The Pressure Is On: A Quality Improvement Project on the Effects of Culturally TailoredHealth Literacy on Medication Compliance and Hypertension Health Literacy
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Introduction/Purpose: Limited health education regarding hypertension can lead to poor medication compliance and secondary complications such as cardiovascular disease. By improving hypertension-specific health literacy education in an Afro-American population with Afro-Caribbean influences, we sought to improve patient medication compliance and hypertension health literacy. Methods: Patients were recruited using inclusion criteria of native English speakers over 50 years of age, diagnosed with hypertension, blood pressure >140/90 within the previous 6 months, self-identified as Afro-American descent, and smartphone access with the capability of WhatsApp download. Consented patients participated in three weekly hypertension-specific health literacy WhatsApp sessions. Pre- and post-Intervention High Blood Pressure-Health Literacy Survey(HBP-HLS) and medication adherence questionnaires were administered. Patients’ perceived measurement of the project’s impact on their hypertension health literacy was evaluated post-intervention using a Likert scale: ranging from “0” (strongly disagree) to “10” (strongly agree) with the project’s impact on health literacy.Results: The average pre-intervention HBP-HLS was 34.4 with medication adherence averaging 9.6. The average post-intervention HBP-HLS was 36.75 with medication adherence averaging 10. The post-intervention health literacy assessment averaged 10, which showed an improvement in hypertension knowledge. Discussion: The increase in improvement of HBP-HLS from 34.4 to 36.75 was impactful, but limited by small sample size. Utilizing WhatsApp as a platform for individual educational sessions was an effective method of delivery. Sharing recorded sessions along with AmericanThe Pressure Is On Heart Association-approved infographics, allowed patients to replay and distribute infinitely.This dissemination of accurate targeted information can help combat future misinformation.