Abstract P127: Heals Med-Tech: A Hypertension Control Program For African American Communities Using Telehealth Technologies

Abstract

Background: Cardiovascular diseases, including stroke, remain the leading cause of mortality and morbidity in the US. Hypertension (HTN) is the single most chronic condition among African-American (AA) adults with health disparities in respect to control, awareness, and compliance. HEALS Med-Tech (HMT) is a 12-month HTN management program. This abstract will present findings from the first 3 months of HMT on BP reduction in diagnosed AA adults. Primary outcomes of interest are changes in systolic BP (SBP), diastolic BP (DBP), and weight at 3, 6, and 12 months. Methods: HMT has 3 components: a) HEALS (Healthy Eating And Living Spiritually) a group-based, 12-month behavioral lifestyle intervention (3-months of weekly sessions followed by 9 monthly maintenance sessions) modified from the NIH-funded DASH and PREMIER programs; b) Med-component provides HTN management through medications and social support provided by PCPs; and c) Tech-component provides an interactive telehealth by mobile phone to combat barriers to healthcare access. Results: A total of 62 eligible AA participants were enrolled and randomized to either HEALS Med-Tech or standard care (control). The study is currently in maintenance phase. The least squares mean SBP at baseline was 144.1 mm Hg, and after 12 weeks of intervention, the SBP was 134.0 mm Hg. Similar changes were seen in DBP at 12 weeks from baseline. Conclusion: A multidisciplinary, community-engaged approach utilizing technology, supported by community peers, could improve HTN management in high-risk AAs. This study will contribute to understanding methods to empower AAs to increase self-care management of HTN and improve access to healthcare.