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A Health Literacy-Focused Self-Management Intervention for African Americans with High Blood Pressure: A Pilot
Benita Walton-Moss1, Miyong Kim2, Hae-Ra Han3
1Department of Nursing, USC Suzanne Dworak-Peck School of Social Work, University of Southern California, California, USA.
International Journal of Nursing and Health Care Science
|May 21, 2024
Summary
A health literacy intervention improved blood pressure control rates in African Americans with high blood pressure (HBP). While direct blood pressure differences weren't significant, the intervention group showed better BP control trends.
Area of Science:
- Public Health
- Health Literacy Research
- Chronic Disease Management
Background:
- Health literacy is linked to better self-management of High Blood Pressure (HBP).
- Few interventions integrate health literacy into HBP self-management strategies.
- African Americans (AAs) experience disproportionately high rates of HBP.
Purpose of the Study:
- To evaluate a health literacy-focused self-management intervention for African Americans with HBP.
- To assess the intervention's impact on blood pressure control and HBP literacy.
Main Methods:
- A cluster-randomized pilot trial was conducted.
- The intervention included group education and phone counseling focused on health literacy.
- Outcomes were assessed at 12 weeks.
Main Results:
- No significant group difference in blood pressure at 12 weeks.
- Improved blood pressure control rates from baseline to follow-up were greater in the intervention group (47.3%) compared to the control group (20.8%).
- HBP literacy increased in the intervention group, but the difference was not statistically significant.
Conclusions:
- The health literacy intervention showed a positive trend in improving blood pressure control among African Americans with HBP.
- Further research is warranted to explore the efficacy of health literacy-focused interventions for HBP management.
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