Open AccessTeletransmitted Monitoring of Blood Pressure and Bilingual Nurse Counseling–Sustained Improvements in Blood Pressure Control During 12 Months in Hypertensive Korean Americans
Author(s) -
Kim Miyong T.,
Han HaeRa,
Hedlin Haley,
Kim Jiyun,
Song Hee J.,
Kim Kim B.,
Hill Martha N.
Publication year - 2011
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/j.1751-7176.2011.00479.x
Subject(s) - medicine , blood pressure , intervention (counseling) , greenwich , family medicine , emergency medicine , nursing , environmental science , soil science
J Clin Hypertens (Greenwich) . 2011;13:605–612.©2011 Wiley Periodicals, Inc. This paper reports the results of a clinical investigation to determine the sustainability of intervention effects to lower blood pressure (BP) that were obtained through a short‐term education via home telemonitoring of BP and regular counseling by bilingual nurses during 1 year. A total of 359 middle‐aged (40–64 years) Korean immigrants completed a 15‐month intervention that consisted of 6‐week behavioral education followed by home telemonitoring of BP and bilingual nurse telephone counseling for 12 months. The final analysis revealed a sharp increase in BP control rates sustained for more than 12 months. At baseline, only 30% of the sample achieved BP control (<140/90 mm Hg). After the initial education period (approximately 3 months), 73.3% of the participants had controlled BP levels. The levels of control were maintained and continuously improved during a 12‐month follow‐up period (83.2%, P <.001). These findings suggest that home telemonitoring of BP and tailored counseling are both useful tools to sustain or improve short‐term education effects.