Telemed J E Health - Who is being reached for a telephone-delivered intervention for patients with uncontrolled hypertension?


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CKGROUND: Telephone-delivered interventions to provide health counseling for complex chronic medical conditions are convenient, acceptable, and cost-effective. However, little is known about which patients are reached, their characteristics, and who benefits most from telephone-delivered counseling.MATERIALS AND METHODS: This study examined whether baseline characteristics are predictive of being easily reached for a monthly, telephone-delivered behavioral intervention to improve treatment adherence in Veterans with uncontrolled hypertension. Participants were to complete a telephone session once a month for 6 months.RESULTS: Participants completed an average of 5.71 out of a possible 6 sessions. Participants who were unmarried, African American, unemployed, or younger or did not complete high school required significantly more call attempts per completed session.CONCLUSIONS: Overall, telephone-delivered counseling is a feasible approach to reaching hypertensive patients. Patients who are married, Hispanic, retired, or older or graduated college may be easier to reach and engage in telephone-delivered counseling. Reaching patients with other sociodemographic characteristics may require more resources or alternate methods.

Resumo Limpo

ckground telephonedeliv intervent provid health counsel complex chronic medic condit conveni accept costeffect howev littl known patient reach characterist benefit telephonedeliv counselingmateri method studi examin whether baselin characterist predict easili reach month telephonedeliv behavior intervent improv treatment adher veteran uncontrol hypertens particip complet telephon session month monthsresult particip complet averag possibl session particip unmarri african american unemploy younger complet high school requir signific call attempt per complet sessionconclus overal telephonedeliv counsel feasibl approach reach hypertens patient patient marri hispan retir older graduat colleg may easier reach engag telephonedeliv counsel reach patient sociodemograph characterist may requir resourc altern method

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