K. B. Kim|Hae Ra Han|Billy Huh|Thang Nguyen|H. Lee|Miji Kim
The Effect of a Community-Based Self-Help Multimodal Behavioral Intervention in Korean American Seniors With High Blood Pressure
Korean Resource Center|Johns Hopkins University|University of California, San Francisco|Boston College|Yale University|The University of Texas at Austin
great strides made improving heart health united states last 2 decades yet strides encompassed many ethnic minority populations significant health disparity gaps stemming paucity valid research lack culturally sensitive interventions particular many korean americans chronic illnesses encounter difficulty navigating healthcare system limited health literacythe effect multimodal selfhelp intervention program control high blood pressure hbp tested communitybased clinical trial korean american seniors 440 seniors enrolled 369 completed study 184 intervention group 185 control group mean age 70953 years intervention group received 6 weekly educational sessions hbp management skill building including health literacy training followed telephone counseling home blood pressure bp monitoring 12 monthsfindings support selfhelp intervention program control hbp effective controlling bp ethniclinguistic minority population bp control rates intervention control groups 495 vs 432 baseline 585 vs 424 6 months 679 vs 525 12 months 543 vs 530 18 months significant changes observed time psychobehavioral outcomes including selfefficacy bp control medication adherence behavior hbp knowledge depressionthe study findings suggest multimodal selfhelp intervention program control hbp effective promoting optimal hbp control ethniclinguistic minority populationnct00406614