Efficacy of a Culturally and Linguistically Competent Community Health Coach Intervention for Chinese with Hypertension.
Efficacy of a Culturally and Linguistically Competent Community Health Coach Intervention for Chinese with Hypertension.
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DOI：
10.31372/20200503.1087
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
Quach L
中科院分区：
文献类型：
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作者：
Li WW;Lew D;Quach L
目的：开发并试点测试一种文化和语言敏感、基于社区健康教练 (CHC) 的干预措施对中国移民改善血压控制和药物依从性的效果。设计：本研究于2017年进行，采用横断面设计（n = 23）。 CHC 干预的实施方式是，在基线时进行 1 次 25 分钟的小组教育演示，加上 1 次 10 分钟的问答环节，然后每两周进行 4 次 10 分钟的小组问答环节。结果：从基线到第 8 周，收缩压和舒张压均显着降低：收缩压 -17.33 (±11.32) (p < 0.005) 和舒张压 -9.58 (±6.57) (p< 0.005)。基线时药物依从性的平均得分为 10.56 (±3.24)（可能范围 3-15），第 8 周没有显着变化（平均 10.89±3.95）（p=0.86）。结论：基于 CHC 的高血压管理计划显示中国移民的收缩压和舒张压均显着降低。由于拟议的基于 CHC 的高血压管理计划成本低且易于建立，建议进一步研究以产生更多结果进行比较。实践意义：CHC 干预措施有可能在临床环境中实施，以帮助广大华人移民实现最佳的血压控制。
Purpose: To develop and pilot test the efficacy of a culturally and linguistically sensitive, community health coach (CHC)-based intervention in Chinese immigrants in improving blood pressure control and medication adherence. Design: This study was conducted in 2017 with a cross-sectional design (n = 23). A CHC intervention was implemented using one 25-minute group educational presentation plus one 10-minute question and answer session at baseline, followed by four, 10-minute bi-weekly group question-and-answer sessions. Findings: There was a significant reduction in both systolic and diastolic blood pressure from baseline to week 8: Systolic BP −17.33 (±11.32) (p < 0.005) and diastolic BP −9.58 (±6.57) (p < 0.005). The mean score for medication adherence was 10.56 (±3.24) (possible range 3–15) at baseline and there was no significant change at week 8 (mean 10.89 ± 3.95) (p = 0.86). Conclusion: The CHC-based hypertension management program showed significant reductions in both systolic and diastolic blood pressures in Chinese immigrants. Since the proposed CHC-based hypertension management program is low cost and easy to establish, further investigation is recommended to generate more results for comparison. Practice Implications: There is potential for the CHC intervention to be implemented in clinical settings to help Chinese immigrants at large achieve optimal blood pressure control.