RUcore: Rutgers University Community Repository
A self-measured blood pressure protocol to improve medication adherence and blood pressure control
Descriptive
TitleInfo
Title
A self-measured blood pressure protocol to improve medication adherence and blood pressure control
Name
(type = personal)
NamePart
(type = family)
Huamani
NamePart
(type = given)
Stacy
DisplayForm
Stacy Huamani
Role
RoleTerm
(authority = RULIB)
author
Name
(type = personal)
NamePart
(type = family)
Kamienski
NamePart
(type = given)
Mary
DisplayForm
Mary Kamienski
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
chair
Name
(type = personal)
NamePart
(type = family)
Irina
NamePart
(type = given)
Benenson
DisplayForm
Benenson Irina
Affiliation
Advisory Committee
Role
RoleTerm
(authority = local)
member
Name
(type = corporate)
NamePart
Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
(type = corporate)
NamePart
RBHS School of Nursing
Role
RoleTerm
(authority = RULIB)
school
TypeOfResource
Text
Genre
(authority = marcgt)
theses
OriginInfo
DateCreated
(encoding = w3cdtf);
(qualifier = exact);
(keyDate = yes)
2022
DateOther
(encoding = w3cdtf);
(type = degree);
(qualifier = exact)
2022-05
Language
LanguageTerm
(authority = ISO 639-3:2007);
(type = text)
English
Abstract
(type = abstract)
Background & Significance: People with hypertension (HTN) living in poverty have a higher risk of developing end-organ damage and dying from complications than those living in wealthier areas.
Purpose of Project: To decrease the risk of HTN-related complications by implementing an evidence-based protocol of self-measured blood pressure (SMBP) monitoring with weekly personal support calls to improve blood pressure (BP) control and medication adherence among low-income minorities.
Methodology: This study used a quasi-experimental design. Patients from a private primary care practice were recruited. All participants received a 45-min in-person educational session on SMBP and a 15-min phone call weekly for four weeks. Participants were to collect and report BP readings weekly. A validated instrument to evaluate a patients’ adherence to HTN therapy: Hill-Bone Compliance to High Blood Pressure Therapy scale (HB-HBP), was used to collect pre and post-intervention scores.
Results: Nine participants completed the project. The majority of the participants' ages ranged from 60-79 yrs, about 55% had HTN for over 10 yrs, and about 32% reported knowing the proper techniques to measure their BP at home. A statistically significant improvement in the mean SBP readings (p= 0.028) and HB-HBP scores (p=0.012) occurred from pre to post-intervention. Medication adherence alone was not statistically significant (p= 0.056).
Implications for Practice: Although there wasn’t a significant improvement in medication adherence, this study indicated a statistically significant improvement in SBP and adherence to HTN therapy. The potential impact is a reduction in the adverse sequala of uncontrolled HTN.
Purpose of Project: To decrease the risk of HTN-related complications by implementing an evidence-based protocol of self-measured blood pressure (SMBP) monitoring with weekly personal support calls to improve blood pressure (BP) control and medication adherence among low-income minorities.
Methodology: This study used a quasi-experimental design. Patients from a private primary care practice were recruited. All participants received a 45-min in-person educational session on SMBP and a 15-min phone call weekly for four weeks. Participants were to collect and report BP readings weekly. A validated instrument to evaluate a patients’ adherence to HTN therapy: Hill-Bone Compliance to High Blood Pressure Therapy scale (HB-HBP), was used to collect pre and post-intervention scores.
Results: Nine participants completed the project. The majority of the participants' ages ranged from 60-79 yrs, about 55% had HTN for over 10 yrs, and about 32% reported knowing the proper techniques to measure their BP at home. A statistically significant improvement in the mean SBP readings (p= 0.028) and HB-HBP scores (p=0.012) occurred from pre to post-intervention. Medication adherence alone was not statistically significant (p= 0.056).
Implications for Practice: Although there wasn’t a significant improvement in medication adherence, this study indicated a statistically significant improvement in SBP and adherence to HTN therapy. The potential impact is a reduction in the adverse sequala of uncontrolled HTN.
Subject
(authority = RUETD)
Topic
Nursing
Subject
(authority = RUETD)
Topic
Health education
Subject
(authority = local)
Topic
Blood presssure
Subject
(authority = local)
Topic
Hypertension
Subject
(authority = local)
Topic
Self-measured blood pressure monitoring
Subject
(authority = local)
Topic
Uncontrolled hypertension
Subject
(authority = local)
Topic
Personal support phone calls
Subject
(authority = local)
Topic
Hill-Bone
Subject
(authority = local)
Topic
Compliance
Subject
(authority = local)
Topic
Controlled hypertension
Subject
(authority = local)
Topic
Adherence
RelatedItem
(type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier
(type = RULIB)
ETD
Identifier
http://dissertations.umi.com/RBHS:10048
PhysicalDescription
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
97 pages : illustrations
Note
(type = degree)
D.N.P.
Note
(type = bibliography)
Includes bibliographical references
RelatedItem
(type = host)
TitleInfo
Title
School of Nursing (RBHS) DNP Projects
Identifier
(type = local)
rucore10004500001
Location
PhysicalLocation
(authority = marcorg);
(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier
(type = doi)
doi:10.7282/t3-0fa9-a957
Back to the top
Rights
RightsDeclaration
(ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder
(type = personal)
Name
FamilyName
Huamani
GivenName
Stacy
Role
Copyright holder
RightsEvent
Type
Permission or license
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = start)
2022-08-29T12:00:11
AssociatedEntity
Name
Stacy Huamani
Role
Copyright holder
Affiliation
Rutgers University. RBHS School of Nursing
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = start)
2022-08-29
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = end)
2024-08-27
Type
Embargo
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after August 27, 2024
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
Back to the top
Technical
RULTechMD
(ID = TECHNICAL1)
ContentModel
ETD
OperatingSystem
(VERSION = 5.1)
windows xp
CreatingApplication
Version
1.7
DateCreated
(point = end);
(encoding = w3cdtf);
(qualifier = exact)
2022-01-13T14:55:03
DateCreated
(point = end);
(encoding = w3cdtf);
(qualifier = exact)
2022-03-18T12:56:52
ApplicationName
activePDF DocConverter
Back to the top
Statistical Profile