Effectiveness of tailored lifestyle interventions, using web-based and print-mail, for reducing blood pressure among rural women with prehypertension: Main results of the Wellness for Women: DASHing towards Health clinical trial

Patricia Ann Hageman, Carol H Pullen, Melody Hertzog, Linda S. Boeckner

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Lifestyle modification is recommended for management of prehypertension, yet finding effective interventions to reach rural women is a public health challenge. This community-based clinical trial compared the effectiveness of standard advice to two multi-component theory-based tailored interventions, using web-based or print-mailed delivery, in reducing blood pressure among rural women, ages 40-69, with prehypertension. Methods: 289 women with prehypertension enrolled in the Wellness for Women: DASHing towards Health trial, a 12-month intervention with 12-month follow-up. Women were randomly assigned to groups using a 1:2:2 ratio, comparing standard advice (30-minute counseling session) to two interventions (two 2-hour counseling sessions, 5 phone goal-setting sessions, strength-training video, and 16 tailored newsletters, web-based or print-mailed). Linear mixed model methods were used to test planned pairwise comparisons of marginal mean change in blood pressure, healthy eating and activity, adjusted for age and baseline level. General estimating equations were used to examine the proportion of women achieving normotensive status and meeting health outcome criteria for eating and activity. Results: Mean blood pressure reduction ranged from 3.8 (SD=9.8) mm Hg to 8.1 (SD=10.4) mm Hg. The 24-month estimated marginal proportions of women achieving normotensive status were 47% for web-based, and 39% for both print-mailed and standard advice groups, with no group differences (p=.11 and p=.09, respectively). Web-based and print-mailed groups improved more than standard advice group for waist circumference (p=.017 and p=.016, respectively); % daily calories from fat (p=.018 and p=.030) and saturated fat (p=.049 and p=.013); daily servings of fruit and vegetables (p=.008 and p<.005); and low fat dairy (p<.001 and p=.002). Greater improvements were observed in web-based versus standard advice groups in systolic blood pressure (p=.048) and estimated VO2max (p=.037). Dropout rates were 6% by 6-months, 11.4% by 24 months, with no differences across groups. Conclusions: Rural women with prehypertension receiving distance-delivery theory-based lifestyle modifications can achieve a reduction of blood pressure and attainment of normotensive status. Trial registration: ClinicalTrials.gov NCT00580528

Original languageEnglish (US)
Article number148
JournalInternational Journal of Behavioral Nutrition and Physical Activity
Volume11
Issue number1
DOIs
StatePublished - Dec 6 2014

Fingerprint

Prehypertension
Postal Service
Life Style
Clinical Trials
Blood Pressure
Health
Fats
Counseling
Resistance Training
Waist Circumference
Vegetables
Health Status
Linear Models
Fruit
Public Health
Eating

Keywords

  • Community-based
  • DASH
  • Health promotion model
  • Lifestyle modification
  • Physical activity
  • Prehypertension
  • Print-mailed
  • Rural women
  • Tailored messages
  • Web-based

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Nutrition and Dietetics

Cite this

@article{367a30362a73447bbafc08a63de2a432,
title = "Effectiveness of tailored lifestyle interventions, using web-based and print-mail, for reducing blood pressure among rural women with prehypertension: Main results of the Wellness for Women: DASHing towards Health clinical trial",
abstract = "Lifestyle modification is recommended for management of prehypertension, yet finding effective interventions to reach rural women is a public health challenge. This community-based clinical trial compared the effectiveness of standard advice to two multi-component theory-based tailored interventions, using web-based or print-mailed delivery, in reducing blood pressure among rural women, ages 40-69, with prehypertension. Methods: 289 women with prehypertension enrolled in the Wellness for Women: DASHing towards Health trial, a 12-month intervention with 12-month follow-up. Women were randomly assigned to groups using a 1:2:2 ratio, comparing standard advice (30-minute counseling session) to two interventions (two 2-hour counseling sessions, 5 phone goal-setting sessions, strength-training video, and 16 tailored newsletters, web-based or print-mailed). Linear mixed model methods were used to test planned pairwise comparisons of marginal mean change in blood pressure, healthy eating and activity, adjusted for age and baseline level. General estimating equations were used to examine the proportion of women achieving normotensive status and meeting health outcome criteria for eating and activity. Results: Mean blood pressure reduction ranged from 3.8 (SD=9.8) mm Hg to 8.1 (SD=10.4) mm Hg. The 24-month estimated marginal proportions of women achieving normotensive status were 47{\%} for web-based, and 39{\%} for both print-mailed and standard advice groups, with no group differences (p=.11 and p=.09, respectively). Web-based and print-mailed groups improved more than standard advice group for waist circumference (p=.017 and p=.016, respectively); {\%} daily calories from fat (p=.018 and p=.030) and saturated fat (p=.049 and p=.013); daily servings of fruit and vegetables (p=.008 and p<.005); and low fat dairy (p<.001 and p=.002). Greater improvements were observed in web-based versus standard advice groups in systolic blood pressure (p=.048) and estimated VO2max (p=.037). Dropout rates were 6{\%} by 6-months, 11.4{\%} by 24 months, with no differences across groups. Conclusions: Rural women with prehypertension receiving distance-delivery theory-based lifestyle modifications can achieve a reduction of blood pressure and attainment of normotensive status. Trial registration: ClinicalTrials.gov NCT00580528",
keywords = "Community-based, DASH, Health promotion model, Lifestyle modification, Physical activity, Prehypertension, Print-mailed, Rural women, Tailored messages, Web-based",
author = "Hageman, {Patricia Ann} and Pullen, {Carol H} and Melody Hertzog and Boeckner, {Linda S.}",
year = "2014",
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TY - JOUR

