Troyen A. Brennan|Claire M. Spettell|Victor G. Villagra|Elizabeth Ofili|Cheryl N. McMahill?Walraven|Elizabeth J. Lowy|Pamela Daniels|Alexander Quarshie|Robert Mayberry
Disease Management to Promote Blood Pressure Control Among African Americans
Aetna (United States)|Aetna (United States)|Vector (United States)|Morehouse School of Medicine|Aetna (United States)|Aetna (United States)|Morehouse School of Medicine|Morehouse School of Medicine|Morehouse School of Medicine
african americans higher prevalence hypertension poorer cardiovascular renal outcomes white americans objective study determine whether telephonic nurse disease management dm program designed african americans effective home monitoring program alone increase blood pressure bp control among african americans enrolled national health plan prospective randomized controlled study march 2006december 2007 conducted 12 months followup subject total 5932 health plan members randomly selected population selfidentified african americans age 23 older health maintenance organization plans hypertension 954 accepted 638 completed initial assessment 485 completed followup assessment intervention consisted telephonic nurse dm intervention group including educational materials lifestyle diet counseling home bp monitor vs home bp monitor alone control group measurements included proportion bp 12080 mean systolic bp mean diastolic bp frequency bp selfmonitoring results revealed systolic bp lower intervention group adjusted means 1236 vs 1267 mm hg p 003 difference diastolic bp intervention group 50 likely bp control odds ratio 150 95 confidence interval ci 0997227 p 0052 46 likely monitor bp least weekly 146 95 ci 107200 p 002 control group nurse dm program tailored african americans effective decreasing systolic bp increasing frequency selfmonitoring bp greater extent home monitoring alone recruitment program completion rates could improved maximal impact