Intervention Study to Control High Blood Pressure for Korean American - Full Text View

Sponsors and Collaborators:	Johns Hopkins University Agency for Healthcare Research and Quality (AHRQ)
Information provided by:	Johns Hopkins University
ClinicalTrials.gov Identifier:	NCT00473681

Purpose

The primary objective of the proposed clinical trials is to compare the differential reduction in blood pressure in underserved hypertensive adult Korean American. The study is designed to test the effectiveness of a comprehensive self-help intervention program.

Condition	Intervention
High Blood Pressure	Behavioral: Self-Help Intervention Program-High Blood Pressure

MedlinePlus related topics: High Blood Pressure

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Randomized, Single Blind, Active Control, Parallel Assignment, Efficacy Study
Official Title:	High Blood Pressure Care for Korean Americans

Further study details as provided by Johns Hopkins University:

Primary Outcome Measures:

Blood Pressure, Health-Related Quality of Life(Medical outcome Study Short Form-36) [ Time Frame: Baseling, 12month, 24month ]

Secondary Outcome Measures:

Self-Care Behaviors of HBP Control(Hill-Bone adherence of HBP therapy scale) Enabling Skills(problem-solving skills, cognitive reframing, belief-in-self) Self-Help(Inventory of Adult Role Behaviors) [ Time Frame: Baseline, 3months, 9 months,15 months ]

Enrollment:	445
Study Start Date:	September 2003
Study Completion Date:	August 2007
Primary Completion Date:	August 2006 (Final data collection date for primary outcome measure)

Detailed Description:

CVD is the leading cause of mortality among KA. Recent statistics underscoring the high prevalence and impact of uncontrolled HBP upon this population warrant the development and implementation of effective intervention. KA experiences a great deal of social isolation, which makes it more difficult for them to make behavioral changes for health improvement. individual, family, and community behaviors are part of the HBP problem and also constitute major part of the solution. The proposed research is designed to investigate these issues in a KA population and to lay the groundwork for community-based self-help health education interventions to enhance appropriate care and BP control.

Comparison(s):This community-based self-help intervention approach offers a more culturally appropriate approach to closing the health status gap for KA. Incorporating a partnership with community leaders and health and human service care providers, this approach will utilize state-of-the-art health education strategies and a well-trained bilingual nurse from the community.

Eligibility

Ages Eligible for Study:	40 Years to 65 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Self-identified as first-generation Korean American
Age 40 to 65 years of age
SBP≥140 or DBP≥90mmHg on HBP medication
resident of Greater Baltimore census tracts
Written consent to participate in the screening/eligibility visit
SBP≥140 or DBP≥90mmHg at the KRC HBP verification visit
Written consent to participate in the clinical trial:agreeing to participate in study data collection procedures, receiving HBP education, using HBPMT, and permitting contact with their own medical care provider.

Exclusion Criteria:

Acute and/or terminal condition precluding participation such as terminal cancer or acute myocardial infarction
Psychiatric diagnosis precluding participation such as schizophrenia and cognitive impairment measured by self-report, chart review, or clinical assessment.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00473681

Locations

United States, Maryland
Korean Resource Center
Ellicott city, Maryland, United States, 21042

Sponsors and Collaborators

Johns Hopkins University

Agency for Healthcare Research and Quality (AHRQ)

Investigators

Principal Investigator:

Miyong D Kim, PhD

Johns Hopkins university, School of Nursing

More Information

Publications of Results:

Kim MT, Kim EY, Han HR, Jeong S, Lee JE, Park HJ, Kim KB, Hill MN. Mail education is as effective as in-class education in hypertensive Korean patients. J Clin Hypertens (Greenwich). 2008 Mar;10(3):176-84.

Han HR, Kim KB, Kang J, Jeong S, Kim EY, Kim MT. Knowledge, beliefs, and behaviors about hypertension control among middle-aged Korean Americans with hypertension. J Community Health. 2007 Oct;32(5):324-42.

Kim EY, Han HR, Jeong S, Kim KB, Park H, Kang E, Shin HS, Kim MT. Does knowledge matter?: intentional medication nonadherence among middle-aged Korean Americans with high blood pressure. J Cardiovasc Nurs. 2007 Sep-Oct;22(5):397-404.

Other Publications:

Han HR, Kang J, Kim KB, Ryu JP, Kim MT. Barriers to and strategies for recruiting Korean Americans for community-partnered health promotion research. J Immigr Minor Health. 2007 Apr;9(2):137-46.

Study ID Numbers:	R01 HS13160
Study First Received:	May 14, 2007
Last Updated:	May 5, 2008
ClinicalTrials.gov Identifier:	NCT00473681
Health Authority:	United States: Institutional Review Board

Study placed in the following topic categories:

Vascular Diseases
Hypertension

Additional relevant MeSH terms:

Cardiovascular Diseases

ClinicalTrials.gov processed this record on January 14, 2009