TY - JOUR AU - Grilo, Stephanie A. AU - Shallcross, Amanda J. AU - Ogedegbe, Gbenga AU - Odedosu, Taiye AU - Levy, Natalie AU - Lehrer, Susan PY - 2015 TI - Food Insecurity and Effectiveness of Behavioral Interventions to Reduce Blood Pressure, New York City, 2012-2013 T2 - Preventing Chronic Disease JO - Prev Chronic Dis SP - E16 VL - 12 CY - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. N2 - INTRODUCTION Food insecurity is associated with diet-sensitive diseases and may be a barrier to successful chronic disease self-management. To evaluate the impact of food insecurity on blood pressure reduction in a pilot clinical trial, we tested the effectiveness of 2 behavioral interventions for hypertension in people with and without food security. METHODS A group of 28 men and women with type 2 diabetes and uncontrolled hypertension were randomized to either 1) home blood pressure telemonitoring alone or 2) home blood pressure telemonitoring plus telephone-based nurse case management. The primary outcome was 6-month change in systolic blood pressure. RESULTS The 2 interventions resulted in modest, nonsignificant blood pressure reductions. Food-secure patients experienced clinically and statistically significant reductions in blood pressure, whereas no significant change was seen among food-insecure patients. CONCLUSION Screening for food insecurity may help identify patients in need of tailored disease management interventions. SN - 1545-1151 UR - http://dx.doi.org/10.5888/pcd12.140368 DO - 10.5888/pcd12.140368 ER -