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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.
Objectives:
Health literacy has been associated with better High Blood Pressure (HBP) self-management. Yet, self-management research has rarely incorporated health literacy as part of the intervention. We aimed to test a health literacy-focused self-management intervention in African Americans (AAs) with HBP.
Methods:
We conducted a cluster-randomized pilot trial. The intervention consisted of health literacy-focused group education followed by phone counseling.
Results:
There was no group difference for BP at 12 weeks. However, change in BP control rates from baseline to follow-up was greater for the intervention group than the control group (47.3% vs. 20.8%) after controlling for age. HBP literacy also increased in the intervention group but remained unchanged in the control group, though the difference was not statistically significant.
Conclusion:
While we did not observe group difference for HBP outcomes, there was a clear trend of improved BP control in the intervention group. Implications for future research are discussed.
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