Nurse administered telephone intervention for blood pressure control: a patient-tailored multifactorial intervention

Bosworth, Hayden B.; Olsen, Maren K.; Gentry, Pam; Orr, Melinda; Dudley, Tara K.; McCant, Felicia; Oddone, Eugene Z.

doi:10.1016/j.pec.2004.03.011

Cited by 121 publications

(121 citation statements)

References 44 publications

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“…Through previous studies (15,16,21,22) and a comprehensive literature review, we found that the HDM model is a helpful framework for helping to prioritize what factors to focus on. However, it does not exhaustively include all patient and medical factors that help explain poor blood pressure control in hypertensive patients.…”

Section: Theoretical Frameworkmentioning

confidence: 89%

Take Control of Your Blood pressure (TCYB) study: A multifactorial tailored behavioral and educational intervention for achieving blood pressure control

Bosworth

Olsen

Neary

et al. 2008

Patient Education and Counseling

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140

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Objectives-Evaluating a randomized controlled trial involving a tailored behavioral intervention conducted to improve blood pressure control.Methods-Adults with hypertension from two outpatient primary care clinics were randomly allocated to receive a nurse-administered behavioral intervention or usual care. In this ongoing study, patients receive the tailored behavioral intervention bi-monthly for two years via telephone; the goal of the intervention is to promote medication adherence and improve hypertension-related health behaviors. Patient factors targeted in the tailored behavioral intervention include perceived risk of hypertension and knowledge, memory, medical and social support, patients' relationship with their health care provider, adverse effects of medication therapy, weight management, exercise, diet, stress, smoking, and alcohol use.Results-The sample randomized to the behavioral intervention consisted of 319 adults with hypertension (average age = 60.5 years; 47% African-American). A comparable sample of adults was assigned to usual care (n=317). We had a 96% retention rate for the overall sample for the first 6 months of the study (93% at 12 months). The average phone call has lasted 18 minutes (range 2 to 51 minutes). From baseline to six months, self-reported medication adherence increased by 9% in the behavioral group vs. 1% in the non-behavioral group.Conclusion-The intervention is easily implemented and is designed to enhance adherence with prescribed hypertension regimen. The study includes both general and patient-tailored information based upon need assessment. The study design ensures internal validity as well as the ability to generalize study findings to the clinic settings. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Practice Implications-Despite knowledge of the risks and acceptable evidence, a large number of hypertensive adults still do not have their blood pressure under effective control. This study will be an important step in evaluating a tailored multibehavioral intervention focusing on improving blood pressure control. NIH Public Access

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Section: Theoretical Frameworkmentioning

confidence: 89%

Take Control of Your Blood pressure (TCYB) study: A multifactorial tailored behavioral and educational intervention for achieving blood pressure control

Bosworth

Olsen

Neary

et al. 2008

Patient Education and Counseling

Self Cite

140

124

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“…55,56 Provider participation in health literacy skillbuilding workshops improves provider skills and has a positive impact on patients, including greater patient confidence in medication management 57 and ability to lose weight, 58 increased preventive screening, 59 and decreased healthcare utilization. 57 Interprofessional educational interventions, including those that involve nursing 60,61 and pharmacy 39,50,62 groups, improve patient outcomes. Behaviorally anchored checklists used by observers of clinical and standardized patient encounters, are among the tools used to measure provider acquisition of health literacy skills.…”

Section: Teaching Health Literacy Skills To Physiciansmentioning

confidence: 99%

Health Literacy: An Educationally Sensitive Patient Outcome

et al. 2015

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We have previously proposed that by identifying a set of Educationally Sensitive Patient Outcomes (ESPOs), medical education outcomes research becomes more feasible and likely to provide meaningful guidance for medical education policy and practice. ESPOs are proximal outcomes that are sensitive to provider education, measurable, and linked to more distal health outcomes. Our previous model included Patient Activation and Clinical Microsystem Activation as ESPOs. In this paper, we discuss how Health Literacy, defined as Bthe degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions,^is another important ESPO. Between one-third and one-half of all US adults have limited health literacy skills. Providers can be trained to adopt a Buniversal precautions approach^to addressing patient health literacy, through the acquisition of specific skills (e.g., teachback, Bchunking^infor-mation, use of plain language written materials) and by learning how to take action to improve the Bhealth literacy environment.^While there are several ways to measure health literacy, identifying which measurement tools are most sensitive to provider education is important, but challenging and complex. Further research is needed to test this model and identify additional ESPOs.

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“…Because more information alone is unlikely to improve outcomes, researchers are exploring the most effective way to link objective adherence reports from refill data with behavioral counseling by clinical pharmacists and other health professionals (52)(53)(54)(55)(56). By using already collected refill information to support established clinical relationships, these IBCT interventions are designed to improve the quality of diabetes adherence counseling without adding additional clinicians or requiring patients to access health information in new ways.…”

Section: Some Examples Of New Approachesmentioning

confidence: 99%

Interactive Behavior Change Technology to Support Diabetes Self-Management

Piette

2007

Diabetes Care

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Nurse administered telephone intervention for blood pressure control: a patient-tailored multifactorial intervention

Cited by 121 publications

References 44 publications

Take Control of Your Blood pressure (TCYB) study: A multifactorial tailored behavioral and educational intervention for achieving blood pressure control

Take Control of Your Blood pressure (TCYB) study: A multifactorial tailored behavioral and educational intervention for achieving blood pressure control

Health Literacy: An Educationally Sensitive Patient Outcome

Interactive Behavior Change Technology to Support Diabetes Self-Management

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