Tatiana M. Davidson|John W. McGillicuddy|Martina Mueller|Brenda Brunner-Jackson|April Favella|Ashley B Anderson|Magaly Torres|Kenneth J. Ruggiero|Frank A. Treiber
Evaluation of an mHealth Medication Regimen Self-Management Program for African American and Hispanic Uncontrolled Hypertensives
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|Medical University of South Carolina|Medical University of South Carolina|Medical University of South Carolina
african americans hispanics disproportionate rates uncontrolled essential hypertension eh compared nonhispanic whites medication nonadherence mna leading modifiable behavior improved blood pressure bp control smartphone medication adherence stops hypertension smash program developed using patientcentered theoryguided iterative design process electronic medication trays provided reminder signals short message service sms messaging reminded subjects monitor bp bluetoothenabled monitors motivational reinforcement text messages sent participants based upon levels adherence thirtyeight africanamerican 18 hispanic 20 uncontrolled hypertensives completed clinicbased anthropometric resting bp evaluations prior randomization months 1 3 6 generalized linear mixed modeling glmm revealed statistically significant timebytreatment interactions p lt 00001 indicating significant reductions resting systolic blood pressure sbp diastolic blood pressure dbp smash group vs standard care sc control group across time points 706 smash subjects vs 158 sc group reached bp control lt 14090 mmh month 1 p lt 0001 month 6 944 smash vs 412 sc group exhibited controlled bp p lt 0003 findings provide encouraging evidence efficacious mhealth chronic disease medical regimen selfmanagement programs developed following principles patientcentered theoryguided design