Racial disparities and the use of technology for self-management in blacks with heart failure: a literature review.

Journal Article (Review;Journal Article)

Heart failure is a debilitating illness that requires patients to be actively engaged in self-management. Self-management practices, including maintenance and management of an evidence-based medication regimen, are associated with improved outcomes. Yet, sustained engagement with self-management practices remains a challenge. Both self-management practices and clinical outcomes differ by race, with the poorest self-management and clinical outcomes reported in Blacks. Contemporary interventions to address self-management and reverse current trends in outcomes have evaluated the use of technology. Technological innovations, such as text messaging, social networking, and online learning platforms may provide a more accessible means for self-management of heart failure, yet these innovations have been understudied in the population at greatest risk - Blacks with heart failure. We conducted a review and discovered only four studies evaluating use of technology for self-management in Blacks. More studies are needed to close the gap on racial disparities and use of technology for self-management.

Full Text

Duke Authors

Cited Authors

  • Hughes, HA; Granger, BB

Published Date

  • September 2014

Published In

Volume / Issue

  • 11 / 3

Start / End Page

  • 281 - 289

PubMed ID

  • 25012939

Pubmed Central ID

  • PMC4118038

Electronic International Standard Serial Number (EISSN)

  • 1546-9549

International Standard Serial Number (ISSN)

  • 1546-9530

Digital Object Identifier (DOI)

  • 10.1007/s11897-014-0213-9


  • eng