Kim Kim B, Han Hae-Ra, Huh Boyun, Nguyen Tam, Lee Hochang, Kim Miyong T
Korean Resource Center, Ellicott City, Maryland;
School of Nursing, Johns Hopkins University, Baltimore, Maryland;
Am J Hypertens. 2014 Sep;27(9):1199-208. doi: 10.1093/ajh/hpu041. Epub 2014 Mar 26.
Great strides have been made in improving heart health in the United States during the last 2 decades, yet these strides have not encompassed many ethnic minority populations. There are significant health disparity gaps stemming from both a paucity of valid research and a lack of culturally sensitive interventions. In particular, many Korean Americans with chronic illnesses encounter difficulty navigating the healthcare system because of limited health literacy.
The effect of a multimodal Self-Help Intervention Program on the Control of High Blood Pressure (HBP) was tested in a community-based clinical trial for Korean American seniors. Of 440 seniors enrolled, 369 completed the study (184 in the intervention group and 185 in the control group; mean age = 70.9±5.3 years). The intervention group received 6 weekly educational sessions on HBP management skill building, including health literacy training, followed by telephone counseling and home blood pressure (BP) monitoring for 12 months.
Findings support that the Self-Help Intervention Program on the Control of HBP was effective in controlling BP in this ethnic/linguistic minority population. The BP control rates for the intervention and control groups were 49.5% vs. 43.2% at baseline, 58.5% vs. 42.4% at 6 months, 67.9% vs. 52.5% at 12 months, and 54.3% vs. 53.0% at 18 months. Significant changes were observed over time in some psychobehavioral outcomes, including self-efficacy for BP control, medication adherence behavior, HBP knowledge, and depression.
The study findings suggest that the multimodal Self-Help Intervention Program on the Control of HBP is effective at promoting optimal HBP control for this ethnic/linguistic minority population.
NCT00406614.
在过去20年里，美国在改善心脏健康方面取得了巨大进展，但这些进展并未惠及许多少数族裔人群。由于缺乏有效的研究以及缺乏具有文化敏感性的干预措施，导致了显著的健康差距。特别是，许多患有慢性病的韩裔美国人由于健康素养有限，在医疗系统中就医困难。
在一项针对韩裔美国老年人的社区临床试验中，测试了多模式自助干预计划对高血压（HBP）控制的效果。在440名登记的老年人中，369人完成了研究（干预组184人，对照组185人；平均年龄 = 70.9±5.3岁）。干预组接受了为期6周的关于HBP管理技能培养的教育课程，包括健康素养培训，随后进行了12个月的电话咨询和家庭血压（BP）监测。
研究结果支持，高血压控制自助干预计划在控制这一少数族裔/语言少数群体的血压方面是有效的。干预组和对照组的血压控制率在基线时分别为49.5%和43.2%，6个月时分别为58.5%和42.4%，12个月时分别为67.9%和52.5%，18个月时分别为54.3%和53.0%。随着时间的推移，在一些心理行为结果方面观察到了显著变化，包括血压控制的自我效能感、药物依从行为、HBP知识和抑郁。
研究结果表明，多模式高血压控制自助干预计划在促进这一少数族裔/语言少数群体的最佳血压控制方面是有效的。
NCT00406614。
