Mail Education Is as Effective as In-Class Education in Hypertensive Korean Patients

Authors

  • Miyong T. Kim PhD, RN,

    1. From Johns Hopkins University School of Nursing, Baltimore, MD;1the Department of Nursing, Kangwon National University, Chunchon, South Korea;2 and the Korean Resource Center, Ellicott City, MD3
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  • 1 Eun-Young Kim PhD, RN,

    1. From Johns Hopkins University School of Nursing, Baltimore, MD;1the Department of Nursing, Kangwon National University, Chunchon, South Korea;2 and the Korean Resource Center, Ellicott City, MD3
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  • 2 Hae-Ra Han PhD, RN,

    1. From Johns Hopkins University School of Nursing, Baltimore, MD;1the Department of Nursing, Kangwon National University, Chunchon, South Korea;2 and the Korean Resource Center, Ellicott City, MD3
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  • 1 Seonghee Jeong PhD, RN,

    1. From Johns Hopkins University School of Nursing, Baltimore, MD;1the Department of Nursing, Kangwon National University, Chunchon, South Korea;2 and the Korean Resource Center, Ellicott City, MD3
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  • 1 Jong Eun Lee PhD, RN,

    1. From Johns Hopkins University School of Nursing, Baltimore, MD;1the Department of Nursing, Kangwon National University, Chunchon, South Korea;2 and the Korean Resource Center, Ellicott City, MD3
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  • 1 Hyun Jeong Park MPH, CRNP, RN,

    1. From Johns Hopkins University School of Nursing, Baltimore, MD;1the Department of Nursing, Kangwon National University, Chunchon, South Korea;2 and the Korean Resource Center, Ellicott City, MD3
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  • 1 Kim B. Kim PhD,

    1. From Johns Hopkins University School of Nursing, Baltimore, MD;1the Department of Nursing, Kangwon National University, Chunchon, South Korea;2 and the Korean Resource Center, Ellicott City, MD3
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  • and 3 Martha N. Hill PhD, RN 1

    1. From Johns Hopkins University School of Nursing, Baltimore, MD;1the Department of Nursing, Kangwon National University, Chunchon, South Korea;2 and the Korean Resource Center, Ellicott City, MD3
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Miyong T. Kim, RN, PhD, Johns Hopkins University School of Nursing, 525 North Wolfe Street, Baltimore, MD 21205-2110
E-mail: mkim@son.jhmi.edu

Abstract

Many Korean American persons have hypertension, but competing life priorities often prevent them from attending health-promotion educational activities. Using principles of community-based participatory research, the authors conducted a prospective clinical trial to determine the effectiveness of a mailed vs an in-class culturally tailored education intervention. A total of 380 hypertensive Korean American persons from the Baltimore/Washington area were assigned to a more intense in-class education group or a less intensive mail education group. Evaluation of postintervention blood pressure (BP) outcomes revealed that significant reductions in systolic BP (13.3 mm Hg and 16.1 mm Hg, respectively) and diastolic BP (9.5 mm Hg and 10.9 mm Hg) and increases in BP control rates (42.3% and 54.3%) were achieved in both groups. No significant differences in BP outcomes between groups, however, were found. In conclusion, education by mail was an effective strategy for improving BP control and may be a viable approach for other immigrant groups if the education materials address their cultural needs.

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