| Autor: |
Migneault, Jeffrey, Dedier, Julien, Wright, Julie, Heeren, Timothy, Campbell, Marci, Morisky, Donald, Rudd, Peter, Friedman, Robert |
| Předmět: |
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| Zdroj: |
Annals of Behavioral Medicine; Feb2012, Vol. 43 Issue 1, p62-73, 12p, 1 Diagram, 2 Charts, 1 Graph |
| Abstrakt: |
Background: Hypertension is more prevalent and clinically severe among African-Americans than whites. Several health behaviors influence blood pressure (BP) control, but effective, accessible, culturally sensitive interventions that target multiple behaviors are lacking. Purpose: We evaluated a culturally adapted, automated telephone system to help hypertensive, urban African-American adults improve their adherence to their antihypertensive medication regimen and to evidence-based guidelines for dietary behavior and physical activity. Methods: We randomized 337 hypertensive primary care patients to an 8-month automated, multi-behavior intervention or to an education-only control. Medication adherence, diet, physical activity, and BP were assessed at baseline and every 4 months for 1 year. Data were analyzed using longitudinal modeling. Results: The intervention was associated with improvements in a measure of overall diet quality (+3.5 points, p < 0.03) and in energy expenditure (+80 kcal/day, p < 0.03). A decrease in systolic BP between groups was not statistically significant (−2.3 mmHg, p = 0.25). Conclusions: Given their convenience, scalability, and ability to deliver tailored messages, automated telecommunications systems can promote self-management of diet and energy balance in urban African-Americans. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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