Teletransmitted Monitoring of Blood Pressure and Bilingual Nurse Counseling–Sustained Improvements in Blood Pressure Control During 12 Months in Hypertensive Korean Americans
Article first published online: 27 JUN 2011
© 2011 Wiley Periodicals, Inc.
The Journal of Clinical Hypertension
Volume 13, Issue 8, pages 605–612, August 2011
How to Cite
Kim, M. T., Han, H.-R., Hedlin, H., Kim, J., Song, H. J., Kim, K. B. and Hill, M. N. (2011), Teletransmitted Monitoring of Blood Pressure and Bilingual Nurse Counseling–Sustained Improvements in Blood Pressure Control During 12 Months in Hypertensive Korean Americans. The Journal of Clinical Hypertension, 13: 605–612. doi: 10.1111/j.1751-7176.2011.00479.x
- Issue published online: 1 AUG 2011
- Article first published online: 27 JUN 2011
- Manuscript received December 1, 2010; Revised: February 22, 2011; Accepted: March 3, 2011
J Clin Hypertens (Greenwich). 2011;13:605–612.©2011 Wiley Periodicals, Inc.
This paper reports the results of a clinical investigation to determine the sustainability of intervention effects to lower blood pressure (BP) that were obtained through a short-term education via home telemonitoring of BP and regular counseling by bilingual nurses during 1 year. A total of 359 middle-aged (40–64 years) Korean immigrants completed a 15-month intervention that consisted of 6-week behavioral education followed by home telemonitoring of BP and bilingual nurse telephone counseling for 12 months. The final analysis revealed a sharp increase in BP control rates sustained for more than 12 months. At baseline, only 30% of the sample achieved BP control (<140/90 mm Hg). After the initial education period (approximately 3 months), 73.3% of the participants had controlled BP levels. The levels of control were maintained and continuously improved during a 12-month follow-up period (83.2%, P<.001). These findings suggest that home telemonitoring of BP and tailored counseling are both useful tools to sustain or improve short-term education effects.