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

Abstract

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.

Randomized controlled trial lifestyle interventions for Asian Americans: A systematic review

“…Cultural adaptations and individual tailoring, or subgroup analysis of outcomes of interest was not reported for the Asian American subgroups in these three large RCT studies. Following these study exclusions, seven studies were identified for review (Sun et al, 1996, Liao et al, 2002, Han et al, 2010, Qi et al, 2011, Dirige et al, 2013, Islam et al, 2013, Wang et al, 2013). Table 1 provides a descriptive summary of reviewed studies including: RTC design characteristics, sample characteristics, intervention characteristics, cultural appropriateness assessment, risk of bias assessment, and evidence of efficacy.…”

“…Three out of seven RCTs identified a theoretical framework to guide the intervention design. Two (Han et al, 2010, Qi et al., 2011) used Bandura's social cognitive learning and self-efficacy theory (Bandura, 1989), and one (Dirige et al, 2013) used the transtheoretical model (Prochaska and DiClemente, 1983). …”

“…Three studies were single-site regular RCTs (Liao et al, 2002, Han et al, 2010, Wang et al, 2013). One was a cluster-RCT of community groups (Dirige et al, 2013) and three were pilot-RCTs (Sun et al, 1996, Qi et al, 2011, Islam et al, 2013).…”

“…Two RCTs were conducted in the western U.S. - California (Dirige et al, 2013) and Washington (Liao et al, 2002), where over 70% of Asian Americans reside (U.S. Census Bureau, 2010, 2013). Five RCTs were conducted in the eastern U.S. (Pennsylvania, Massachusetts, and New York) (Qi et al, 2011, Islam et al, 2013, Wang et al, 2013, Sun et al, 1996, Han et al, 2010). …”

Customized Home Visiting Nurses' Experiences in Telephone Visiting

“…전 화상담은 시간과 의료비용의 절감 등의 이점을 가지고 있 으며 (Kolt, Schofield, Kerse, Garrett, & Oliver, 2007;Reese, Conoly, & Brossart, 2006), 실증적 연구를 통해서도 당뇨 환자의 경우, 당 및 지질대사, 자가간호, 자기효능감의 증진에 효과적이고 (Kim, Cho, & Nam, 2008;Kim & Chung, 2002;Long, Gambling, Young, Taylor, & Mason, 2005;Lorig, Ritter, Villa, & Piette, 2008;Song & Kim, 2007), 고 혈압 환자의 혈압관리와 자가간호행위의 증가 (Han et al, 2010), 치매 환자 가족의 자기효능감과 자기간호의 증 가 (Lee, Kim, Kim, & Shin, 2004), 노인의 신체활동 증가 (Kolt et al, 2007), 성인의 식이변화 효과 (Newman, Flatt, & Pierce, 2008 …”