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

The DOI matches its Crossref record; 35 of the 37 references it cites were found in a registry or an index.

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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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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Research works printed but not linked: 1

  1. The Trials of Hypertension Prevention Collaborative Research Group. Effects of weight loss and sodium reduction intervention on blood pressure and hypertension incidence in overweight people with high normal blood pressure: The trials of hypertension prevention, phase II. Arch Intern Med. 1997;157:657–67. · DOI · Paper page

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Metadata

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.
Venue
Annals of Behavioral Medicine
Published
2012-01-14
Volume
43
Issue
1
Pages
62-73
ISSN
  • 0742-5554 (ISSN-L)
  • 0883-6612
  • 1532-4796
OpenAlex
W1968356480
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
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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