短信和视频故事支持高血压自我管理在黑人退伍军人:一个随机临床试验
Sarah L Cutrona1,2, Sarah E McDannold1, Kathryn L DeLaughter1
1Center for Health Optimization and Implementation Research, Veterans Affairs (VA) Bedford Healthcare System, Bedford, Massachusetts.
JAMA network open
|November 5, 2025
概括
在黑人退伍军人中,以叙事为基础的短信干预并没有改善血压控制. 然而,短信增强了参与者对高血压自我管理的参与和动机.
科学领域:
- 心血管健康 心血管健康
- 健康差异 在健康上的差异
- 数字健康干预措施 数字健康干预措施
背景情况:
- 高血压治疗已经取得了进展,但黑人退伍军人血压控制和自我管理方面的显著差异仍然存在.
- 解决这些差异对于改善这一群体的心血管结果至关重要.
研究的目的:
- 评估叙事信息的短信干预对黑人退伍军人血压和高血压自我管理的有效性.
- 干预组合了教育内容和双向短信.
主要方法:
- 在两个退伍军人事务医疗中心进行了一项非盲目的,双臂随机临床试验.
- 参与者是患有高血压的黑人退伍军人,随机分配到干预组 (叙事视频,教育文本,双向文本) 或对照组 (仅双向文本).
- 主要结局包括心压和心压血压的变化;次要结局涉及自我报告的高血压管理活动.
主要成果:
- 干预组和对照组之间没有观察到血压降低的显著差异.
- 干预组的参与度很高,92.5%的人认同视频讲故事的人.
- 在79.5%的参与者中,两只手臂之间的短信被发现是有助于改善健康的激励因素.
结论:
- 与单独的双向短信相比,以叙事为基础的短信干预并没有改善血压控制.
- 然而,短信显示了增强黑人退伍军人对高血压自我管理的参与和动机的潜力.
- 进一步的研究可能会探索优化数字健康策略以解决持续存在的健康差异.
相关概念视频
Hypertension V: Nursing Management
328
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
328
Hypertension IV: Drug Therapy and Lifestyle Modifications
556
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
556
Hypertension III: Clinical Manifestations and Diagnostic Studies
433
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
433
Hypertension I: Introduction
653
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
653
Hypertension and Regulation of Blood Pressure
3.6K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
3.6K
Hypertension II: Pathophysiology
698
Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
698


