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An Interactive Technology Enhanced Coaching Intervention for Black Women with Hypertension

Award Number: K01HL140288
ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 02/15/2018
PERIOD OF PERFORMANCE END DATE: 01/31/2023

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An Interactive Technology Enhanced Coaching Intervention for Black Women with Hypertension - Abstract In the United States, hypertension (HTN) is the leading risk factor for cardiovascular disease and a more significant problem among Black women. About 46.1% of Black women over the age of 20 have HTN compared to White (30.1%) and Hispanic (29.9%) women. Currently, the prevalence of HTN in Black women is highest in the United States and is expected to increase underscoring the relatively ineffective prevention and management efforts for blood pressure (BP) control. Blacks tend to develop HTN earlier in life with greater severity and more organ damage when compared to Whites and uncontrolled HTN increases the risk of heart failure, myocardial infarction, stoke, and kidney disease. Black females experience a substantially higher death rate from HTN at 2.1 times the rate of both White and Hispanic females. Poor execution of evidence-based HTN guidelines and clinical inertia among healthcare providers along with patient nonadherence to prescribed treatment contribute to poor BP control. It is well known that antihypertensive medications along with lifestyle modifications have proven efficacy in lowering BP when adhered to consistently. However, for Blacks, the lingering effects of their historical legacy, continued segregated communities, high poverty rates, and unequal medical treatment, place them in a unique position to view healthcare with skepticism that differs from all other racial/ethnic groups. Thus, accepted approaches to HTN management have not been optimally effective in producing sustained BP control for Black women. Since nonadherence occurs in the context of everyday living, strategies are needed that encourage more active individual engagement in health care behaviors and self- care activities, in the physical and social environment where they can be performed by patients independently. The objective of this NHLBI K01 Mentored Career Development Award is to obtain research training and develop the skills needed to be an independent investigator, and to use those skills to test the effectiveness of an established Chronic Disease Self-management Program (CDSMP) plus an innovative interactive technology-enhanced coaching (ITEC) system, on improving BP control in community-dwelling Black women with uncontrolled HTN. The proposed project is a two-arm randomized controlled trial (RCT), repeated measures design, with specific aims to determine whether the effects of CDSMP combined with ITEC will maintain BP control, attain medication adherence, and achieve lifestyle modifications (medication adherence, physical activity, diet, and weight management) compared to the CDSMP alone. We hypothesize that participants who receive self-care management and interactive coaching with technology will have lower systolic/diastolic BP and better adherence to antihypertensive medication(s) and lifestyle recommendations post intervention compared to participants receiving self-care management alone. The expected outcome of this study will provide preliminary evidence to inform the design of a fully powered RCT for an R01 application before the end of the K Award.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$9,436 )
2024	2022	UNIVERSITY OF NORTH CAROLINA AT CHARLOTTE, THE	9201 UNIVERSITY CITY BLVD	CHARLOTTE	NC	28223	MECKLENBURG	USA	Cardiovascular Diseases Research	000	5	12/1/2023	NON-COMPETING CONTINUATION	-$9,436
														Subtotal = -$9,436

Issue Date FY: 2022 ( Subtotal = $140,628 )
2022	2022	UNIVERSITY OF NORTH CAROLINA AT CHARLOTTE, THE	9201 UNIVERSITY CITY BLVD	CHARLOTTE	NC	28223	MECKLENBURG	USA	Cardiovascular Diseases Research	000	5	1/28/2022	NON-COMPETING CONTINUATION	$140,628
														Subtotal = $140,628

Issue Date FY: 2021 ( Subtotal = $140,261 )
2021	2021	UNIVERSITY OF NORTH CAROLINA AT CHARLOTTE, THE	9201 UNIVERSITY CITY BLVD	CHARLOTTE	NC	28223	MECKLENBURG	USA	Cardiovascular Diseases Research	000	4	1/26/2021	NON-COMPETING CONTINUATION	$140,261
														Subtotal = $140,261

Issue Date FY: 2020 ( Subtotal = $148,666 )
2020	2020	UNIVERSITY OF NORTH CAROLINA AT CHARLOTTE, THE	9201 UNIVERSITY CITY BLVD	CHARLOTTE	NC	28223	MECKLENBURG	USA	Cardiovascular Diseases Research	000	3	2/12/2020	NON-COMPETING CONTINUATION	$148,666
														Subtotal = $148,666

Issue Date FY: 2019 ( Subtotal = $149,397 )
2019	2019	UNIVERSITY OF NORTH CAROLINA AT CHARLOTTE, THE	9201 UNIVERSITY CITY BLVD	CHARLOTTE	NC	28223	MECKLENBURG	USA	Cardiovascular Diseases Research	000	2	1/31/2019	NON-COMPETING CONTINUATION	$149,397
														Subtotal = $149,397

Issue Date FY: 2018 ( Subtotal = $149,541 )
2018	2018	UNIVERSITY OF NORTH CAROLINA AT CHARLOTTE, THE	9201 UNIVERSITY CITY BLVD	CHARLOTTE	NC	28223	MECKLENBURG	USA	Cardiovascular Diseases Research	000	1	2/13/2018	NEW	$149,541
														Subtotal = $149,541

Grand Total All Awards = $719,057

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An Interactive Technology Enhanced Coaching Intervention for Black Women with Hypertension

Award Number: K01HL140288

ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 02/15/2018

PERIOD OF PERFORMANCE END DATE: 01/31/2023

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