A Pilot Study Evaluating the Effects of a Technology-Based and Positive Psychological Training Intervention on Blood Pressure in African Americans With Hypertension

Behavioral interventions consolidating technology are underutilized and do not reach diverse populations such as African Americans with hypertension. This pilot study aimed to evaluate the effects of a theoretically derived, technology-based intervention in African Americans with hypertension. Afric...

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Autores principales: Carolyn H. Still, Seunghee P. Margevicius, Jackson T. Wright, Suebarn Ruksakulpiwat, Shirley M. Moore
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Lenguaje:EN
Publicado: SAGE Publishing 2021
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spelling oai:doaj.org-article:027ef863fd474a2996cd2d72618abd532021-12-02T23:33:33ZA Pilot Study Evaluating the Effects of a Technology-Based and Positive Psychological Training Intervention on Blood Pressure in African Americans With Hypertension2150-132710.1177/21501327211056186https://doaj.org/article/027ef863fd474a2996cd2d72618abd532021-12-01T00:00:00Zhttps://doi.org/10.1177/21501327211056186https://doaj.org/toc/2150-1327Behavioral interventions consolidating technology are underutilized and do not reach diverse populations such as African Americans with hypertension. This pilot study aimed to evaluate the effects of a theoretically derived, technology-based intervention in African Americans with hypertension. African Americans with hypertension (N = 18; age range 25-85; 72.22% females) were randomized to the technology-based plus positive psychological training (PPT) experimental group (n = 10) or the comparison group (n = 8) for 12 weeks. The technology-based intervention included analytic components (web-based education, self-monitoring of blood pressure [BP], and medication management using a commercially free app-Medisafe) and an emotional component (comprised of skills and behaviors directed at engaging 1 in positive activities to help build increasing healthy behaviors). The comparison group received the technology-based intervention alone. Demographic information, self-management cognitive processes, self-management behaviors, and health status outcomes were assessed. After completing the 12-week intervention, the groups did not significantly differ in health outcomes, health behavior outcomes, and technology utilization outcomes. Mean systolic BP decrease 6.02 mmHg (standard deviation [SD] = 22.75) in the comparison group and 1.1 mmHg (SD = 20.64; P  = .439) in the experimental group. Diastolic BP decreased 0.1 mmHg (SD = 11.78) in the comparison group and 1.5 mmHg (SD = 12.7; P  = .757) in the experimental group. Our findings suggest that behavioral interventions using technology have the potential to improve self-management outcomes among African American populations. Further research is warranted in a larger sample size and a longer time frame to identify the intervention’s effectiveness.Carolyn H. StillSeunghee P. MargeviciusJackson T. WrightSuebarn RuksakulpiwatShirley M. MooreSAGE PublishingarticleComputer applications to medicine. Medical informaticsR858-859.7Public aspects of medicineRA1-1270ENJournal of Primary Care & Community Health, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Computer applications to medicine. Medical informatics
R858-859.7
Public aspects of medicine
RA1-1270
spellingShingle Computer applications to medicine. Medical informatics
R858-859.7
Public aspects of medicine
RA1-1270
Carolyn H. Still
Seunghee P. Margevicius
Jackson T. Wright
Suebarn Ruksakulpiwat
Shirley M. Moore
A Pilot Study Evaluating the Effects of a Technology-Based and Positive Psychological Training Intervention on Blood Pressure in African Americans With Hypertension
description Behavioral interventions consolidating technology are underutilized and do not reach diverse populations such as African Americans with hypertension. This pilot study aimed to evaluate the effects of a theoretically derived, technology-based intervention in African Americans with hypertension. African Americans with hypertension (N = 18; age range 25-85; 72.22% females) were randomized to the technology-based plus positive psychological training (PPT) experimental group (n = 10) or the comparison group (n = 8) for 12 weeks. The technology-based intervention included analytic components (web-based education, self-monitoring of blood pressure [BP], and medication management using a commercially free app-Medisafe) and an emotional component (comprised of skills and behaviors directed at engaging 1 in positive activities to help build increasing healthy behaviors). The comparison group received the technology-based intervention alone. Demographic information, self-management cognitive processes, self-management behaviors, and health status outcomes were assessed. After completing the 12-week intervention, the groups did not significantly differ in health outcomes, health behavior outcomes, and technology utilization outcomes. Mean systolic BP decrease 6.02 mmHg (standard deviation [SD] = 22.75) in the comparison group and 1.1 mmHg (SD = 20.64; P  = .439) in the experimental group. Diastolic BP decreased 0.1 mmHg (SD = 11.78) in the comparison group and 1.5 mmHg (SD = 12.7; P  = .757) in the experimental group. Our findings suggest that behavioral interventions using technology have the potential to improve self-management outcomes among African American populations. Further research is warranted in a larger sample size and a longer time frame to identify the intervention’s effectiveness.
format article
author Carolyn H. Still
Seunghee P. Margevicius
Jackson T. Wright
Suebarn Ruksakulpiwat
Shirley M. Moore
author_facet Carolyn H. Still
Seunghee P. Margevicius
Jackson T. Wright
Suebarn Ruksakulpiwat
Shirley M. Moore
author_sort Carolyn H. Still
title A Pilot Study Evaluating the Effects of a Technology-Based and Positive Psychological Training Intervention on Blood Pressure in African Americans With Hypertension
title_short A Pilot Study Evaluating the Effects of a Technology-Based and Positive Psychological Training Intervention on Blood Pressure in African Americans With Hypertension
title_full A Pilot Study Evaluating the Effects of a Technology-Based and Positive Psychological Training Intervention on Blood Pressure in African Americans With Hypertension
title_fullStr A Pilot Study Evaluating the Effects of a Technology-Based and Positive Psychological Training Intervention on Blood Pressure in African Americans With Hypertension
title_full_unstemmed A Pilot Study Evaluating the Effects of a Technology-Based and Positive Psychological Training Intervention on Blood Pressure in African Americans With Hypertension
title_sort pilot study evaluating the effects of a technology-based and positive psychological training intervention on blood pressure in african americans with hypertension
publisher SAGE Publishing
publishDate 2021
url https://doaj.org/article/027ef863fd474a2996cd2d72618abd53
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