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Effects of self-guided e-counseling on health behaviors and blood pressure: Results of a randomized trial
- Source :
- Patient education and counseling. 103(3)
- Publication Year :
- 2019
-
Abstract
- Objective 1) Evaluate the efficacy of e-Counseling vs. Control to promote lifestyle behaviors at 4 and 12-month follow-ups, 2) examine whether these behaviors changes were associated with lower blood pressure (BP), and Framingham Risk Index (FRI) at 12-month. Methods Hypertensive patients (n = 264) were randomized to the e-Counseling or the Control group. Primary trial outcome was BP and secondary outcomes included exercise and diet behaviors. This study presented the results of secondary outcomes. Linear mixed models evaluated treatment effects at 4 and 12-month. Treatment-by-sex exploratory analyses were conducted if no main treatment effect was observed. Results Daily steps significantly improved in e-Counseling vs. Controls at 12-month. Urinary sodium at 12-month did not significantly differ between the groups, but treatment-by-sex analysis showed that e-Counseling females lowered urinary sodium relative to Controls at 12 months. Improvements in steps and dietary sodium were significantly associated with improvements in BP and FRI at 12-month. Conclusion This hypertension e-Counseling protocol can promote long-term lifestyle behavior changes. Adherence to the lifestyle behavior change was associated with BP and FRI reduction at 12-month. Practice implications The hypertension e-counseling protocol has the potential to improve hypertension care and intervention reach.
- Subjects :
- Adult
Male
medicine.medical_specialty
Health Behavior
Blood Pressure
Distance Counseling
law.invention
03 medical and health sciences
0302 clinical medicine
Dietary Sodium
Randomized controlled trial
Double-Blind Method
law
Internal medicine
medicine
Humans
Treatment effect
030212 general & internal medicine
E-Counseling
Life Style
Framingham Risk Score
Urinary sodium
business.industry
030503 health policy & services
General Medicine
Self guided
Diet, Sodium-Restricted
Middle Aged
Telemedicine
3. Good health
Diet
Self Care
Blood pressure
Counselors
Treatment Outcome
Hypertension
Female
0305 other medical science
business
Risk Reduction Behavior
Subjects
Details
- ISSN :
- 18735134
- Volume :
- 103
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Patient education and counseling
- Accession number :
- edsair.doi.dedup.....ec607ca98ec115d502f648bb0514b923