The Effect of Home Monitoring and Telemanagement on Blood Pressure Control Among African Americans

Hypertension is disproportionately prevalent among African Americans compared with other ethnic groups. Furthermore, research demonstrating effective management strategies for this group is limited. The objectives of this study were to determine: (1) compliance with home blood pressure monitoring among hypertensive African Americans, and (2) the effectiveness of telemanagement in blood pressure control within 1-3 months. Participants used a transtelephonic home monitor that transmitted their blood pressure daily via their existing telephone lines to a university server system. A one-group, pre-post design was used. The sample included 33 African Americans (age 51.5 ± 14.3, 70% female) with uncontrolled blood pressures despite pharmacological treatment for ≥ 1 year. Interventions were conducted over the phone, including patient education and medication titration congruent with JNC-VI guidelines. Daily data were transmitted by 88% of the sample; significant decreases (p ≤ 0.001) in mean systolic (154.1 ± 16...