The Effect of a Community-Based Self-Help Multimodal Behavioral Intervention in Korean American Seniors With High Blood Pressure
The Effect of a Community-Based Self-Help Multimodal Behavioral Intervention in Korean American Seniors With High Blood Pressure
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DOI：
10.1093/ajh/hpu041
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发表时间：
2014-09-01
影响因子：
3.2
通讯作者：
Kim, Miyong T.
中科院分区：
文献类型：
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作者：
Kim, Kim B.;Han, Hae-Ra;Kim, Miyong T.
在过去的20年里，美国在改善心脏健康方面取得了长足的进步，但这些进步并没有涵盖许多少数民族人口。由于缺乏有效的研究和缺乏对文化敏感的干预措施，健康差距很大。特别是，许多韩裔美国人慢性疾病遇到困难，因为有限的健康literacy.METHODSThe多模态自助干预计划对控制高血压（HBP）的效果导航医疗系统进行了测试，在以社区为基础的临床试验，韩裔美国老年人。在440名老年人中，369人完成了研究（干预组184人，对照组185人;平均年龄= 70.9 ± 5.3岁）。干预组每周接受6次关于HBP管理技能建设的教育课程，包括健康素养培训，然后进行电话咨询和家庭血压（BP）监测12个月。基线时干预组和对照组的血压控制率分别为49.5%和43.2%，6个月时分别为58.5%和42.4%，12个月时分别为67.9%和52.5%，18个月时分别为54.3%和53.0%。随着时间的推移，一些心理行为结果发生了显着变化，包括血压控制的自我效能、药物依从性行为、HBP知识和抑郁症。结论研究结果表明，控制HBP的多模式自助干预计划有效促进该种族/语言少数群体的最佳HBP控制。
BACKGROUNDGreat strides have been made in improving heart health in the United States during the last 2 decades, yet these strides have not encompassed many ethnic minority populations. There are significant health disparity gaps stemming from both a paucity of valid research and a lack of culturally sensitive interventions. In particular, many Korean Americans with chronic illnesses encounter difficulty navigating the healthcare system because of limited health literacy.METHODSThe effect of a multimodal Self-Help Intervention Program on the Control of High Blood Pressure (HBP) was tested in a community-based clinical trial for Korean American seniors. Of 440 seniors enrolled, 369 completed the study (184 in the intervention group and 185 in the control group; mean age = 70.9 +/- 5.3 years). The intervention group received 6 weekly educational sessions on HBP management skill building, including health literacy training, followed by telephone counseling and home blood pressure (BP) monitoring for 12 months.RESULTSFindings support that the Self-Help Intervention Program on the Control of HBP was effective in controlling BP in this ethnic/linguistic minority population. The BP control rates for the intervention and control groups were 49.5% vs. 43.2% at baseline, 58.5% vs. 42.4% at 6 months, 67.9% vs. 52.5% at 12 months, and 54.3% vs. 53.0% at 18 months. Significant changes were observed over time in some psychobehavioral outcomes, including self-efficacy for BP control, medication adherence behavior, HBP knowledge, and depression.CONCLUSIONSThe study findings suggest that the multimodal Self-Help Intervention Program on the Control of HBP is effective at promoting optimal HBP control for this ethnic/linguistic minority population.