5 pages/≈1375 words
Health, Medicine, Nursing
Does implementation of mobile web app for medication reminder and health education increases treatment adherence among African American Males? (Coursework Sample)
SCHOOL INSTRUCTION Week 4 Background and Significance paper (5- pages) with APA formatted bibliography The background and significance (B&S) paper is a 5 page paper in APA format that will form the introductory section of your capstone project. The B&S will introduce your clinical problem and the clinical context that led you to identify your clinical question. You will review the relevant background literature and theory related to your problem, and discuss its relevance to your local clinical setting at the unit, organizational, metropolitan, state, national, and international levels as applicable. You will discuss the potential benefits and challenges of addressing the clinical question in your local setting, and explore the larger contextual impact related to this problem. Please note, this paper will discuss the introductory background literature and theoretical basis related to your clinical question. It is not expected to report on the work you are doing to synthesize the evidence from 5 studies to inform your project protocol MY CLINICAL QUESTION PICO QUESTION -- Identifying barriers to hypertensive treatment adherence among African Americans in community primary care clinic Patient population --- (African American male with hypertension) Intervention Exposure -- (implementation of mobile web base app for medication reminder and health education) Comparison --- (Compared to traditional clinic generated patient education handout) Outcome— (increase patient understanding, improve quality of life and reduce health care cost) Time (3-6 months) . Thank you, source..
Does implementation of mobile web app for medication reminder and health education increases treatment adherence among African American Males?
Introduction of the clinical problem and the clinical context that led you to identification of the clinical question
Adherence is important for improved quality of life among hypertensive patients. Non-adherent hypertensive patients have been reported to be at more risk of suffering from and dying from stroke. Studies indicate that patients that fail to take their medication on time have a more than two times risk of dying after few years of taking the prescribed medicine to control hypertension (Christensen, et al., 2009). A Mobile web app designed to alert patients to take their medication improves African American males’ self- management for medication adherence. It aids in chronic disease management by improving patients confidence in adhering to prescribed medication to control blood pressure. I selected the topic from the school suggestions of topics for clinical Scholarly Projects driven by personal passion for increased quality of life among hypertensive African Americans.
Non-adherence to hypertension medication is prevalent among African American men (Lewis, Schoenthhaler, & Ogedegbe, 2012).The rate of non-adherence is unacceptably high in black men even when they have similar access to care and income as compared with their white counterparts. Pharmacy refill studies that measure adherence also confirm that they have considerably low adherence compared to whites. This occurs despite African American males having a good understanding of the potential benefits of adherence and the risks that emanate from non-adherence (Lewis, Schoenthhaler, & Ogedegbe, 2012).
Background literature and theory related to the problem and discussion of its relevance to the local clinical setting
A certain study indicates that between 1999 and 2004, 56 percent of African American men were accessing treatment for hypertension as compared to 60 percent of white men. It also indicates that out of these, only 30 percent of the black men had their blood pressure under control as compared to 39 percent of the white men. In the same period, there were more deaths resulting from hypertension among African American men compared to deaths among African American women and white men. The death rate was at over 30 African American men’s deaths, less than 30 African American women’s deaths and less than 15 white men’s deaths per every 100,000 deaths respectively (Centers for Disease Control and Prevention, 2010).
Owing to high rates of non-adherence to hypertension medication among African American males, incidents of death from heart disease and stroke is higher compared to incidents in white men. The CDC report indicates over four African American men’s deaths and less than two white men’s deaths in every 100000 heart disease related de...
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