Hypertension Intervention Nurse Telemedicine Study (HINTS): Testing a multifactorial tailored behavioral/educational and a medication management intervention for blood pressure control

Bosworth, Hayden B.; Olsen, Maren K.; McCant, Felicia; Harrelson, Mikeal; Gentry, Pamela; Rose, Cynthia M.; Goldstein, Mary K.; Hoffman, Brian B.; Powers, Benjamin; Oddone, Eugene Z.

doi:10.1016/j.ahj.2007.03.004

Cited by 104 publications

(128 citation statements)

References 20 publications

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“…[9][10][11] The study evaluated three telephone-based interventions through a four-group design: 1) nurse-administered, physician directed medication management intervention, utilizing a validated clinical decision support (CDS) system; 2) nurse-administered, behavioral management intervention; 3) combined behavioral management and medication management intervention; and 4) usual care. Interventions were activated based on home BP measurements collected via telemonitoring.…”

Section: Methodsmentioning

confidence: 99%

Racial Differences in the Effect of a Telephone-Delivered Hypertension Disease Management Program

et al. 2012

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(152), Durham, NC, USA.BACKGROUND: African Americans are significantly more likely than whites to have uncontrolled hypertension, contributing to significant disparities in cardiovascular disease and events. OBJECTIVE: The goal of this study was to examine whether there were differences in change in blood pressure (BP) for African American and non-Hispanic white patients in response to a medication management and tailored nurse-delivered telephone behavioral program. PARTICIPANTS: Five hundred and seventy-three patients (284 African American and 289 non-Hispanic white) primary care patients who participated in the Hypertension Intervention Nurse Telemedicine Study (HINTS) clinical trial. INTERVENTIONS: Study arms included: 1) nurseadministered, physician-directed medication management intervention, utilizing a validated clinical decision support system; 2) nurse-administered, behavioral management intervention; 3) combined behavioral management and medication management intervention; and 4) usual care. All interventions were activated based on poorly controlled home BP values. MAIN MEASURES: Post-hoc analysis of change in systolic and diastolic blood pressure. General linear models (PROC MIXED in SAS, version 9.2) were used to estimate predicted means at 6-month, 12-month, and 18-month time points, by intervention arm and race subgroups (separate models for systolic and diastolic blood pressure). KEY RESULTS: Improvement in mean systolic blood pressure post-baseline was greater for African Ameri-

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Section: Methodsmentioning

confidence: 99%

Racial Differences in the Effect of a Telephone-Delivered Hypertension Disease Management Program

et al. 2012

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“…[18][19][20] In a previous study, individual barriers had been associated with medication adherence. 17 The multi-item scale addresses common barriers, including finding time to take ication-taking behaviors.…”

Section: Outcome Measurementioning

confidence: 99%

Patient-Reported Medication Adherence Barriers Among Patients with Cardiovascular Risk Factors

Zullig

Stechuchak²,

Goldstein³

et al. 2015

JMCP

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“…The multidisciplinary team approach is effective mostly when the professionals can provide orientation based on individual needs and lifestyle (9) , but an accurate assessment of the Na intake of free-living persons remains a difficult and labour-intensive process. The routine assessment of the diet of a large number of individuals from a range of socioeconomic backgrounds requires a quick and simple method of estimating the intake of specific nutrients.…”

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confidence: 99%

Reliability and validity of a semi-quantitative FFQ for sodium intake in low-income and low-literacy Brazilian hypertensive subjects

Ferreira-Sae

Gallani

Nadruz

et al. 2009

Public Health Nutr.

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Objective: To assess the reliability and validity of an FFQ to evaluate dietary patterns of Na consumption among low-income and low-literacy Brazilian hypertensive subjects. Design: The initial FFQ was submitted to content analysis with the pre-test administered to fifteen subjects. Reliability was evaluated according to the reproducibility criterion, with interviewer administration of the FFQ twice within a 15 d interval. Validity was assessed against a 24 h recall (132 subjects), a 3 d diet record (121 subjects) and a biomarker (24 h urinary Na; 121 subjects). To test the correlation with the biomarker, discretionary salt was added to the FFQ Na values. Setting: A large urban teaching hospital in south-eastern Brazil. Subjects: The study was based on 132 randomly selected subjects (eighty-three women and forty-nine men) aged 18 to 85 years. Results: Kappa coefficients ranged from 0?79 to 0?98, confirming the reproducibility of the FFQ. There was no correlation between urinary Na excretion, the FFQ and the 24 h recall for the general sample, although significant correlations had been observed when methods were summed up (24 h recall 1 discretionary salt 1 FFQ; 0?32, P 5 0?01). The addition of discretionary salt significantly improved the biomarker-based FFQ validity, with correlation coefficients varying from 0?19 (general sample) to 0?31 (female sub-sample). Conclusions:The developed FFQ demonstrated satisfactory evidence of validity and reliability and can be used as an important complementary tool for the evaluation of Na intake among Brazilian hypertensive subjects.

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Hypertension Intervention Nurse Telemedicine Study (HINTS): Testing a multifactorial tailored behavioral/educational and a medication management intervention for blood pressure control

Cited by 104 publications

References 20 publications

Racial Differences in the Effect of a Telephone-Delivered Hypertension Disease Management Program

Racial Differences in the Effect of a Telephone-Delivered Hypertension Disease Management Program

Patient-Reported Medication Adherence Barriers Among Patients with Cardiovascular Risk Factors

Reliability and validity of a semi-quantitative FFQ for sodium intake in low-income and low-literacy Brazilian hypertensive subjects

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