Computer Assisted Self Management of Hypertension

We will develop a computerized self- management program for hypertension. The computer-assisted nutexercise program for hypertension (CANE-H) will incorporate a hand-held computer (HHC) for structuriand a set of written support materials. The product will be unique because it incorporates the criticlinic-based programs for lifestyle intervention, e.g., sound nutrition, exercise, and behavior modithem in a hand-held computer. The computerized delivery format will offer many unique features, e.g.instantaneous feedback, and simplified self-monitoring that may result in greater ease of use and eftraditional manual-based self- management programs. In particular, a computer-assisted program may pnecessary to enhance long-term maintenance where many other approaches have been unsuccessful. Durinprototype of the CANE-H system will be developed and tested for feasibility in a short-term self-helwho have high normal blood pressure or mild hypertension. During Phase II, development of the CANE-Hcompleted and efficacy of the system will be evaluated in a randomized clinical outcome study.