{"id":{"repo_id":"utswmed","oai_identifier":"oai:utswmed-ir.tdl.org:2152.5/10832"},"canonical_url":"https://search.dev.ndltd.org/etd/utswmed/oai:utswmed-ir.tdl.org:2152.5/10832","repository":{"repo_id":"utswmed","name":"University of Texas Southwestern Medical Center","base_url":"https://utswmed-ir.tdl.org/server/oai/request"},"display":{"title":"Design, Implementation, and Evaluation of a Self-Measured Blood Pressure Monitoring Program in a Free Clinic Setting","abstract":"BACKGROUND: Hypertension (HTN) is a major public health challenge affecting nearly half of U.S. adults. Only one-fourth of those with HTN have their condition controlled, with lower control rates observed among low-income racial and ethnic minority groups. Self-measured blood pressure (SMBP) monitoring has been shown to promote HTN self-management and improve blood pressure (BP) control, but few studies have assessed SMBP in medically underserved populations. OBJECTIVE: To assess the impact of a program combining SMBP monitoring with education and counseling on BP control and knowledge and self-efficacy regarding disease management in a free clinic setting serving a primarily low-income Latinx population. METHODS: Adults ≥18 years old with HTN or elevated BP at a free clinic were enrolled in a 3-month program. Participants received a BP monitor to measure and log BP daily and received education and counseling on HTN self-management. Pre- and post-intervention surveys were administered to assess knowledge about HTN (score range 1-2) and self-efficacy for managing chronic disease (SEMCD; score range 1-10). BP logs were scanned at 1 month. Paired t-tests were used to compare mean knowledge score, SEMCD score, systolic BP (SBP) and diastolic BP (DBP) pre- and post-intervention. RESULTS: Participants (n = 38) had mean knowledge score of 1.32 (SD = 0.33) pre-intervention and 1.92 (SD = 0.12) post-intervention (p < 0.05) and mean SEMCD score of 7.80 (SD = 1.54) pre-intervention and 8.96 (SD = 1.25) post-intervention (p < 0.05). Participants who completed 1 month SMBP (n = 30) had mean SBP of 136 mmHg (SD = 11 mmHg) pre-intervention and 131 mmHg (SD = 12 mmHg) post-intervention (p < 0.05) and mean DBP of 86 mmHg (SD = 7 mmHg) pre-intervention and 82 mmHg (SD = 7 mmHg) post-intervention (p < 0.05). CONCLUSION: A program combining SMBP with education and counseling is associated with significant improvements in BP control and knowledge and self-efficacy regarding disease management in a free clinic setting.","abstract_html":"BACKGROUND: Hypertension (HTN) is a major public health challenge affecting nearly half of U.S. adults. Only one-fourth of those with HTN have their condition controlled, with lower control rates observed among low-income racial and ethnic minority groups. Self-measured blood pressure (SMBP) monitoring has been shown to promote HTN self-management and improve blood pressure (BP) control, but few studies have assessed SMBP in medically underserved populations. OBJECTIVE: To assess the impact of a program combining SMBP monitoring with education and counseling on BP control and knowledge and self-efficacy regarding disease management in a free clinic setting serving a primarily low-income Latinx population. METHODS: Adults ≥18 years old with HTN or elevated BP at a free clinic were enrolled in a 3-month program. Participants received a BP monitor to measure and log BP daily and received education and counseling on HTN self-management. Pre- and post-intervention surveys were administered to assess knowledge about HTN (score range 1-2) and self-efficacy for managing chronic disease (SEMCD; score range 1-10). BP logs were scanned at 1 month. Paired t-tests were used to compare mean knowledge score, SEMCD score, systolic BP (SBP) and diastolic BP (DBP) pre- and post-intervention. RESULTS: Participants (n = 38) had mean knowledge score of 1.32 (SD = 0.33) pre-intervention and 1.92 (SD = 0.12) post-intervention (p < 0.05) and mean SEMCD score of 7.80 (SD = 1.54) pre-intervention and 8.96 (SD = 1.25) post-intervention (p < 0.05). Participants who completed 1 month SMBP (n = 30) had mean SBP of 136 mmHg (SD = 11 mmHg) pre-intervention and 131 mmHg (SD = 12 mmHg) post-intervention (p < 0.05) and mean DBP of 86 mmHg (SD = 7 mmHg) pre-intervention and 82 mmHg (SD = 7 mmHg) post-intervention (p < 0.05). CONCLUSION: A program combining SMBP with education and counseling is associated with significant improvements in BP control and knowledge and self-efficacy regarding disease management in a free clinic setting.","abstract_has_math":false,"creators":["Raman, Shivani"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":["Gimpel, Nora","Villareal, Astrud","Hiefner, Angela R."],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2026,"date_issued":"2026-06-15T19:55:16Z","date_published":"2026-06-15T19:55:16Z","updated_at":"2026-07-24T05:52:08Z","subjects":["Blood Pressure Monitoring, Ambulatory","Health Services Accessibility","Hypertension","Patient Education as Topic","Self Care","Self Efficacy","Ambulatory Care Facilities"],"languages":["en"],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["1596185285"],"render_values":[{"text":"1596185285","href":null,"code":true}]}]},"links":{"outbound_url":"https://hdl.handle.net/2152.5/10832","outbound_label":"Handle","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Gimpel, Nora","Villareal, Astrud","Hiefner, Angela R."]