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Research ArticleOriginal Research

Empowering Low-Income Patients with Home Blood Pressure Monitors to Improve Hypertension Control

Arindam Sarkar, Chinwe Nwokocha, Susan G. Nash and Larissa Grigoryan
The Journal of the American Board of Family Medicine March 2024, 37 (2) 187-195; DOI: https://doi.org/10.3122/jabfm.2023.230357R1
Arindam Sarkar
From the Baylor College of Medicine, Department of Family and Community Medicine, Houston TX (AS, CN, SGN, LG).
MD
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Chinwe Nwokocha
From the Baylor College of Medicine, Department of Family and Community Medicine, Houston TX (AS, CN, SGN, LG).
MD
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Susan G. Nash
From the Baylor College of Medicine, Department of Family and Community Medicine, Houston TX (AS, CN, SGN, LG).
PhD
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Larissa Grigoryan
From the Baylor College of Medicine, Department of Family and Community Medicine, Houston TX (AS, CN, SGN, LG).
MD, PhD
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Article Figures & Data

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    Figure 1.

    Participant enrollment. Abbreviation: BP, blood pressure.

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    Table 1.

    Therapy Adherence Scale (TAS) Questions

    Scoring:
    1. All of the Time
    2. Most of the Time
    3. Some of the Time
    4. None of the Time
    Dietary Compliance
    1. How often do you eat salty food?
    2. How often do you shake salt on your food before you eat it?
    3. How often do you eat fast food?
    Appointment Keeping
    4. How often do you make the next appointment before you leave the doctor’s office?*
    5. How often do you miss scheduled appointments?
    Medication Adherence
    6. How often do you forget to take your high blood pressure medicine?
    7. How often do you skip your high blood pressure medicine before you go to the doctor?
    8. How often do you forget to get prescriptions filled?
    9. How often do you decide NOT to take your high blood pressure medicine?
    10. How often do you run out of high blood pressure pills?
    11. How often do you miss taking your high blood pressure pills when you feel better?
    12. How often do you miss taking your high blood pressure pills when you feel sick?
    13. How often do you take someone else’s high blood pressure pills?
    14. How often do you miss taking your high blood pressure pills when you are careless?
    • ↵* Reverse coding.

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    Table 2.

    Baseline Characteristics of Participants (n = 200)

    InterventionUsual Care
    Age (mean, SD)50.5 (±7.5)49.9 (±7.6)
    Female (%)6061
    Systolic BP (mean, SD)155 (±16)154 (±13)
    Diastolic BP (mean, SD)87 (±11)87 (±12)
    Therapy Adherence Scale score, (mean, SD)39.2 (6.6)38.1 (7.0)
    Black or African American (%)1820
    Hispanic or Latino (%)6668
    Comorbid Diabetes (%)3530
    • Abbreviation: SD, standard deviation.

    • View popup
    Table 3.

    Post-Intervention Outcomes (n = 200)

    InterventionUsual Care
    Systolic BP lowering (%)13.39.1
    Diastolic BP lowering (%)11.36.8
    Initial Therapy Adherence Score (mean)38.738.1
    Final Therapy Adherence Score (mean)44.141.1
    BP became controlled (<140/90) (%)8254
    Odds ratio for BP control (intervention vs usual care)4.0 (95% Confidence Interval 2.1 to 7.7)
    Odds ratio for good therapy adherence (intervention vs usual care)17.0 (95% Confidence Interval 8.1 to 35.7)
    • Abbreviation: BP, blood pressure.

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The Journal of the American Board of Family     Medicine: 37 (2)
The Journal of the American Board of Family Medicine
Vol. 37, Issue 2
March-April 2024
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Empowering Low-Income Patients with Home Blood Pressure Monitors to Improve Hypertension Control
Arindam Sarkar, Chinwe Nwokocha, Susan G. Nash, Larissa Grigoryan
The Journal of the American Board of Family Medicine Mar 2024, 37 (2) 187-195; DOI: 10.3122/jabfm.2023.230357R1

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Empowering Low-Income Patients with Home Blood Pressure Monitors to Improve Hypertension Control
Arindam Sarkar, Chinwe Nwokocha, Susan G. Nash, Larissa Grigoryan
The Journal of the American Board of Family Medicine Mar 2024, 37 (2) 187-195; DOI: 10.3122/jabfm.2023.230357R1
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