Cited by 101Mobile Health and mHealth ApplicationsBlood Pressure and Hypertension StudiesMedication Adherence and Compliance

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A culturally adapted telecommunication system to improve physical activity, diet quality, and medication adherence among hypertensive African-Americans: a randomized controlled trial

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Migneault, Jeffrey P., Dedier, Julien J., Wright, Julie A., Heeren, Timothy, Campbell, Marci Kramish, Morisky, Donald E., Rudd, Peter, Friedman, Robert H.·2012·Annals of Behavioral Medicine

DOI 10.1007/s12160-011-9319-4PMC PMC8996679

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Abstract

BACKGROUND: Hypertension is more prevalent and clinically severe among African-Americans than whites. Several health behaviors influence blood pressure (BP) control, but effective, accessible, culturally sensitive interventions that target multiple behaviors are lacking. PURPOSE: We evaluated a culturally adapted, automated telephone system to help hypertensive, urban African-American adults improve their adherence to their antihypertensive medication regimen and to evidence-based guidelines for dietary behavior and physical activity. METHODS: We randomized 337 hypertensive primary care patients to an 8-month automated, multi-behavior intervention or to an education-only control. Medication adherence, diet, physical activity, and BP were assessed at baseline and every 4 months for 1 year. Data were analyzed using longitudinal modeling. RESULTS: The intervention was associated with improvements in a measure of overall diet quality (+3.5 points, p < 0.03) and in energy expenditure (+80 kcal/day, p < 0.03). A decrease in systolic BP between groups was not statistically significant (-2.3 mmHg, p = 0.25). CONCLUSIONS: Given their convenience, scalability, and ability to deliver tailored messages, automated telecommunications systems can promote self-management of diet and energy balance in urban African-Americans.

