Poster Presentation
Friday, 21 July 2006
10:00 AM - 10:30 AM
Friday, 21 July 2006
3:00 PM - 3:30 PM
This presentation is part of : Poster Presentations III
Effects of Telephone Counseling on Transitions in Stage of Behavioral Change of Korean American (KA) with High Blood Pressure (HBP)
Seonghee Jeong, PhD, RN, Eun-Young Kim, PhD, MPH, RN, Yoonjung Choi, PhD, RN, Hyunjeong Park, RN, MPH, CRNP, and Miyong Kim, PhD, RN. School of Nursing, The Johns Hopkins University, Baltimore, MD, USA
Learning Objective #1: 1. identify the effectiveness of tailored telephone counseling as an intervention to facilitate adherence of high blood pressure treatment recommendations.
Learning Objective #2: 2. describe the necessity of strategy to reduce health disparity among underserved populations
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.

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