Strategies to Improve Medication Adherence and Blood Pressure Among Racial/Ethnic Minority Populations: A Scoping Review of the Literature from 2017 to 2021.

IF 3.9 2区医学 Q1 PERIPHERAL VASCULAR DISEASE

Current Hypertension Reports Pub Date : 2022-12-01 Epub Date: 2022-09-22 DOI:10.1007/s11906-022-01224-2

Deborah Onakomaiya, Claire Cooper, Aigna Barber, Timothy Roberts, Joyce Gyamfi, Jennifer Zanowiak, Nadia Islam, Gbenga Ogedegbe, Antoinette Schoenthaler

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引用次数: 3

Abstract

Purpose of review: To identify intervention strategies that were effective in promoting medication adherence and HTN control among racial/ethnic minority groups in the US.

Recent findings: Twelve articles were included in this review and 4 categories of intervention strategies were identified as counseling by trained personnel, mHealth tools, mHealth tools in combination with counseling by trained personnel, and quality improvement. The findings show that interventions delivered by trained personnel are effective in lowering BP and improving medication adherence, particularly for those delivered by health educators, CHWs, medical assistants, and pharmacists. Additionally, the combination of mHealth tools with counseling by trained personnel has the potential to be more effective than either mHealth or counseling alone and report beneficial effects on medication adherence and BP control. This review provides potential next steps for future research to examine the effectiveness of mHealth interventions in combination with support from trained health personnel and its effects on racial disparities in HTN outcomes.

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改善种族/少数民族人群药物依从性和血压的策略:2017年至2021年文献的范围回顾

回顾的目的:确定在美国种族/少数民族群体中有效促进药物依从性和HTN控制的干预策略。最近的发现:本综述纳入了12篇文章，确定了4类干预策略:由训练有素的人员进行咨询、移动健康工具、移动健康工具与训练有素的人员进行咨询相结合以及质量改进。研究结果表明，由训练有素的人员提供的干预措施在降低血压和提高药物依从性方面是有效的，特别是由健康教育者、卫生工作者、医疗助理和药剂师提供的干预措施。此外，将移动医疗工具与训练有素的人员进行咨询相结合，可能比单独使用移动医疗或咨询更有效，并报告了对药物依从性和血压控制的有益影响。本综述为未来的研究提供了潜在的下一步措施，以检验移动健康干预措施与训练有素的卫生人员的支持相结合的有效性及其对HTN结果中种族差异的影响。

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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来源期刊

Current Hypertension Reports 医学-外周血管病

CiteScore

10.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of hypertension. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antihypertensive therapies, associated metabolic disorders, and therapeutic trials. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.