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Strategies to Improve Medication Adherence and Blood Pressure Among Racial/Ethnic Minority Populations: A Scoping Review of the Literature from 2017 to 2021

  • Implementation to Increase Blood Pressure Control: What Works? (J Brettler and K Reynolds, Section Editors)
  • Published:
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Abstract

Purpose of Review

To identify intervention strategies that were effective in promoting medication adherence and HTN control among racial/ethnic minority groups in the US.

Recent Findings

Twelve articles were included in this review and 4 categories of intervention strategies were identified as counseling by trained personnel, mHealth tools, mHealth tools in combination with counseling by trained personnel, and quality improvement. The findings show that interventions delivered by trained personnel are effective in lowering BP and improving medication adherence, particularly for those delivered by health educators, CHWs, medical assistants, and pharmacists. Additionally, the combination of mHealth tools with counseling by trained personnel has the potential to be more effective than either mHealth or counseling alone and report beneficial effects on medication adherence and BP control.

Summary

This review provides potential next steps for future research to examine the effectiveness of mHealth interventions in combination with support from trained health personnel and its effects on racial disparities in HTN outcomes.

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Abbreviations

HTN:

Hypertension

BP:

Blood pressure

SBP:

Systolic blood pressure

DBP:

Diastolic blood pressure

MA:

Medication adherence

IVR-T:

Interactive voice response and text message

mHealth:

Mobile health

SMASH:

Smartphone Med Adherence Stops Hypertension

COACHMAN:

Community and technology-based intervention for hypertension self-management

CHW:

Community health workers

DO:

Deborah Onakomaiya

CC:

Claire Cooper

AB:

Aigna Barber

TR:

Timothy Roberts

JG:

Joyce Gyamfi

JZ:

Jennifer Zanowiak

NI:

Nadia Islam

GO:

Gbenga Ogedegbe

AS:

Antoinette Schoenthaler

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Author information

Authors and Affiliations

  1. Department of Population Health, New York University Grossman School of Medicine, New York, NY, USA

    Deborah Onakomaiya, Claire Cooper, Aigna Barber, Jennifer Zanowiak, Nadia Islam & Antoinette Schoenthaler

  2. Health Science Library, New York University Grossman School of Medicine, New York, NY, USA

    Timothy Roberts

  3. New York University School of Global Public Health, New York, NY, USA

    Joyce Gyamfi

  4. Institute for Excellence in Health Equity, New York University Grossman School of Medicine, New York, NY, USA

    Nadia Islam, Gbenga Ogedegbe & Antoinette Schoenthaler

  5. Vilcek Institute of Graduate Biomedical Sciences, New York, USA

    Deborah Onakomaiya

Authors
  1. Deborah Onakomaiya
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  2. Claire Cooper
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  7. Nadia Islam
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  8. Gbenga Ogedegbe
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  9. Antoinette Schoenthaler
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Contributions

AS conceived the idea for the scoping review. AS, NI, and GO supervised and validated the background, methods, results, and discussion. TR assisted with the search and guided the screening and data extraction process. DO, CC, and AB screened and extracted data from all articles and resolved all discrepancies during the screening and selection of final articles. DO, CC, and AB drafted the paper. JG, JZ, NI, TR, GO, and AS reviewed drafts and provided written feedback. DO, CC, AB, and AS edited the paper for critical content. All authors contributed substantially to the preparation of this manuscript.

Corresponding author

Correspondence to Antoinette Schoenthaler.

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The authors declare no competing interests.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Onakomaiya, D., Cooper, C., Barber, A. et al. Strategies to Improve Medication Adherence and Blood Pressure Among Racial/Ethnic Minority Populations: A Scoping Review of the Literature from 2017 to 2021. Curr Hypertens Rep 24, 639–654 (2022). https://doi.org/10.1007/s11906-022-01224-2

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