title: Teletransmitted monitoring of blood pressure and bilingual nurse counseling-sustained improvements in blood pressure control during 12 months in hypertensive Korean Americans.
abstract: 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.
authors.affiliation: School of Nursing, Johns Hopkins University, Baltimore, MD 21205-2110, USA. mkim@son.jhmi.edu
authors.forename: Miyong T
authors.initials: MT
authors.lastname: Kim
authors.forename: Hae-Ra
authors.initials: HR
authors.lastname: Han
authors.forename: Haley
authors.initials: H
authors.lastname: Hedlin
authors.forename: Jiyun
authors.initials: J
authors.lastname: Kim
authors.forename: Hee J
authors.initials: HJ
authors.lastname: Song
authors.forename: Kim B
authors.initials: KB
authors.lastname: Kim
authors.forename: Martha N
authors.initials: MN
authors.lastname: Hill
mesh_terms: D000328:Adult; D001213:Asian / Q000208:ethnology* / Q000523:psychology; D001794:Blood Pressure / Q000502:physiology; D018660:Blood Pressure Monitoring, Ambulatory; D003142:Communication; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006973:Hypertension / Q000208:ethnology* / Q000503:physiopathology* / Q000523:psychology; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D019303:Multilingualism; D009723:Nurse-Patient Relations; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic; D011584:Psychology; D012189:Retrospective Studies; D017216:Telemedicine