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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

The effect of a community-based self-help multimodal behavioral intervention in Korean American seniors with high blood pressure

TitleThe effect of a community-based self-help multimodal behavioral intervention in Korean American seniors with high blood pressure
Publication TypeJournal Article
Year of Publication2014
AuthorsKim, KB, Han, HR, Huh, B, Nguyen, T, Lee, H, Kim, MT
JournalAm J Hypertens
Volume27
Pagination1199-208
Date PublishedSep
ISBN Number1941-7225 (Electronic)0895-7061 (Linking)
Accession Number24671049
Keywords*Blood Pressure, *Community Health Services, Age Factors, Aged, Aged, 80 and over, Asian Continental Ancestry Group/*psychology, behavioral intervention, blood pressure, Blood Pressure Monitoring, Ambulatory, Combined Modality Therapy, community-based participatory research, Counseling, Female, Health Behavior/*ethnology, Health disparity, Health Knowledge, Attitudes, Practice/*ethnology, Health Literacy, high blood pressure, Humans, Hypertension, Hypertension/diagnosis/ethnology/physiopathology/psychology/*therapy, Korean Americans., Male, Middle Aged, Minority Health/*ethnology, Patient Education as Topic, Prospective Studies, Republic of Korea/epidemiology, Self Care/*psychology, Telephone, Time Factors, Treatment Outcome, United States/epidemiology
Abstract

BACKGROUND: Great strides have been made in improving heart health in the United States during the last 2 decades, yet these strides have not encompassed many ethnic minority populations. There are significant health disparity gaps stemming from both a paucity of valid research and a lack of culturally sensitive interventions. In particular, many Korean Americans with chronic illnesses encounter difficulty navigating the healthcare system because of limited health literacy. METHODS: The effect of a multimodal Self-Help Intervention Program on the Control of High Blood Pressure (HBP) was tested in a community-based clinical trial for Korean American seniors. Of 440 seniors enrolled, 369 completed the study (184 in the intervention group and 185 in the control group; mean age = 70.9+/-5.3 years). The intervention group received 6 weekly educational sessions on HBP management skill building, including health literacy training, followed by telephone counseling and home blood pressure (BP) monitoring for 12 months. RESULTS: Findings support that the Self-Help Intervention Program on the Control of HBP was effective in controlling BP in this ethnic/linguistic minority population. The BP control rates for the intervention and control groups were 49.5% vs. 43.2% at baseline, 58.5% vs. 42.4% at 6 months, 67.9% vs. 52.5% at 12 months, and 54.3% vs. 53.0% at 18 months. Significant changes were observed over time in some psychobehavioral outcomes, including self-efficacy for BP control, medication adherence behavior, HBP knowledge, and depression. CONCLUSIONS: The study findings suggest that the multimodal Self-Help Intervention Program on the Control of HBP is effective at promoting optimal HBP control for this ethnic/linguistic minority population. CLINICAL TRIALS REGISTRY: NCT00406614.

PMCID

PMC4184355