodríguez-López, L., Vargas‐Ayala, G., Huerta-Ramírez, S., Castro-Serna, D., & Lozano-Nuevo, J. J. (2013) · Europe PMC (PubMed Central) · Cited by 158 · see citing works
Prevalence of hypertension and controlled hypertension - United States, 2007-2010.
Gillespie, C., & Hurvitz, K. (2013) · PubMed · Cited by 132 · see citing works
Validation of a new algorithm for the BPM-100 electronic oscillometric office blood pressure monitor
Wright, J. M., Mattu, G. S., Perry, T. L., Gelferc, M. E., Strange, K. D., Zorn, A., & Chen, Y. (2001) · Blood Pressure Monitoring · doi:10.1097/00126097-200106000-00008 · Cited by 114 · see citing works
Ogedegbe, G. G., Schoenthaler, A., Richardson, T., Lewis, L. M., BeLue, R., Espinosa, E., Spencer, J. K., Allegrante, J. P., & Charlson, M. E. (2006) · Contemporary Clinical Trials · doi:10.1016/j.cct.2006.04.002 · Cited by 80 · see citing works
Self-citationCharlson, M. E., Boutin‐Foster, C., Mancuso, C. A., Peterson, J. C., Ogedegbe, G. G., Briggs, W. M., Robbins, L. P., Isen, A. M., & Allegrante, J. P. (2007) · Contemporary Clinical Trials · doi:10.1016/j.cct.2007.03.002 · Cited by 77 · see citing works
Self-citationSchüz, N., Schüz, B., & Eid, M. (2013) · Health Psychology · doi:10.1037/a0029887 · Cited by 70 · see citing works
Boutin‐Foster, C. (2005) · Heart & Lung · doi:10.1016/j.hrtlng.2004.09.002 · Cited by 67 · see citing works
Self-citationCommunity‐Based Approaches to Prevention and Management of Hypertension and Cardiovascular Disease
Ferdinand, K. C., Patterson, K. P., Taylor, C., Fergus, I. V., Nasser, S. A., & Ferdinand, D. P. (2012) · Journal of Clinical Hypertension · doi:10.1111/j.1751-7176.2012.00622.x · Cited by 66 · see citing works
Perceived Discrimination and Medication Adherence in Black Hypertensive Patients
Forsyth, J. M., Schoenthaler, A., Chaplin, W. F., Ogedegbe, G. G., & Ravenell, J. E. (2014) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000043 · Cited by 60 · see citing works
Self-citationCharlson, M. E., Wells, M. T., Peterson, J. C., Boutin‐Foster, C., Ogedegbe, G. G., Mancuso, C. A., Hollenberg, J. P., Allegrante, J. P., Jobe, J. B., & Isen, A. M. (2013) · Translational Behavioral Medicine · doi:10.1007/s13142-013-0241-0 · Cited by 59 · see citing works
Self-citationIn spite of good intentions: patients' perspectives on problematic social support interactions
Boutin‐Foster, C. (2005) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-3-52 · Cited by 53 · see citing works
Self-citationDickson, V. V., McCarthy, M. M., & Katz, S. M. (2013) · PubMed · Cited by 30 · see citing works
Cené, C. W., Himmelfarb, C. D., Powell, W., Levine, D. M., Bone, L., & Hill, M. N. (2012) · Journal of Clinical Hypertension · doi:10.1111/jch.12056 · Cited by 25 · see citing works
Ravenell, J. E., Thompson, H. S., Cole, H. V. S., Plumhoff, J., Cobb, G., Afolabi, L., Boutin‐Foster, C., Wells, M. T., Scott, M., & Ogedegbe, G. G. (2013) · Trials · doi:10.1186/1745-6215-14-287 · Cited by 23 · see citing works
Self-citationOlomu, A. B., Gourineni, V., Huang, J. L. W., et al. (2013) · Journal of Clinical Hypertension · doi:10.1111/jch.12067 · Cited by 21 · see citing works
Boutin‐Foster, C., Scott, E., Rodriguez, A., Ramos, R., Kanna, B., Michelen, W., Charlson, M. E., & Ogedegbe, G. G. (2013) · Contemporary Clinical Trials · doi:10.1016/j.cct.2013.02.002 · Cited by 18 · see citing works
Self-citationDepression and its Relation with Uncontrolled Hypertension and Increased Cardiovascular Risk
Silva, E. O. D. A., & Todeschini, A. B. (2014) · Current Hypertension Reviews · doi:10.2174/157340211001141111144533 · Cited by 17 · see citing works
Boutin‐Foster, C., Ravenell, J. E., Greenfield, V. W., et al. (2009) · Patient Education and Counseling · doi:10.1016/j.pec.2009.03.008 · Cited by 14 · see citing works
Self-citationDevelopment and Validation of the Tangible, Informational, and Emotional Social Support Survey
Boutin‐Foster, C., & Alexander, J. (2006) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-200609000-00006 · Cited by 8 · see citing works
Self-citationAutomated blood pressure (BP) readings as a substitute for physician readings in outpatient settings
YACOUB, M. (2003) · American Journal of Hypertension · doi:10.1016/s0895-7061(03)00243-7
Flagged first, then by citations
Research works printed but not linked: 4
- [9]9. Milner W, Rollnick S. Motivational Interviewing. New York and London: Guilford Press; 2002. [Google Scholar]
- [14]14. Isen AM. Some Perspectives on Positive Affect and Self-Regulation. Psychol Inq. 2000;11(3):184-187. [Google Scholar]
- [21]21. Olson E, Van Wye G, Kerker B, Thorpe L, Frieden TR. NYC Community Health Profiles. Take Care Central Harlem. 2006;20(42):1-16. [Google Scholar]
- [29]29. Steele CM. A threat in the air. How stereotypes shape intellectual identity and performance. Am Psychol. 1997;52(6):613-629. 10.1037/0003-066X.52.6.613 [DOI] [PubMed] [Google Scholar] · DOI · Paper page
Cited by
Sorted by citations
Levine, G. N., Cohen, B. E., Commodore-Mensah, Y., Fleury, J., Huffman, J. C., Khalid, U., Labarthe, D. R., Lavretsky, H., Michos, E. D., Spatz, E. S., et al. (2021) · Circulation · doi:10.1161/cir.0000000000000947 · Cited by 865 · see citing works
Positive Affect and Health: What Do We Know and Where Next Should We Go?
