Applying qualitative methods in developing a culturally tailored workbook for black patients with hypertension

Objective: To apply qualitative research methods in developing a culturally tailored, educational workbook for hypertensive black patients. Methods: The workbook was developed using formative qualitative data from 60 black primary care patients with hypertension. Participants were interviewed using qualitative methods and data were analyzed through sequential steps of open coding, axial coding, and selective coding. From these analyses, themes describing patients' cultural beliefs about hypertension were derived and used to develop the workbook. Results: The workbook, "Living With Hypertension: Taking Control" is a 37-page illustrated workbook with 11 chapters based on patients' perceptions of hypertension. These chapters focus on strengthening participants' ability to take control and manage hypertension and on providing knowledge and health behavior techniques. Conclusion: Qualitative research methods were used to inform the development of a culturally tailored educational workbook. Practice implications: The workbook developed in this study may offer a practical and effective means of educating patients about blood pressure control in primary care settings.