{"title":"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。","authors":"Benita Walton-Moss, Miyong Kim, Hae-Ra Han","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>We conducted a cluster-randomized pilot trial. The intervention consisted of health literacy-focused group education followed by phone counseling.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":519919,"journal":{"name":"International journal of nursing and health care science","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11103264/pdf/","citationCount":"0","resultStr":"{\"title\":\"A Health Literacy-Focused Self-Management Intervention for African Americans with High Blood Pressure: A Pilot Randomized Controlled Trial.\",\"authors\":\"Benita Walton-Moss, Miyong Kim, Hae-Ra Han\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>We conducted a cluster-randomized pilot trial. The intervention consisted of health literacy-focused group education followed by phone counseling.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":519919,\"journal\":{\"name\":\"International journal of nursing and health care science\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11103264/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International journal of nursing and health care science\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/12/20 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of nursing and health care science","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/12/20 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
A Health Literacy-Focused Self-Management Intervention for African Americans with High Blood Pressure: A Pilot Randomized Controlled Trial.
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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