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those who did not would show more compliance at 90 and 180 days. Another aim was to explore whether there were differential responses to the CBI according to ethnic group differences. This study analyzed data from a subset of 126 cases from a larger study that recruited 160 women, aged 31-83, 40% African American, who were randomly assigned to CBI or control treatment groups. Compliance was assessed with MEMS. Compliance percentage scores were calculated from events of cap removed from medication bottle and time interval. Eighty percent was selected as criteria for defining high compliers; the baseline score for first 30 days showed no significant differences by group assignment. ANOVA with repeated measures were significantly different (p 02) for compliance scores for six, 30 day time periods, (mean; SD) were 82.5/14.0, 76.69/19.3; 76.6/21.37; 77.19/19.60; 73.04/23.01 and 71.85/23.05, respectfully. Greater compliance was demonstrated at each of the six time periods for those assigned to CBI (n 64) than control (n 62), although group differences were small. Groups differences ranged from low of 1 at 30 days to a high of 5.50 percent at 180 days, mean/SD were 75.5/20 for CBI group verses 69.0/27.92 for control group. African American women in CBI showed the greater improvement in compliance at each of the six time points compared to White American women. Significant differences were shown by ethnic groups at 60 days, mean percent/SD were 85.36/9.71 verses 74.72/19.79 (p .02), and again at 120 days mean/SD were 83.61/13.71 verses 74.89/22.51. Results indicate that reading framed tailored messages aimed at providing critical knowledge may be a first step toward sustained compliance. This approaches merits further study with individuals being treated for hypertension outside of teaching institutions and may useful for community health care facilities.

Can L-arginine act as an adjunct to nitrate in therapy for systolic hypertension?