Strategies to Improve Medication Adherence and Blood Pressure Among Racial/Ethnic Minority Populations: A Scoping Review of the Literature from 2017 to 2021.

Strategies to Improve Medication Adherence and Blood Pressure Among Racial/Ethnic Minority Populations: A Scoping Review of the Literature from 2017 to 2021.
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DOI:
10.1007/s11906-022-01224-2
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发表时间:
2022-12
影响因子:
5.6
通讯作者:
--
中科院分区:
医学2区
文献类型:
--
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确定在美国种族/少数民族群体中有效促进药物依从性和HTN控制的干预策略。12篇文章被纳入本综述,并确定了4类干预策略,即由受过培训的人员提供咨询,移动健康工具,移动健康工具与受过培训的人员提供咨询相结合,以及质量改进。研究结果表明,训练有素的人员提供的干预措施可以有效降低血压并提高用药依从性,特别是对于健康教育工作者、社区卫生工作者、医疗助理和药剂师提供的干预措施。此外,移动健康工具与训练有素的人员的咨询相结合有可能比移动健康或单独咨询更有效,并报告对药物依从性和BP控制的有益影响。这篇综述为未来的研究提供了潜在的下一步,以研究移动健康干预措施与训练有素的卫生人员的支持相结合的有效性及其对HTN结果中种族差异的影响。
To identify intervention strategies that were effective in promoting medication adherence and HTN control among racial/ethnic minority groups in the US. Twelve articles were included in this review and 4 categories of intervention strategies were identified as counseling by trained personnel, mHealth tools, mHealth tools in combination with counseling by trained personnel, and quality improvement. The findings show that interventions delivered by trained personnel are effective in lowering BP and improving medication adherence, particularly for those delivered by health educators, CHWs, medical assistants, and pharmacists. Additionally, the combination of mHealth tools with counseling by trained personnel has the potential to be more effective than either mHealth or counseling alone and report beneficial effects on medication adherence and BP control This review provides potential next steps for future research to examine the effectiveness of mHealth interventions in combination with support from trained health personnel and its effects on racial disparities in HTN outcomes.
DOI: 10.1161/circulationaha.117.032582
发表时间: 2018-01-09
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