},{"key":"dc:creator","label":"Author","values":["Raman, Shivani"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2026-06-15T19:55:16Z","2024-05","May 2024"]},{"key":"dc:type","label":"Dc Type","values":["Thesis","text"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Blood Pressure Monitoring, Ambulatory","Health Services Accessibility","Hypertension","Patient Education as Topic","Self Care","Self Efficacy","Ambulatory Care Facilities"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://hdl.handle.net/2152.5/10832","1596185285"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["BACKGROUND: Hypertension (HTN) is a major public health challenge affecting nearly half of U.S. adults. Only one-fourth of those with HTN have their condition controlled, with lower control rates observed among low-income racial and ethnic minority groups. Self-measured blood pressure (SMBP) monitoring has been shown to promote HTN self-management and improve blood pressure (BP) control, but few studies have assessed SMBP in medically underserved populations. OBJECTIVE: To assess the impact of a program combining SMBP monitoring with education and counseling on BP control and knowledge and self-efficacy regarding disease management in a free clinic setting serving a primarily low-income Latinx population. METHODS: Adults ≥18 years old with HTN or elevated BP at a free clinic were enrolled in a 3-month program. Participants received a BP monitor to measure and log BP daily and received education and counseling on HTN self-management. Pre- and post-intervention surveys were administered to assess knowledge about HTN (score range 1-2) and self-efficacy for managing chronic disease (SEMCD; score range 1-10). BP logs were scanned at 1 month. Paired t-tests were used to compare mean knowledge score, SEMCD score, systolic BP (SBP) and diastolic BP (DBP) pre- and post-intervention. RESULTS: Participants (n = 38) had mean knowledge score of 1.32 (SD = 0.33) pre-intervention and 1.92 (SD = 0.12) post-intervention (p < 0.05) and mean SEMCD score of 7.80 (SD = 1.54) pre-intervention and 8.96 (SD = 1.25) post-intervention (p < 0.05). Participants who completed 1 month SMBP (n = 30) had mean SBP of 136 mmHg (SD = 11 mmHg) pre-intervention and 131 mmHg (SD = 12 mmHg) post-intervention (p < 0.05) and mean DBP of 86 mmHg (SD = 7 mmHg) pre-intervention and 82 mmHg (SD = 7 mmHg) post-intervention (p < 0.05). CONCLUSION: A program combining SMBP with education and counseling is associated with significant improvements in BP control and knowledge and self-efficacy regarding disease management in a free clinic setting."]},{"key":"dc:format","label":"Dc Format","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["Design, Implementation, and Evaluation of a Self-Measured Blood Pressure Monitoring Program in a Free Clinic Setting"]}]}],"canonical_facts":{"dc:contributor":["Gimpel, Nora","Villareal, Astrud","Hiefner, Angela R."],"dc:creator":["Raman, Shivani"],"dc:date":["2026-06-15T19:55:16Z","2024-05","May 2024"],"dc:description":["BACKGROUND: Hypertension (HTN) is a major public health challenge affecting nearly half of U.S. adults. Only one-fourth of those with HTN have their condition controlled, with lower control rates observed among low-income racial and ethnic minority groups. Self-measured blood pressure (SMBP) monitoring has been shown to promote HTN self-management and improve blood pressure (BP) control, but few studies have assessed SMBP in medically underserved populations. OBJECTIVE: To assess the impact of a program combining SMBP monitoring with education and counseling on BP control and knowledge and self-efficacy regarding disease management in a free clinic setting serving a primarily low-income Latinx population. METHODS: Adults ≥18 years old with HTN or elevated BP at a free clinic were enrolled in a 3-month program. Participants received a BP monitor to measure and log BP daily and received education and counseling on HTN self-management. Pre- and post-intervention surveys were administered to assess knowledge about HTN (score range 1-2) and self-efficacy for managing chronic disease (SEMCD; score range 1-10). BP logs were scanned at 1 month. Paired t-tests were used to compare mean knowledge score, SEMCD score, systolic BP (SBP) and diastolic BP (DBP) pre- and post-intervention. RESULTS: Participants (n = 38) had mean knowledge score of 1.32 (SD = 0.33) pre-intervention and 1.92 (SD = 0.12) post-intervention (p < 0.05) and mean SEMCD score of 7.80 (SD = 1.54) pre-intervention and 8.96 (SD = 1.25) post-intervention (p < 0.05). Participants who completed 1 month SMBP (n = 30) had mean SBP of 136 mmHg (SD = 11 mmHg) pre-intervention and 131 mmHg (SD = 12 mmHg) post-intervention (p < 0.05) and mean DBP of 86 mmHg (SD = 7 mmHg) pre-intervention and 82 mmHg (SD = 7 mmHg) post-intervention (p < 0.05). CONCLUSION: A program combining SMBP with education and counseling is associated with significant improvements in BP control and knowledge and self-efficacy regarding disease management in a free clinic setting."],"dc:format":["application/pdf"],"dc:identifier":["https://hdl.handle.net/2152.5/10832","1596185285"],"dc:language":["en"],"dc:subject":["Blood Pressure Monitoring, Ambulatory","Health Services Accessibility","Hypertension","Patient Education as Topic","Self Care","Self Efficacy","Ambulatory Care Facilities"],"dc:title":["Design, Implementation, and Evaluation of a Self-Measured Blood Pressure Monitoring Program in a Free Clinic Setting"],"dc:type":["Thesis","text"]},"updated_at":"2026-07-24T05:52:08Z"}