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Patient Educ Couns. 2010 Jul;80(1):130-4. doi: 10.1016/j.pec.2009.10.012. Epub 2009 Nov 30.

Implementation and success of nurse telephone counseling in linguistically isolated Korean American patients with high blood pressure.

Author information

1
School of Nursing, Johns Hopkins University, Baltimore, MD 21205-2110, USA. hhan@son.jhmi.edu

Abstract

OBJECTIVE:

Nurse telephone counseling can improve the management of chronic conditions, but the effectiveness of this approach in underserved populations is unclear. This study evaluated the use of bilingual nurse-delivered telephone counseling in Korean Americans (KAs) participating in a community-based intervention trial to improve management of hypertension.

METHODS:

KAs were randomized to receive 12 months of hypertension-related telephone counseling that was more intensive (bi-weekly) or less intensive (monthly). Counseling logs were kept for 360 KAs who completed the pre- and post-intervention evaluations.

RESULTS:

The overall success rate for the intervention was 80.3%. The level of success was significantly influenced by the dose of counseling, employment status, and years of US residence. Over the 12-month counseling period, both groups showed improvement with regard to medication-taking, alcohol consumption, and exercise but not smoking, with no significant group differences.

CONCLUSION:

Bilingual telephone counseling could reach monolingual KAs and improve their hypertension management behavior.

PRACTICE IMPLICATIONS:

Bilingual nurse telephone counseling may have wide applicability, serving as an effective means of disseminating evidence-based chronic disease management guidelines to a linguistically isolated community with limited health resources and information.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT00473681.

PMID:
19945816
PMCID:
PMC4510831
DOI:
10.1016/j.pec.2009.10.012
[Indexed for MEDLINE]
Free PMC Article

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