SYMPOSIUM
Thursday, July 14, 2005: 2:00 PM-3:30 PM
An International Comparative Study of Cognitive, Spiritual, Health Promoting Lifestyle and Hypertension in Rural Japan and the United States
Learning Objective #1: Describe two cognitive or behavioral variables influencing hypertension in rural northern Japan and rural southeastern United States
Learning Objective #2: List two implications for designing culturally appropriate interventions to improve medication adherence for individuals with hypertension in rural Japan and the United States
Overview: Hypertension is a chronic health problem in both rural northern Japan and the southeastern United States. Researchers noted a continuing higher incidence of hypertension among rural residents with limited explanations of the contributing factors despite recent advances in the prevention and treatment of hypertension. This symposium will present a collaborative and comparative study between Iwate Prefectural University Faculty of Nursing in Takizawa, Japan and University of North Carolina at Wilmington School of Nursing of North Carolina in the United States. The study group includes faculty and graduate students. The theme of the symposium is the commonalties and differences in cognitive, behavioral, and spiritual variables that are related to health promoting lifestyle and physiological outcomes among residents with hypertension from each country. Presenters will provide an overview of the project and the process of designing the study by the international team and three papers (the Iwate results, the North Carolina results and a comparison of the similarities and differences and recommendations for future study). The conceptual framework, design and study protocols were agreed upon by the study team at meetings in Japan. North Carolina and via the internet. Measures used were the Walker Health Promoting Lifestyle ProfileIII, a medication adherence scale, spirituality scales; and measures of blood pressure, cholesterol, height, and weight. The surveys were translated into Japanese by the Iwate study team. The project provided an opportunity for both faculty and students to dialogue about and examine models of health promotion, spirituality, health, and medication adherence. The results will be used to design culturally sensitive interventions to improve medication adherence and lifestyle changes in each country.
Organizer:Perri J. Bomar, PhD, RN
Presenters:Jeanne Kemppainen, RN, PhD, CNS
Michiko Tsuboyama, RN, MS
Yuriko Kanematsu, RN, MSN
Kazuko Kikuchi, RN, Mphilos
Kyoko Noguchi, MS, CNM, RN
Akiko Ando, MPH, RN, CNM
Hiroaki Ambo, RN, MHSc
Darlene D. Compeau, RN, BC
 Symposium Overview and Introduction
Perri J. Bomar, PhD, RN
 Spirituality, Medication Adherence, and of Knowledge High Blood Pressure of Rural Japanese with Hypertension
Michiko Tsuboyoma, MS, Yuriko Kanematsu, RN, MSN, Kazuko Kikuchi, RN, Mphilos, Hiroaki Ambo, RN, MHSc, Kyoko Noguchi, MS, CNM, RN, Akiko Ando, MPH, RN, CNM
 Spirituality, Health Promoting Lifesytles, and Blood Pressure of Rural North Carolinians with Hypertension
Darlene D. Compeau, RN, BC, MSN, Candidate, Jeanne Kemppainen, RN, PhD, CNS, Perri J. Bomar, PhD, RN
 Comparisons of Spiritualty, Medication Adherence and Knowledge of Hypertension in Iwate Japan and Southern USA
Jeanne Kemppainen, RN, PhD, CNS, Perri J. Bomar, PhD, RN, Michiko Tsuboyoma, MS, Yuriko Kanematsu, RN, MSN, Hiroaki Ambo, RN, MHSc, Akiko Ando, MPH, RN, CNM

16th International Nursing Research Congress
Renew Nursing Through Scholarship
14-16 July 2005
Hawaii’s Big Island