Jacqueline R. Halladay|Katrina E Donahue|Crystal W. Cené|Quefeng Li|Doyle M. Cummings|Alan L. Hinderliter|Cassandra Miller|Beverly A. Garcia|Edwin Little|Margorie Rachide|Jim Tillman|Alice S. Ammerman|Darren A. DeWalt
The association of health literacy and blood pressure reduction in a cohort of patients with hypertension: The heart healthy lenoir trial
University of North Carolina Health Care|University of North Carolina at Chapel Hill|Cecil College|University of North Carolina Health Care|University of North Carolina at Chapel Hill|Cecil College|University of North Carolina Health Care|University of North Carolina at Chapel Hill|Cecil College|University of North Carolina Health Care|University of North Carolina at Chapel Hill|East Carolina University|University of North Carolina Health Care|University of North Carolina at Chapel Hill|University of North Carolina Health Care|University of North Carolina at Chapel Hill|University of North Carolina Health Care|University of North Carolina at Chapel Hill|Community Care|University of North Carolina Health Care|University of North Carolina at Chapel Hill|University of North Carolina Health Care|University of North Carolina at Chapel Hill|Cecil College
lower health literacy associated poorer health outcomes interventions poised mitigate impact health literacy hypertensive patients published tested multilevel quality improvement intervention could differentially improve systolic blood pressure sbp patients low vs higher health literacy conducted nonrandomized prospective cohort trial 525 patients referred uncontrolled hypertension stakeholder informed health literacy sensitive strategies implemented practice patient level outcomes assessed 0 6 12 18 24 months 12 months low higher health literacy groups statistically significant decreases mean sbp 66 53 mmhg respectively group difference significant 13 mmhg p 0067 24 months low higher health literacy groups reductions 81 46 mmhg respectively group difference significant 35 mmhg p 025 health literacy sensitive multilevel intervention may equally lower sbp patients low higher health literacy practical health literacy appropriate tools methods implemented primary care settings using quality improvement approach