Comprehensive High Blood Pressure Care for 
Young Urban Black Men 
A Cross-disciplinary Program of Research, Patient Care and Teaching

• Investigators
• Background 
• Aims and Hypotheses
• Eligibility Criteria 
• Framework, Design, Methods, Variables
• Results  
• Study Publications 
• Home

Conceptual Framework

The ongoing and proposed research are guided by an eclectic conceptual framework that purposefully represents an integration of models, particularly the PRECEDE-PROCEED model (112) used in our prior work.. This approach integrates health education, behavioral change and maintenance principles, culturally sensitive strategies, social action, and social learning theory. It is essential that conceptual approaches to HBP control incorporate economic, psychosocial and behavioral factors individual lifestyles, self-management practices, and long-term adherence to treatment) in relevant ways. 

The PRECEDE-PROCEED model incorporates predisposing, reinforcing, and enabling factors for behavior change. Predisposing factors are those antecedents to behavior that provide the rationale or motivation for the behavior. such as knowledge, beliefs, attitudes, or values. Enabling factors are those that allow a predisposition to be translated into behavior, such as accessing health care resources, or acquiring appropriate skills. Reinforcing factors, such as family, peer or health provider/CHW support, and supportive services are subsequent to a behavior and provide the continuing reward or incentive for the behavior as well as contribute to its maintenance. 

Figure 2 below presents our conceptual framework indicating the emphasis on improving adherence to treatment recommendations in the SI group with the intent of improving health outcomes