Church-based Intervention to Improve Blood Pressure in African Americans

Who May Qualify: Churches: - At least 75 members and ability to recruit 15 study participants - Predominantly African American congregants Participants: - Age 18 or older - Has blood pressure readings with uncontrolled blood pressure, defined as exceeding the blood thresholds for initiation of antihypertensive medication according to the 2017 American College of Cardiology/ American Heart Association (ACC/AHA) guidelines. \- The thresholds are 140/90 for the general population \< 65 years old, and 130/80 for individuals ≥ 65 or with diabetes, chronic kidney disease, or high cardiovascular risk (self-report of prior diagnosis of myocardial infarction, coronary heart disease, stroke or heart failure) - Attends church (virtually or in-person) at least once per month - Able to attend weekly Zoom meetings - Consents and completes all baseline assessments Who Should NOT Join This Trial: Churches: • Pastor unwilling to conduct Bible study Participants: - Unable to make dietary changes due to lack of control over their food source (i.e., eat meals at shelter, nursing home) - Has a medical condition that prohibits or severely restricts ability to eat vegetables (i.e., renal disease, Crohn's disease) - Has a medical condition with an uncertain 6-month prognosis - Inability to give willing to sign a consent form (i.e., cognitive impairment, does not speak Englis - Plans to move within the 6 months following enrollment - Participated in prior ALIVE intervention - Member of household participating in another church Always talk to your doctor about whether this trial is right for you.