NURSE-MANAGED BP TELEMONITORING WITH AFRICAN AMERICANS

护士管理的血压远程监测非裔美国人

• 批准号: 6751201
• 负责人: NANCY Trygar ARTINIAN
• 金额: $ 36.77万
• 依托单位: WAYNE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-01 至 2006-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6751201
• 关键词: African American; alcoholic beverage consumption; antihypertensive agents; behavioral /social science research tag; body physical activity; cardiovascular disorder chemotherapy; cardiovascular disorder prevention; clinical trials; data collection methodology /evaluation; dietary control; human subject; human therapy evaluation; hypertension; longitudinal human study; mathematical model; nursing intervention; outcomes research; patient care management; patient care personnel relations; patient oriented research; therapy compliance; weight loss

DESCRIPTION: There is an urgent need to find better ways to control and treat high blood pressure in African Americans. Although there is some evidence to suggest there may be advantages to home blood pressure (BP) telemonitoring, there is a need for more research since: a) we do not know about the effects of this strategy on long-term control of BP; and b) we do not know the mechanisms by which telemonitoring works to lower BP and achieve BP control. Accordingly, the specific aims of this "new investigator"-led randomized controlled trial are to: a) compare usual care only with home telemonitoring plus usual care to determine which has the greatest effect on change in blood pressure from baseline; and b) determine the extent to which the effects of the intervention are mediated by changes in dietary habits, physical activity level, weight loss, alcohol intake, compliance with an antihypertensive medication regimen, or contact with a primary care provider. Our study is one of the first of its kind using a community-based rather than clinic-based recruitment strategy, thereby expanding access to care. Otherwise healthy African American English speaking men and women (n=400) who are > 18 years with a SBP > 140 mmHG and a DBP > 90 mmHG (unless the individual self-identifies as a diabetic or with a history of a heart attack, then SBP> 130 mmHG, DBP > 85 mmHG) will be conveniently selected from specified community sites. Participants will be randomly assigned to one of two groups that are stratified by use or non-use of antihypertension medication: Group A--home telemonitoring plus usual care; or Group B--usual care only. Participants in Group A will receive usual care plus weekly telemonitoring for 12 months and 15 sessions of telecounseling which provide information about lifestyle modifications in accordance with JNC-VI guidelines. The proposed intervention is intended to increase the saliency of the hypertension for participants, provide a cue to take action and assist them to learn about what actions to take. Data (change in blood pressure from baseline, dietary habits, physical activity level, weight loss, alcohol intake, compliance with an antihypertensive medication regimen, and contact with a primary care provider) will be collected at baseline and at 3, 6 and 12 months. Analysis will include a general mixed linear model approach to repeated measures MANOVA and structural equation growth curve modeling.

描述：迫切需要找到更好的控制和治疗方法

项目成果

Urban Hypertensive African American Grandparents: Stress, Health, and Implications of Child Care.

城市高血压非裔美国祖父母：压力、健康和儿童保育的影响。

• DOI: 10.1300/j018v30n04_03
• 发表时间: 2007
• 期刊: Clinical gerontologist
• 影响因子: 2.8
• 作者: Taylor,JacquelynY;Washington,OliviaGM;Artinian,NancyT;Lichtenberg,Peter
• 通讯作者: Lichtenberg,Peter

Depression, stress, and blood pressure in urban African-American women.

• DOI: 10.1111/j.0889-7204.2006.04787.x
• 发表时间: 2006-01-01
• 期刊: Progress in cardiovascular nursing
• 作者: Artinian, Nancy T;Washington, Olivia G M;Jen, Kai-Lin Catherine
• 通讯作者: Jen, Kai-Lin Catherine

Collecting data by telephone from low-income African Americans.

通过电话从低收入非裔美国人那里收集数据。

• DOI: 10.1016/j.apnr.2007.04.001
• 发表时间: 2007
• 期刊: Applied nursing research : ANR
• 作者: Artinian,NancyT;Denison,Doris;Nordstrom,CherylK
• 通讯作者: Nordstrom,CherylK

Innovations in blood pressure monitoring: new, automated devices provide in-home or around-the-clock readings.

血压监测方面的创新：新型自动化设备提供家庭或全天候读数。

• DOI: 10.1097/00000446-200408000-00035
• 发表时间: 2004
• 期刊: The American journal of nursing
• 作者: Artinian,NancyT

Parental stress among African American parents and grandparents.

非裔美国父母和祖父母的父母压力。

• DOI: 10.1080/01612840701244466
• 发表时间: 2007
• 期刊: Issues in mental health nursing
• 影响因子: 2.1
• 作者: Taylor,JacquelynY;Washington,OliviaGM;Artinian,NancyT;Lichtenberg,Peter
• 通讯作者: Lichtenberg,Peter