T1 - Effectiveness of tailored lifestyle interventions, using web-based and print-mail, for reducing blood pressure among rural women with prehypertension

T2 - Main results of the Wellness for Women: DASHing towards Health clinical trial

AU - Hageman, Patricia Ann

AU - Pullen, Carol H

AU - Hertzog, Melody

AU - Boeckner, Linda S.

PY - 2014/12/6

Y1 - 2014/12/6

N2 - Lifestyle modification is recommended for management of prehypertension, yet finding effective interventions to reach rural women is a public health challenge. This community-based clinical trial compared the effectiveness of standard advice to two multi-component theory-based tailored interventions, using web-based or print-mailed delivery, in reducing blood pressure among rural women, ages 40-69, with prehypertension. Methods: 289 women with prehypertension enrolled in the Wellness for Women: DASHing towards Health trial, a 12-month intervention with 12-month follow-up. Women were randomly assigned to groups using a 1:2:2 ratio, comparing standard advice (30-minute counseling session) to two interventions (two 2-hour counseling sessions, 5 phone goal-setting sessions, strength-training video, and 16 tailored newsletters, web-based or print-mailed). Linear mixed model methods were used to test planned pairwise comparisons of marginal mean change in blood pressure, healthy eating and activity, adjusted for age and baseline level. General estimating equations were used to examine the proportion of women achieving normotensive status and meeting health outcome criteria for eating and activity. Results: Mean blood pressure reduction ranged from 3.8 (SD=9.8) mm Hg to 8.1 (SD=10.4) mm Hg. The 24-month estimated marginal proportions of women achieving normotensive status were 47% for web-based, and 39% for both print-mailed and standard advice groups, with no group differences (p=.11 and p=.09, respectively). Web-based and print-mailed groups improved more than standard advice group for waist circumference (p=.017 and p=.016, respectively); % daily calories from fat (p=.018 and p=.030) and saturated fat (p=.049 and p=.013); daily servings of fruit and vegetables (p=.008 and p<.005); and low fat dairy (p<.001 and p=.002). Greater improvements were observed in web-based versus standard advice groups in systolic blood pressure (p=.048) and estimated VO2max (p=.037). Dropout rates were 6% by 6-months, 11.4% by 24 months, with no differences across groups. Conclusions: Rural women with prehypertension receiving distance-delivery theory-based lifestyle modifications can achieve a reduction of blood pressure and attainment of normotensive status. Trial registration: ClinicalTrials.gov NCT00580528

AB - Lifestyle modification is recommended for management of prehypertension, yet finding effective interventions to reach rural women is a public health challenge. This community-based clinical trial compared the effectiveness of standard advice to two multi-component theory-based tailored interventions, using web-based or print-mailed delivery, in reducing blood pressure among rural women, ages 40-69, with prehypertension. Methods: 289 women with prehypertension enrolled in the Wellness for Women: DASHing towards Health trial, a 12-month intervention with 12-month follow-up. Women were randomly assigned to groups using a 1:2:2 ratio, comparing standard advice (30-minute counseling session) to two interventions (two 2-hour counseling sessions, 5 phone goal-setting sessions, strength-training video, and 16 tailored newsletters, web-based or print-mailed). Linear mixed model methods were used to test planned pairwise comparisons of marginal mean change in blood pressure, healthy eating and activity, adjusted for age and baseline level. General estimating equations were used to examine the proportion of women achieving normotensive status and meeting health outcome criteria for eating and activity. Results: Mean blood pressure reduction ranged from 3.8 (SD=9.8) mm Hg to 8.1 (SD=10.4) mm Hg. The 24-month estimated marginal proportions of women achieving normotensive status were 47% for web-based, and 39% for both print-mailed and standard advice groups, with no group differences (p=.11 and p=.09, respectively). Web-based and print-mailed groups improved more than standard advice group for waist circumference (p=.017 and p=.016, respectively); % daily calories from fat (p=.018 and p=.030) and saturated fat (p=.049 and p=.013); daily servings of fruit and vegetables (p=.008 and p<.005); and low fat dairy (p<.001 and p=.002). Greater improvements were observed in web-based versus standard advice groups in systolic blood pressure (p=.048) and estimated VO2max (p=.037). Dropout rates were 6% by 6-months, 11.4% by 24 months, with no differences across groups. Conclusions: Rural women with prehypertension receiving distance-delivery theory-based lifestyle modifications can achieve a reduction of blood pressure and attainment of normotensive status. Trial registration: ClinicalTrials.gov NCT00580528

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KW - Tailored messages

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