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American Heart Association

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Final ID: MDP1691

A Study Using Team Based Hypertension Care Focused on Black Patients to Inform a Future Randomized Trial

Abstract Body (Do not enter title and authors here): Background
Current telemedicine programs to manage hypertension are less effective in Black patients perhaps due to insufficient support for self-care skills and social needs. We describe a tailored program for Black patients emphasizing self-management support and social needs to inform future studies.
Method
We piloted a 12-week telemedicine intervention comprising home blood pressure (BP) guided pharmacotherapy, frequent self-management support and social support using pharmacist, nurses, community health workers (CHW) and social workers (SW) among 20 patients in 2 clinics. At enrollment, we trained patients to use a BP monitor and a telemonitoring app that transmits BP real-time via a smartphone and provided a pill box to facilitate medication adherence. We asked patients to measure BP at least once daily and used 6 weeks average to guide pharmacotherapy. Trained nurses helped patients achieve self-care goals and provided 8-12 self-management support calls discussing hypertension, medication adherence, diet, physical activity, weight management, sleep, and BP measurement techniques. SWs and CHWs provided social support to address social needs such as food, transportation, and housing, and also offered home visits.
Result
Eighteen patients completed the study of which 15 were Black, 2 White, and 1 Korean (9 were women). Mean age was 61.7 ± 11.8 years. Patients measured BP 10 ± 8.6 times/week and completed 8.3 ± 2.5 self-management calls. Over 12 weeks, SBP/DBP decreased by 16.5 ± 26.2/10.2 ± 18.5 mmHg without safety events (Table). There were 1.1 ± 0.8 (range 0-3) medication adjustments (dose or medication changes) per patient. Patients had 8 minor technical difficulties that were promptly resolved. 17 patients used pill boxes to improve medication adherence.
Conclusion
Our tailored telemedicine program to manage hypertension is feasible among Black patients and offer valuable insights for future research.
  • Manandhar, Srista  ( Wake Forest University School of Medicine , Winston-Salem , North Carolina , United States )
  • Taylor, Yhenneko  ( Wake Forest University School of Medicine , Winston Salem , North Carolina , United States )
  • Bosworth, Hayden  ( Wake Forest University School of Medicine , Winston Salem , North Carolina , United States )
  • Pokharel, Yashashwi  ( Wake Forest Baptist Health , Winston Salem , North Carolina , United States )
  • Chhetri, Sunit  ( Wake Forest University School of Medicine , Winston-Salem , North Carolina , United States )
  • Sutton, Danielle  ( Atrium Health Carolinas Medical Center , Charlotte , North Carolina , United States )
  • Saha, Animita  ( Wake Forest University School of Medicine , Charlotte , North Carolina , United States )
  • Kaur, Suneet  ( Wake Forest University School of Medicine , Charlotte , North Carolina , United States )
  • Brown, Josh  ( Wake Forest University School of Medicine , Winston Salem , North Carolina , United States )
  • Moore, Justin  ( Wake Forest University School of Me , Winston-Salem , North Carolina , United States )
  • Callahan, Kate  ( Wake Forest University School of Medicine , Winston Salem , North Carolina , United States )
  • Williamson, Jeff  ( Wake Forest School of Medicine , Winston-Salem , North Carolina , United States )
  • Author Disclosures:
    Srista Manandhar: DO NOT have relevant financial relationships | Yhenneko Taylor: DO NOT have relevant financial relationships | Hayden Bosworth: DO NOT have relevant financial relationships | Yashashwi Pokharel: DO NOT have relevant financial relationships | Sunit Chhetri: DO NOT have relevant financial relationships | Danielle Sutton: DO NOT have relevant financial relationships | Animita Saha: No Answer | Suneet Kaur: No Answer | Josh Brown: DO NOT have relevant financial relationships | Justin Moore: DO NOT have relevant financial relationships | Kate Callahan: DO NOT have relevant financial relationships | Jeff Williamson: No Answer
Meeting Info:

Scientific Sessions 2024

2024

Chicago, Illinois

Session Info:

Identifying and Addressing Health Inequity in Blood Pressure Control

Monday, 11/18/2024 , 11:10AM - 12:35PM

Moderated Digital Poster Session

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