title: Racial disparities and the use of technology for self-management in blacks with heart failure: a literature review.
abstract: Heart failure is a debilitating illness that requires patients to be actively engaged in self-management. Self-management practices, including maintenance and management of an evidence-based medication regimen, are associated with improved outcomes. Yet, sustained engagement with self-management practices remains a challenge. Both self-management practices and clinical outcomes differ by race, with the poorest self-management and clinical outcomes reported in Blacks. Contemporary interventions to address self-management and reverse current trends in outcomes have evaluated the use of technology. Technological innovations, such as text messaging, social networking, and online learning platforms may provide a more accessible means for self-management of heart failure, yet these innovations have been understudied in the population at greatest risk - Blacks with heart failure. We conducted a review and discovered only four studies evaluating use of technology for self-management in Blacks. More studies are needed to close the gap on racial disparities and use of technology for self-management.
authors.affiliation: Duke University School of Nursing, 307 Trent Drive, Durham, NC, 27710, USA, Hannah.hughes@dm.duke.edu.
authors.forename: Hannah Anderson
authors.initials: HA
authors.lastname: Hughes
authors.forename: Bradi B
authors.initials: BB
authors.lastname: Granger
mesh_terms: D044383:Black People; D006333:Heart Failure / Q000208:ethnology* / Q000628:therapy*; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D012648:Self Care / Q000706:statistics & numerical data*; D017216:Telemedicine / Q000379:methods*; D013689:Telephone / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology; D001741:Black or African American