{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Migneault JP"],"funding":["NHLBI NIH HHS"],"pagination":["62-73"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC8996679"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["43(1)"],"pubmed_abstract":["<h4>Background</h4>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.<h4>Purpose</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusions</h4>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."],"journal":["Annals of behavioral medicine : a publication of the Society of Behavioral Medicine"],"pubmed_title":["A culturally adapted telecommunication system to improve physical activity, diet quality, and medication adherence among hypertensive African-Americans: a randomized controlled trial."],"pmcid":["PMC8996679"],"funding_grant_id":["R01 HL069395","(R01 HL69395"],"pubmed_authors":["Wright JA","Friedman RH","Migneault JP","Morisky DE","Dedier JJ","Heeren T","Rudd P","Campbell MK"],"additional_accession":[]},"is_claimable":false,"name":"A culturally adapted telecommunication system to improve physical activity, diet quality, and medication adherence among hypertensive African-Americans: a randomized controlled trial.","description":"<h4>Background</h4>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.<h4>Purpose</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusions</h4>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.","dates":{"release":"2012-01-01T00:00:00Z","publication":"2012 Feb","modification":"2025-04-26T13:08:17.956Z","creation":"2025-04-06T14:07:43.959Z"},"accession":"S-EPMC8996679","cross_references":{"pubmed":["22246660"],"doi":["10.1007/s12160-011-9319-4"]}}