Jessica Chandler|Luke Sox|Kinsey Kellam|Lauren Feder|Lynne S. Nemeth|Frank A. Treiber
Impact of a Culturally Tailored mHealth Medication Regimen Self-Management Program upon Blood Pressure among Hypertensive Hispanic Adults
Medical University of South Carolina|Medical University of South Carolina|Medical University of South Carolina|Medical University of South Carolina|Medical University of South Carolina|Medical University of South Carolina
background uncontrolled hypertension htn medication nonadherence prominent among hispanics compared nonhispanic whites african americans advances wireless health technology enable realtime monitoring medication adherence blood pressure bp facilitating timely patientprovider communication including tailored reinforcementmotivational feedback patients quicker titration changes providers purpose current study conduct 9month smartphoneenabled efficacy trial addressing bp control among hispanic adults uncontrolled htn poor methods research design 9month twoarm efficacy trial including experimental smartphone med adherence stops hypertension smash group enhanced standard care esc group smash participants utilized smash app interfaced bluetoothenabled bp monitor bp selfmonitoring electronic medication tray esc participants received text messages including links pdfs brief video clips containing healthy lifestyle tips attention control results participants 54 hispanic adults mean age 465 years uncontrolled htn randomly assigned either smash n 26 esc group n 28 baseline participants controlled systolic bp sbp baseline group averages sbp sc smash groups differ 1507 1523 mmhg respectively p 053 1 3 6 9month time points sbp averages significantly lower smash versus sc groups month 1 1253 vs 1406 month 3 1204 vs 1375 month 6 1212 vs 1457 mmhg month 9 1218 vs 1457 respectively pvalues lt001 months 3 6 9 significant difference percentage participants meeting 7th joint national committee cutoffs sbp control sc smash groups month 3 625 vs 920 month 6 579 944 month 9 278 923 respectively pvalues 001 average medical regimen adherence indicated timestamped medication intake bp monitoring smash group ranged 891 952 across 9month trial conclusion findings indicate culturally tailored smartphoneenabled medical regimen selfmanagement program may effective solution promotion resulting statistically clinically significant reductions sbp among hispanic adults uncontrolled htn