Hayden B. Bosworth|Maren K. Olsen|Janet M. Grubber|Benjamin Powers|Eugene Ž. Oddone
Racial Differences in Two Self-Management Hypertension Interventions
Duke University|Durham VA Health Care System|Duke University|Durham VA Health Care System|Durham VA Health Care System|Duke University|Durham VA Health Care System|Duke University|Durham VA Health Care System|Duke University
one half americans blood pressure controlled significant racial differences blood pressure control goal study examine effectiveness 2 patientdirected interventions designed improve blood pressure control within white nonwhite subgroups african americans 49post hoc analysis 2 2 randomized trial 2year followup 2 universityaffiliated primary care clinics performed within white nonwhite patients n634 4 groups examined 1 usual care 2 home blood pressure monitoring 3 times per week 3 tailored behavioral selfmanagement intervention administered via telephone nurse every month 4 combination 2 interventionsthe overall race time treatment group effect suggested differential intervention effects blood pressure time whites nonwhites systolic blood pressure p 08 diastolic blood pressure p01 estimated trajectories indicated among 308 whites significant effect blood pressure 12 24 months intervention compared control group 12 months nonwhites n328 3 intervention groups systolic blood pressure decreases 53 57 mm hg compared usual care p 05 24 months combined intervention nonwhites sustained lower systolic blood pressure compared usual care 75 mm hg p 02 similar pattern observed diastolic blood pressurecombined home blood pressure monitoring tailored behavioral phone intervention seem particularly effective improving blood pressure nonwhite patients