Effects of Telephone Counseling on Transitions in Stage of Behavioral Change of Korean American (KA) with High Blood Pressure (HBP)

2.50
Hdl Handle:
http://hdl.handle.net/10755/156442
Type:
Presentation
Title:
Effects of Telephone Counseling on Transitions in Stage of Behavioral Change of Korean American (KA) with High Blood Pressure (HBP)
Abstract:
Effects of Telephone Counseling on Transitions in Stage of Behavioral Change of Korean American (KA) with High Blood Pressure (HBP)
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Jeong, Seonghee, PhD, RN
P.I. Institution Name:The Johns Hopkins University
Title:Post-Doctoral fellow
Co-Authors:Eun-Young Kim, PhD, MPH, RN; Yoonjung Choi, PhD, RN; Hyunjeong Park, RN, MPH, CRNP; Miyong Kim, PhD, RN
The purpose of this study is to examine the effectiveness of tailored telephone counseling (TTC) as an intervention to facilitate adherence of HBP treatment recommendations on a group of Korean Americans. The study employed the transtheoretical model as a guide to implement and evaluate TTC as it tailored to the individual stage of change on each desired behavior. The counseling data are obtained from an ongoing, community based multi-factorial HBP Intervention trial in Maryland. A total of 399 middle aged (40-59years) KA with HBP was recruited and 361 are receiving TTC intervention. TTC are structured to focus on following areas; medication, diet, exercise, smoking, drinking and stress management. In addition, participants were given a home BP monitoring machine that can transmit the BP data through telephone.  The BP data, then, were used as basis of counseling intervention for each participant. Adherence of HBP therapy is measured at baseline, six months, and one year later. According to the process evaluation data, significant improvement on majority of targeted behaviors among participants (over 50%) such as low sodium and low calorie diet, regular exercise and HBP medication taking behaviors was found. At baseline, about 68% of the participants were stated with in stage 1, and 2 stage HBP based on the JNC VII classification.   47.4% of participants were started with sedentary life style, high sodium and high calorie diet, high stress environment 45.9% of not taking HBP medication. Although the clear benefits of lifestyle modification and pharmacologic management for HBP control are well documented, many underserved linguistically isolated immigrant group such as KA s are often not benefit from a culturally or individually tailored intervention. A TTC based on sound behavioral theories and cultural relevancy should be considered as potential strategy to reduce health disparity among underserved populations.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEffects of Telephone Counseling on Transitions in Stage of Behavioral Change of Korean American (KA) with High Blood Pressure (HBP)en_GB
dc.identifier.urihttp://hdl.handle.net/10755/156442-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Effects of Telephone Counseling on Transitions in Stage of Behavioral Change of Korean American (KA) with High Blood Pressure (HBP)</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Jeong, Seonghee, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The Johns Hopkins University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Post-Doctoral fellow</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">sjeong3@son.jhmi.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Eun-Young Kim, PhD, MPH, RN; Yoonjung Choi, PhD, RN; Hyunjeong Park, RN, MPH, CRNP; Miyong Kim, PhD, RN</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this study is to examine the effectiveness of tailored telephone counseling (TTC) as an intervention to facilitate adherence of HBP treatment recommendations on a group of Korean Americans. The study employed the transtheoretical model as a guide to implement and evaluate TTC as it tailored to the individual stage of change on each desired behavior.&nbsp;The counseling data are obtained from an ongoing, community based multi-factorial HBP Intervention trial in Maryland. A total of 399 middle aged (40-59years) KA with HBP was recruited and 361 are receiving TTC intervention. TTC are structured to focus on following areas; medication, diet, exercise, smoking, drinking and stress management. In addition, participants were given a home BP monitoring machine that can transmit the BP data through telephone.&nbsp; The BP data, then, were used as basis of counseling intervention for each participant. Adherence of HBP therapy is measured at baseline, six months, and one year later. According to the process evaluation data, significant improvement on majority of targeted behaviors among participants (over 50%) such as low sodium and low calorie diet, regular exercise and HBP medication taking behaviors was found. At baseline, about 68% of the participants were stated with in stage 1, and 2 stage HBP based on the JNC VII classification.&nbsp;&nbsp; 47.4% of participants were started with sedentary life style, high sodium and high calorie diet, high stress environment 45.9% of not taking HBP medication.&nbsp;Although the clear benefits of lifestyle modification and pharmacologic management for HBP control are well documented, many underserved linguistically isolated immigrant group such as KA s are often not benefit from a culturally or individually tailored intervention. A TTC based on sound behavioral theories and cultural relevancy should be considered as potential strategy to reduce health disparity among underserved populations.</td></tr></table>en_GB
dc.date.available2011-10-26T14:47:14Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:47:14Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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