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Take Control of Your Blood Pressure (TCYB) study: a multifactorial tailored behavioral and educational intervention for achieving blood pressure control.

Publication ,  Journal Article
Bosworth, HB; Olsen, MK; Neary, A; Orr, M; Grubber, J; Svetkey, L; Adams, M; Oddone, EZ
Published in: Patient Educ Couns
March 2008

OBJECTIVE: Evaluating a randomized controlled trial involving a tailored behavioral intervention conducted to improve blood pressure control. METHODS: Adults with hypertension from two outpatient primary care clinics were randomly allocated to receive a nurse-administered behavioral intervention or usual care. In this ongoing study, patients receive the tailored behavioral intervention bi-monthly for 2 years via telephone; the goal of the intervention is to promote medication adherence and improve hypertension-related health behaviors. Patient factors targeted in the tailored behavioral intervention include perceived risk of hypertension and knowledge, memory, medical and social support, patients' relationship with their health care provider, adverse effects of medication therapy, weight management, exercise, diet, stress, smoking, and alcohol use. RESULTS: The sample randomized to the behavioral intervention consisted of 319 adults with hypertension (average age=60.5 years; 47% African-American). A comparable sample of adults was assigned to usual care (n=317). We had a 96% retention rate for the overall sample for the first 6 months of the study (93% at 12 months). The average phone call has lasted 18min (range 2-51min). From baseline to 6 months, self-reported medication adherence increased by 9% in the behavioral group vs. 1% in the non-behavioral group. CONCLUSION: The intervention is easily implemented and is designed to enhance adherence with prescribed hypertension regimen. The study includes both general and patient-tailored information based upon need assessment. The study design ensures internal validity as well as the ability to generalize study findings to the clinic settings. PRACTICE IMPLICATIONS: Despite knowledge of the risks and acceptable evidence, a large number of hypertensive adults still do not have their blood pressure under effective control. This study will be an important step in evaluating a tailored multibehavioral intervention focusing on improving blood pressure control.

Duke Scholars

Published In

Patient Educ Couns

DOI

ISSN

0738-3991

Publication Date

March 2008

Volume

70

Issue

3

Start / End Page

338 / 347

Location

Ireland

Related Subject Headings

  • Telephone
  • Self Care
  • Public Health
  • Patient Education as Topic
  • Patient Compliance
  • Patient Care Planning
  • Nursing Evaluation Research
  • North Carolina
  • Needs Assessment
  • Models, Psychological
 

Citation

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ICMJE
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Bosworth, H. B., Olsen, M. K., Neary, A., Orr, M., Grubber, J., Svetkey, L., … Oddone, E. Z. (2008). Take Control of Your Blood Pressure (TCYB) study: a multifactorial tailored behavioral and educational intervention for achieving blood pressure control. Patient Educ Couns, 70(3), 338–347. https://doi.org/10.1016/j.pec.2007.11.014
Bosworth, Hayden B., Maren K. Olsen, Alice Neary, Melinda Orr, Janet Grubber, Laura Svetkey, Martha Adams, and Eugene Z. Oddone. “Take Control of Your Blood Pressure (TCYB) study: a multifactorial tailored behavioral and educational intervention for achieving blood pressure control.Patient Educ Couns 70, no. 3 (March 2008): 338–47. https://doi.org/10.1016/j.pec.2007.11.014.
Bosworth HB, Olsen MK, Neary A, Orr M, Grubber J, Svetkey L, et al. Take Control of Your Blood Pressure (TCYB) study: a multifactorial tailored behavioral and educational intervention for achieving blood pressure control. Patient Educ Couns. 2008 Mar;70(3):338–47.
Bosworth, Hayden B., et al. “Take Control of Your Blood Pressure (TCYB) study: a multifactorial tailored behavioral and educational intervention for achieving blood pressure control.Patient Educ Couns, vol. 70, no. 3, Mar. 2008, pp. 338–47. Pubmed, doi:10.1016/j.pec.2007.11.014.
Bosworth HB, Olsen MK, Neary A, Orr M, Grubber J, Svetkey L, Adams M, Oddone EZ. Take Control of Your Blood Pressure (TCYB) study: a multifactorial tailored behavioral and educational intervention for achieving blood pressure control. Patient Educ Couns. 2008 Mar;70(3):338–347.
Journal cover image

Published In

Patient Educ Couns

DOI

ISSN

0738-3991

Publication Date

March 2008

Volume

70

Issue

3

Start / End Page

338 / 347

Location

Ireland

Related Subject Headings

  • Telephone
  • Self Care
  • Public Health
  • Patient Education as Topic
  • Patient Compliance
  • Patient Care Planning
  • Nursing Evaluation Research
  • North Carolina
  • Needs Assessment
  • Models, Psychological