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1 retracted

Retracted: Predictive Validity of a Medication Adherence Measure in an Outpatient Setting
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“The messages were based on self-efficacy and social support concepts [38-41] to motivate subjects to make health behavior changes including providing advice and support regarding reduction of energy-dense, nutrient-poor foods (ie, fried, fast foods, sugary beverages, and desserts), advocating increased consumption of…”
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“24,26,30,32,34,35,37–40, 42,48 included reports”
Influential
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Desta, R., Blumrosen, C., Laferriere, H. E., Saluja, A., Bruce, M. A., Elasy, T. A., Griffith, D. M., Norris, K. C., Cavanaugh, K. L., & Umeukeje, E. M. (2022) · Patient Preference and Adherence · doi:10.2147/ppa.s371162 · Cited by 22
“The remaining studies did not demonstrate statistically significant improvement in medication adherence.(31,35,37,39,40) Four out of the five diabetes-specific studies showed significant improvement in medication adherence;32–34,41 however, only two out of the five hypertension-specific studies demonstrated significan…”
BackgroundMethodResultInfluential
Increasing Physical Activity in Black Women: Results from a Randomized Trial Conducted in Faith-Based Settings
Whitt‐Glover, M. C., Goldmon, M. V., Gizlice, Z., Sillice, M. A., Hornbuckle, L. M., & Heil, D. P. (2017) · Ethnicity & Disease · doi:10.18865/ed.27.4.411 · Cited by 18
Controversy in Hypertension: Pro-Side of the Argument Using Artificial Intelligence for Hypertension Diagnosis and Management
Armoundas, A. A., Ahmad, F. S., Attia, Z. I., Doudesis, D., Khera, R., Kyriakoulis, K. G., Stergiou, G. S., & Tang, W. H. W. (2025) · Hypertension · doi:10.1161/hypertensionaha.124.22349 · Cited by 14
“86,87 ChatGPT has shown promise in its ability to answer questions about hypertension management, 88 although rigorous evaluation of large language models for patient education is needed.”
Effect of an interactive voice response system on self-management in kidney transplant recipients
Ganjali, R., Taherzadeh, Z., Sabbagh, M. G., Nazemiyan, F., Mamdouhi, F., Tabesh, H., Aval, S. B., Golmakani, R., Mostafavi, S. M., & Eslami, S. (2019) · Medicine · doi:10.1097/md.0000000000014291 · Cited by 13
Interventions to Improve Medication Adherence in Ethnically Diverse Patients: A Narrative Systematic Review
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“Text-message based interventions were also examined, however, also yielded mixed results (Arora et al., 2012; Buis et al., 2017; Dick et al., 2011; Kleinman et al., 2017; Migneault et al., 2012; Varleta et al., 2017).”
BackgroundResult
Physical Activity Assessment and Promotion in Clinical Settings in the United States: A Scoping Review
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“…enhance dietary compliance with the Dietary Approach to Stop Hypertension among American patients with hypertension demonstrated notable enhancements in dietary quality, increased fibre intake, reduced daily energy consumption, improved medication adherence, and a decrease in blood pressure [42].”
Background
Introduction to Special Section on Health Disparities
Whitfield, K. E., Bogart, L. M., Revenson, T. A., & France, C. R. (2012) · Annals of Behavioral Medicine · doi:10.1007/s12160-011-9326-5 · Cited by 9
“Hickson and colleagues found that higher perceived everyday discrimination was associated with greater subcutaneous adipose tissue, and passive coping in response to discrimination was associated with higher visceral adipose tissue among Black men (but not Black women) [4].”
BackgroundInfluential
Effectiveness of Computer-Tailored Health Communication in Increasing Physical Activity in People With or at Risk of Long-Term Conditions: Systematic Review and Meta-Analysis
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“Ten studies [41,43,44,52-55, 57, 60, 62 ] used”
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Efectividad de las tecnologías de la información y comunicación en la adherencia terapéutica de pacientes con Hipertensión Arterial y Diabetes Mellitus
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Reducing health inequalities through general practice: a realist review and action framework
Gkiouleka, A., Wong, G., Sowden, S. L., Kuhn, I. L., Moseley, A., Manji, S., Harmston, R. R., Siersbaek, R., Bambra, C. L., & Ford, J. A. (2024) · Health and Social Care Delivery Research · doi:10.3310/ytww7032 · Cited by 8
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Delivering a media literacy intervention for body dissatisfaction using an app-based intervention: A feasibility and pilot trial
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Adherencia terapéutica de pacientes con hipertensión arterial y diabetes mellitus tipo 2 de Bucaramanga, Colombia
Universidad Industrial de Santander. Bucaramanga, C., G, S. L. R., Parra, D. I., Universidad Industrial de Santander. Bucaramanga, C., Rodríguez, J. M. S., Universidad Industrial de Santander. Bucaramanga, C., Rojas, L. Z., & Universidad Industrial de Santander. Bucaramanga, C. (2017) · Salud UIS · doi:10.18273/revsal.v49n1-2017004 · Cited by 10
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“29 In some studies, however, the posthoc BP levels were reported differently, 33,37,50,54 and it was challenging to produce consistent results due to the different study periods and smaller number of studies.”
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“Three trials employed the intention to treat analysis [47,50,52].”
BackgroundMethodInfluential
Protocol for a systematic review and meta-analysis of culturally adapted internet- and mobile-based health promotion interventions
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“This has been demonstrated in other mHealth interventions that utilised PSD models to reinforce various health behaviours, such as those related to weight loss [25], compliance with medication [39], and smoking cessation [40,41].”
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“, 2012 [46] 4 RCT IG (n = 169) ICG (n = 168) 4 (7-day PAR) SSC 4 ITT 4 CBD 4 DOA 4 4 -”
Influential
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“Application of the TLC platform for other behavioral health interventions in China also warrants further exploration [29, 30].”
Self-citation
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“Phone2Health is based upon a previously tested telephone program designed to increase physical activity among urban African American adults [46] and was further modified to meet the needs of public housing residents (see section 2.3).”
BackgroundInfluentialSelf-citation
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How to Develop Personalized eHealth for Behavioural Change : Method and Example
Laverman, M., Neerincx, M. A., Alpay, L., Rövekamp, T., & Zwetsloot-Schonk, B. (2014) · TNO Repository · Cited by 1
South Asian Heart Risk Assessment (SAHARA): Randomized Controlled Trial Design and Pilot Study
Samaan, Z., Schulze, K. M., Middleton, C. A., Irvine, J., Joseph, P., Mente, A., Shah, B. R., Paré, G., Desai, D., & Anand, S. S. (2021) · doi:10.32920/ryerson.14638839 · Cited by 1
Community-Based Exercise Program Attendance and Exercise Self-Efficacy in African American Women
Virgil, K. M. (2014) · IUScholarWorks (Indiana University) · doi:10.7912/c2/1387
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Bolin, L. P. (2017) · The Scholarship East Carolina University's Institutional Repository (East Carolina University)
South Asian Heart Risk Assessment (SAHARA): Randomized Controlled Trial Design and Pilot Study
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Intercultural Challenges to Consider When Designing Pharmaceutical and Behavioral Interventions in Health Services Research
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Intercultural Challenges to Consider When Designing Pharmaceutical and Behavioral Interventions in Health Services Research
Tuck, C. Z., Beyene, K. A., Boaitey, K. P., & Chan, A. H. Y. (2023) · Springer eBooks · doi:10.1007/978-3-030-64477-2_111
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Grogg, K. A. (2023) · The Research Repository @ WVU (West Virginia University) · doi:10.33915/etd.12232
Patient Medication Adherence Assessment Tools for Primary Healthcare Physicians in Research and Practice
Baigozhina, A., Umbetzhanova, A., Derbissalina, G., & Bekbergenova, Z. (2023) · Journal of Health Development · doi:10.32921/2225-9929-2023-1-50-35-44
Effectiveness of culturally adapted lifestyle intervention package on blood pressure: A systematic review
Mamun, M. A. A., Orchi, K., Chowdhury, A., Choudhury, S. R., & Haque, M. A. (2026) · Public Health in Practice · doi:10.1016/j.puhip.2026.100846
“Theory-driven interventions [33,36] also produced positive, though more modest, outcomes.”
Influential

