# An Interactive Technology Enhanced Coaching Intervention for Black Women with Hypertension

> **NIH NIH K01** · UNIVERSITY OF NORTH CAROLINA CHARLOTTE · 2021 · $140,261

## Abstract

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 pre...

## Key facts

- **NIH application ID:** 10105352
- **Project number:** 5K01HL140288-04
- **Recipient organization:** UNIVERSITY OF NORTH CAROLINA CHARLOTTE
- **Principal Investigator:** Willie M Abel
- **Activity code:** K01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $140,261
- **Award type:** 5
- **Project period:** 2018-02-15 → 2023-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10105352

## Citation

> US National Institutes of Health, RePORTER application 10105352, An Interactive Technology Enhanced Coaching Intervention for Black Women with Hypertension (5K01HL140288-04). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10105352. Licensed CC0.

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