Pressman, S. D., Jenkins, B. N., & Moskowitz, J. T. (2019) · Annual Review of Psychology · doi:10.1146/annurev-psych-010418-102955 · Cited by 452 · see citing works
Positive Psychological Well-Being and Cardiovascular Disease
Kubzansky, L. D., Huffman, J. C., Boehm, J. K., Hernandez, R., Kim, E. S., Koga, H. K., Feig, E. H., Lloyd-Jones, D. M., Seligman, M. E. P., & Labarthe, D. R. (2018) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2018.07.042 · Cited by 429 · see citing works
Greer, S., Ramo, D., Chang, Y.-J., Fu, M., Moskowitz, J., & Haritatos, J. (2019) · JMIR mHealth and uHealth · doi:10.2196/15018 · Cited by 265 · see citing works
Randomized controlled trial of a positive affect intervention for people newly diagnosed with HIV.
Moskowitz, J. T., Carrico, A. W., Duncan, L. G., Cohn, M. A., Cheung, E. O., Batchelder, A., Martinez, L., Segawa, E., Acree, M., & Folkman, S. (2017) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000188 · Cited by 220 · see citing works
Randomized controlled trial of a positive affect intervention for methamphetamine users
Carrico, A. W., Gόmez, W., Jain, J., Shoptaw, S., Discepola, M. V., Olem, D., Lagana-Jackson, J., Andrews, R., Neilands, T. B., Dilworth, S. E., et al. (2018) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2018.07.029 · Cited by 56 · see citing works
“Given growing evidence that positive affect has unique beneficial psychological and physical health effects, researchers have begun testing interventions that target positive affect and found emerging evidence of efficacy in various populations (Boutin-Foster et al., 2016; Cohn et al., 2014; Huffman et al., 2015; Mosk…”
BackgroundPsychosocial interventions for cancer survivors: a meta-analysis of effects on positive affect
Salsman, J. M., Pustejovsky, J. E., Schueller, S. M., Hernandez, R., Berendsen, M., McLouth, L. E. S., & Moskowitz, J. T. (2019) · Journal of Cancer Survivorship · doi:10.1007/s11764-019-00811-8 · Cited by 45 · see citing works
- Authors
- Boutin-Foster, C., Offidani, E., Kanna, B., Ogedegbe, G., Ravenell, J., Scott, E., Rodriguez, A., Ramos, R., Michelen, W., Gerber, L. M., & Charlson, M.
- Affiliations
- Cornell University (US)
- Lincoln Medical Center (US)
- NYU Langone Health (US)
- Weill Cornell Medicine (US)
- ORCID
- Venue
- Ethnicity & Disease
- Publisher
- Ethnicity and Disease Inc
- Published
- 2016-01-21
- Volume
- 26
- Issue
- 1
- Pages
- 51
- ISSN
- 1049-510X (ISSN-L)
- 1945-0826
- PMC
- PMC4738855
- OpenAlex
- W2300316606
- Cited by
- 41
- References
- 48
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 5 · 2023: 2 · 2022: 5 · 2021: 5 · 2020: 2 · 2019: 10 · 2018: 5 · 2017: 1
- FWCI
- 4.40
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Ethnicity & Disease (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Minority Health and Health Disparities (P60MD003421)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Keywords
- hypertension, blood pressure control, African Americans, motivational interviewing, positive affect, self-affirmation, psychosocial interventions, depressive symptoms, perceived stress, sex differences, behavioral interventions
- MeSH terms
- Adult, Black or African American, Blood Pressure, Female, Humans, Hypertension, Male, Middle Aged, New York City, Research Design, Health Behavior, Motivational Interviewing
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