Authors: Migneault, J. P., Dedier, J. J., Wright, J. A., Heeren, T., Campbell, M. K., Morisky, D. E., Rudd, P., & Friedman, R. H.
Affiliations: Boston University (US)
University of Massachusetts Boston (US)
University of North Carolina at Chapel Hill (US)
Stanford Medicine (US)
Corresponding author: Dedier, Julien J.
ORCID: Dedier, Julien J.
Wright, Julie A.
Heeren, Timothy
Morisky, Donald E.
Friedman, Robert H.
Venue: Annals of Behavioral Medicine
Publisher: Oxford University Press (OUP)
Published: 2012-01-14
Volume: 43
Issue: 1
Pages: 62-73
ISSN: 0742-5554 (ISSN-L)
0883-6612
1532-4796
DOI: 10.1007/s12160-011-9319-4
PMC: PMC8996679
OpenAlex: W1968356480
Semantic Scholar: eef571616ee1a0e4ae83241ef5252bcde633cf68
Cited by: 101
References: 37
Citations by year: 2026: 2 · 2025: 3 · 2024: 10 · 2023: 12 · 2022: 9 · 2021: 8 · 2020: 6 · 2019: 9 · 2018: 5 · 2017: 12 · 2016: 3 · 2015: 9 · 2014: 8 · 2013: 4 · 2012: 1
FWCI: 12.51
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Annals of Behavioral Medicine (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Heart, Lung, and Blood Institute ((R01 HL69395, R01HL069395)
Topics: Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
Keywords: hypertension, African Americans, culturally tailored interventions, medication adherence, diet quality, physical activity, blood pressure control, energy expenditure, self-management, health behavior change
MeSH terms: Adult, Aged, Behavior Therapy, Black or African American, Culture, Diet, Female, Humans, Hypertension, Longitudinal Studies, Male, Middle Aged, Patient Compliance, Self Care, Telephone, Health Behavior, Case-Control Studies, Telemedicine, Medication Adherence

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A culturally adapted telecommunication system to improve physical activity, diet quality, and medication adherence among hypertensive African-Americans: a randomized controlled trial

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