一项针对非裔美国高血压患者的以健康素养为重点的自我管理干预措施：一项试点随机对照试验。
A Health Literacy-Focused Self-Management Intervention for African Americans with High Blood Pressure: A Pilot Randomized Controlled Trial.
作者信息
Walton-Moss Benita, Kim Miyong, Han Hae-Ra
机构信息
Department of Nursing, USC Suzanne Dworak-Peck School of Social Work, University of Southern California, California, USA.
School of Nursing, The University of Texas, Texas, USA.
出版信息
Int J Nurs Health Care Sci. 2022;2(14). Epub 2022 Dec 20.
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.
目的
健康素养与更好的高血压自我管理相关。然而，自我管理研究很少将健康素养纳入干预措施的一部分。我们旨在对患有高血压的非裔美国人（AA）进行一项以健康素养为重点的自我管理干预试验。
方法
我们进行了一项整群随机试点试验。干预措施包括以健康素养为重点的小组教育，随后进行电话咨询。
结果
12周时两组血压无差异。然而，在控制年龄后，干预组从基线到随访的血压控制率变化大于对照组（47.3%对20.8%）。干预组的高血压素养也有所提高，而对照组则保持不变，尽管差异无统计学意义。
结论
虽然我们没有观察到两组在高血压结局方面的差异，但干预组的血压控制有明显改善趋势。讨论了对未来研究的启示。
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