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Rudd, Peter; Miller, Nancy Houston; Kaufman, Joyce J.; Kraemer, Helena C.; Bandura, Albert; Greenwald, George; DeBusk, Robert F.

doi:10.1016/j.amjhyper.2004.06.006

Cited by 70 publications

(46 citation statements)

References 22 publications

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“…The improvements in HBP management behaviors that we observed, together with the increased adherence to medication-taking and other lifestyle modifications demonstrated in previous studies [5–7], help support the theoretical basis for the telephone intervention. The results suggest that an intervention approach using bilingual nurse counselors may have wide applicability to linguistically isolated immigrant populations.…”

Section: Discussionsupporting

confidence: 84%

Implementation and success of nurse telephone counseling in linguistically isolated Korean American patients with high blood pressure

Han

Kim

et al. 2010

Patient Education and Counseling

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Objective Nurse telephone counseling can improve the management of chronic conditions, but the effectiveness of this approach in underserved populations is unclear. This study evaluated the use of bilingual nurse-delivered telephone counseling in Korean Americans (KAs) participating in a community-based intervention trial to improve management of hypertension. Methods KAs were randomized to receive 12 months of hypertension-related telephone counseling that was more intensive (bi-weekly) or less intensive (monthly). Counseling logs were kept for 360 KAs who completed the pre- and post-intervention evaluations. Results The overall success rate for the intervention was 80.3%. The level of success was significantly influenced by the dose of counseling, employment status, and years of US residence. Over the 12-month counseling period, both groups showed improvement with regard to medication-taking, alcohol consumption, and exercise but not smoking, with no significant group differences. Conclusion Bilingual telephone counseling could reach monolingual KAs and improve their hypertension management behavior. Practice implications Bilingual nurse telephone counseling may have wide applicability, serving as an effective means of disseminating evidence-based chronic disease management guidelines to a linguistically isolated community with limited health resources and information.

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Section: Discussionsupporting

confidence: 84%

Implementation and success of nurse telephone counseling in linguistically isolated Korean American patients with high blood pressure

Han

Kim

et al. 2010

Patient Education and Counseling

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“…Likewise, nurse-led team-based care usually includes health coaching and/or home BP monitoring (35,36). Community health worker-led team-based strategies typically include health coaching, home BP monitoring, and provider training (37).…”

Section: Discussionmentioning

confidence: 99%

Comparative Effectiveness of Implementation Strategies for Blood Pressure Control in Hypertensive Patients

et al. 2017

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Background The prevalence of hypertension is high and increasing worldwide while the proportion of controlled hypertension is low. Purpose To assess the comparative effectiveness of 8 implementation strategies for blood pressure (BP) control in adults with hypertension. Data Sources Systematic searches of MEDLINE and Embase from inception to September 2017 with no language restriction supplemented with manual reference searches. Study Selection Randomized controlled trials lasting at least 6 months comparing implementation strategies versus usual care on BP reduction in adults with hypertension. Data Extraction Two investigators independently extracted trial data. Trials were grouped by implementation strategy, and BP reduction effects were compared using multivariate-adjusted generalized estimating equations. A modified Cochrane Risk of Bias tool was used for trial quality assessment. Data Synthesis A total of 121 comparisons from 100 articles with 55,920 hypertensive patients were included. Multilevel, multicomponent strategies, such as team-based care with medication titration by non-physician [−7.1 mmHg (95% CI: −8.9, −5.2)], team-based care with medication titration by physician [−6.2 mmHg (−8.1, −4.2)], and multilevel strategies without team-based care [−5.0 mmHg (−8.0, −2.0)] were most effective for systolic BP reduction. Patient-level strategies also resulted in significant systolic BP reductions of −3.9 mmHg (−5.4, −2.3) for health coaching and −2.7 mmHg (−3.6, −1.7) for home BP monitoring. Similar trends were observed for diastolic BP reduction. Provider training was tested in few trials and resulted in non-significant BP reduction. Limitations Sparse data from low- and middle-income countries, few trials of some implementation strategies, and possible publication bias. Conclusions Multilevel, multicomponent strategies, followed by patient-level strategies, are most effective for BP control in patients with hypertension and ought to be used to improve hypertension control. Primary Funding Source US National Institutes of Health

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“…For example, nurses have delivered efficacious MA interventions through counseling, 52 follow up communication, 27, 53, 54 and case management. 55, 56 Nurses should play an active role in developing and implementing MA interventions among patients with CAD. Research exploring nursing interventions to increase MA among CAD patients could focus on testing or comparing specific intervention strategies such as education, counseling, and managing barriers.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Medication Adherence Interventions Among Patients With Coronary Artery Disease

et al. 2016

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Background Despite the known benefits of medication therapy for secondary prevention of coronary artery disease (CAD), many patients do not adhere to prescribed medication regimens. Medication nonadherence is associated with poor health outcomes and higher health care cost. Objective The purpose of this meta-analysis was to determine the overall effectiveness of interventions designed to improve medication adherence (MA) among adults with CAD. Additionally, sample, study design, and intervention characteristics were explored as potential moderators to intervention effectiveness. Methods Comprehensive search strategies facilitated identification of two-group, treatment versus control design studies testing MA interventions among patients with CAD. Data were independently extracted by two trained research specialists. Standardized mean difference effect sizes were calculated for eligible primary studies, adjusted for bias, then synthesized under a random effects model. Homogeneity of variance was explored using a conventional heterogeneity statistic. Exploratory moderator analyses were conducted using meta-analytic analogues for ANOVA and regression for dichotomous and continuous moderators, respectively. Results Twenty-four primary studies were included in this meta-analysis. The overall effect size of MA interventions, calculated from 18,839 participants, was 0.229 (p<.001). The most effective interventions utilized nurses as interventionists, initiated interventions in the inpatient setting, and informed providers of patients' medication adherence behaviors. MA interventions tested among older patients were more effective than those among younger patients. Interventions were equally effective regardless of number of intervention sessions, targeting MA behavior alone or with other behaviors, and the use of written instructions only. Conclusions Interventions to increase medication adherence among patients with CAD were modestly effective. Nurses can be instrumental in improving MA among these patients. Future research is needed to investigate nurse-delivered MA interventions across varied clinical settings. Additionally, more research testing MA interventions among younger populations and more racially diverse groups is needed.

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Abstract: Telephone-mediated nurse management can successfully address many of the systems-related and patient-related issues that limit pharmacotherapeutic effectiveness for hypertension.

Cited by 70 publications

References 22 publications

Implementation and success of nurse telephone counseling in linguistically isolated Korean American patients with high blood pressure

Implementation and success of nurse telephone counseling in linguistically isolated Korean American patients with high blood pressure

Comparative Effectiveness of Implementation Strategies for Blood Pressure Control in Hypertensive Patients

The Effectiveness of Medication Adherence Interventions Among Patients With Coronary Artery Disease

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