Use of coaching and technology to improve blood pressure control in Black women with hypertension: Pilot randomized controlled trial study

Hypertension is the main cause of cardiovascular disease, especially in women. Black women (58%) are affected by higher rates of hypertension than other racial/ethnic groups contributing to increased cardio‐metabolic disorders. To decrease blood pressure (BP) in this population, a pilot randomized c...

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Bibliographic Details
Published in:The journal of clinical hypertension (Greenwich, Conn.) Conn.), 2023-01, Vol.25 (1), p.95-105
Main Authors: Abel, Willie M., Efird, Jimmy T., Crane, Patricia B., Ferdinand, Keith C., Foy, Capri G., DeHaven, Mark J.
Format: Article
Language:English
Subjects:
Antihypertensive Agents - pharmacology
Antihypertensive Agents - therapeutic use
Antihypertensives
Black people
Black women
Blood Pressure
Chronic illnesses
Clinical trials
Coaching
Collaboration
Data collection
Digital technology
Exercise
Female
Health care
Humans
Hypertension
Hypertension - drug therapy
Hypertension - epidemiology
interactive technology
lifestyle modification
Lifestyles
Mentoring
Minority & ethnic groups
Patient compliance
Pilot Projects
Short
Short s
Smartphones
Socioeconomic factors
Womens health
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Summary:Hypertension is the main cause of cardiovascular disease, especially in women. Black women (58%) are affected by higher rates of hypertension than other racial/ethnic groups contributing to increased cardio‐metabolic disorders. To decrease blood pressure (BP) in this population, a pilot randomized controlled trial was conducted to examine the effects of Interactive Technology Enhanced Coaching (ITEC) versus Interactive Technology (IT) alone in achieving BP control, adherence to antihypertensive medication, and adherence to lifestyle modifications among Black women diagnosed with and receiving medication for their hypertension. Participants completed a 6‐week Chronic Disease Self‐Management Program (CDSMP), and 83 participants were randomly assigned to ITEC versus IT. Participants were trained to use three wireless tools and five apps that were synchronized to smartphones to monitor BP, weight, physical activity (steps), diet (caloric and sodium intake), and medication adherence. Fitbit Plus, a cloud‐based collaborative care platform was used to collect, track, and store data. Using a mixed‐effects repeated measures model, the main effect of group means indicated no significant difference between the treatment and referent groups on study variables. The main effect of time indicated significant differences between repeated measures for systolic BP (p 
ISSN:1524-6175
1751-7176
DOI:10.1111/jch.14617