Daytral Brown

Graduation Semester and Year

2020

Language

English

Document Type

Dissertation

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Mary Schira

Abstract

Background: Hypertension, the second leading cause of end-stage renal disease (ESRD), affects approximately 40% of African-Americans (Mansyur, Pavlik, Hyman, Taylor, & Goodrick, 2009). One well-known barrier to hypertension management among African-Americans is poor medication compliance (Ephraim et al., 2014; Solomon et al., 2015). The purpose of this project was to evaluate the effect of SMS-text messages on antihypertensive medication compliance and hypertension knowledge among hypertensive African-Americans with a known history of antihypertensive medication noncompliance. Methods: African-Americans (n=25), with a known history of hypertension and medication noncompliance, received 12 twice weekly SMS-text messages relating to hypertension knowledge and medication compliance. A pretest/posttest design assessed hypertension knowledge using the Hypertension Knowledge Questionnaire and assessed medication compliance using the Hill-Bone Compliance to High Blood Pressure Therapy scale. Results: Twenty-five hypertensive African-Americans (mean age 49.52 years) participated in this project. Hypertension knowledge revealed a significant increase (p= .005). Analysis of HillBone Compliance to High Blood Pressure Therapy Scale scores did not reveal a significant difference in medication compliance (p = .295). Further analysis of the medication compliance subscale revealed similar results (p = .812). Conclusion: SMS-text messaging is an effective intervention for increasing hypertension knowledge. Patient reported hypertensive medication compliance did not undergo significant change. Future studies should explore methods to implement SMS-text messaging which improve hypertension knowledge but also encourage self-efficacy behaviors.

Disciplines

Medicine and Health Sciences | Nursing

Comments

Degree granted by The University of Texas at Arlington

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