A Health Literacy-Focused Self-Management Intervention for African Americans with High Blood Pressure: A Pilot Randomized Controlled Trial.

International journal of nursing and health care science Pub Date : 2022-01-01 Epub Date: 2022-12-20

Benita Walton-Moss, Miyong Kim, Hae-Ra Han

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Abstract

Objectives: Health literacy has been associated with better High Blood Pressure (HBP) self-management. Yet, self-management research has rarely incorporated health literacy as part of the intervention. We aimed to test a health literacy-focused self-management intervention in African Americans (AAs) with HBP.

Methods: We conducted a cluster-randomized pilot trial. The intervention consisted of health literacy-focused group education followed by phone counseling.

Results: There was no group difference for BP at 12 weeks. However, change in BP control rates from baseline to follow-up was greater for the intervention group than the control group (47.3% vs. 20.8%) after controlling for age. HBP literacy also increased in the intervention group but remained unchanged in the control group, though the difference was not statistically significant.

Conclusion: While we did not observe group difference for HBP outcomes, there was a clear trend of improved BP control in the intervention group. Implications for future research are discussed.

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针对非裔美国人高血压患者的以健康知识为重点的自我管理干预：随机对照试验。

目的：健康素养与更好地自我管理高血压（HBP）有关。然而，自我管理研究很少将健康素养作为干预措施的一部分。我们的目的是在患有高血压的非裔美国人（AAs）中测试以健康素养为重点的自我管理干预：我们进行了分组随机试点试验。干预措施包括以健康知识为重点的小组教育和电话咨询：结果：12 周后的血压没有组间差异。然而，在控制年龄后，干预组从基线到随访期间血压控制率的变化大于对照组（47.3% 对 20.8%）。干预组的 HBP 扫盲率也有所提高，但对照组的 HBP 扫盲率保持不变，尽管差异没有统计学意义：虽然我们没有观察到 HBP 结果的组间差异，但干预组的血压控制有明显改善的趋势。本文讨论了未来研究的意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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