A randomized controlled trial of positive-affect intervention and medication adherence in hypertensive African Americans.

ABSTRACT:

Background

Poor adherence explains poor blood pressure (BP) control; however African Americans suffer worse hypertension-related outcomes.

Methods

This randomized controlled trial evaluated whether a patient education intervention enhanced with positive-affect induction and self-affirmation (PA) was more effective than patient education (PE) alone in improving medication adherence and BP reduction among 256 hypertensive African Americans followed up in 2 primary care practices. Patients in both groups received a culturally tailored hypertension self-management workbook, a behavioral contract, and bimonthly telephone calls designed to help them overcome barriers to medication adherence. Also, patients in the PA group received small gifts and bimonthly telephone calls to help

SUBMITTER: Ogedegbe GO 

PROVIDER: S-EPMC4669680 | biostudies-literature | 2012 Feb

REPOSITORIES: biostudies-literature