Check It, Change It A Community-Based Intervention to Improve Blood Pressure Control

被引:8
作者
Shah, Bimal R. [1 ,2 ]
Thomas, Kevin L. [1 ,2 ]
Elliot-Bynum, Sharon [4 ]
Thomas, Kristin [2 ]
Damon, Katrina [2 ,4 ]
LaPointe, Nancy Allen [2 ]
Calhoun, Sarah A. [2 ]
Thomas, Laine [2 ]
Mathews, Robin [1 ,2 ]
Califf, Robert M. [1 ,2 ,3 ]
Peterson, Eric D. [1 ,2 ]
机构
[1] Duke Univ NC, Dept Med, Durham, NC USA
[2] Duke Clin Res Inst, Durham, NC USA
[3] Duke Translat Med Inst, Durham, NC USA
[4] Healing CAARE Inc, Durham, NC USA
来源
CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES | 2013年 / 6卷 / 06期
关键词
hypertension; residence characteristics; HYPERTENSION CONTROL; SELF-MANAGEMENT; HEALTH WORKERS; OUTCOME EFFECTIVENESS; AFRICAN-AMERICAN; CARE; METAANALYSIS; PREVENTION; PEOPLE; PHARMACIST;
D O I
10.1161/CIRCOUTCOMES.113.000148
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background-Despite the widespread availability of effective and affordable therapies, hypertension remains this country's most significant modifiable cardiovascular risk factor. Approximately 30% to 50% of individuals with hypertension currently fail to reach guideline-recommended target blood pressure (BP) goals. Although multiple interventions have been proposed to affect better hypertension control, the integration of multiple elements in a community-based program has not been evaluated to date. Methods and Results-We created a broadly inclusive community-based initiative to control hypertension called Check It, Change It: The Durham Blood Pressure Challenge (CICI). We enrolled approximate to 2000 participants with hypertension in 8 ambulatory clinics across Durham County, NC. The CICI program engaged individuals by providing them with tools for self-monitoring and tied this information to their caregivers via a web-based portal (the American Heart Association's Heart360, a remote BP monitoring system). Additionally, the CICI facilitated clinical intervention of high-risk individuals using physician assistants and community health coaches. The primary outcome will be a change in BP during the 6 months postenrollment in the program, which will be compared with concurrent and historical control populations of nonparticipants. Conclusions-We think that this integrated and tiered approach will lead to improved BP control within 6 months. If successful, the CICI program has the potential to enhance community-level BP control.
引用
收藏
页码:741 / 748
页数:8
相关论文
共 47 条
[31]   Effectiveness of community health workers in the care of persons with diabetes [J].
Norris, SL ;
Chowdhury, FM ;
Van Le, K ;
Horsley, T ;
Brownstein, JN ;
Zhang, X ;
Jack, L ;
Satterfield, DW .
DIABETIC MEDICINE, 2006, 23 (05) :544-556
[32]  
Ogedegbe Gbenga, 2006, J Clin Hypertens (Greenwich), V8, P174, DOI 10.1111/j.1524-6175.2006.04872.x
[33]   Therapeutic inertia is an impediment to achieving the healthy people 2010 blood pressure control goals [J].
Okonofua, EC ;
Simpson, KN ;
Jesri, A ;
Rehman, SU ;
Durkalski, VL ;
Egan, BM .
HYPERTENSION, 2006, 47 (03) :345-351
[34]   European Society of Hypertension Practice Guidelines for home blood pressure monitoring [J].
Parati, G. ;
Stergiou, G. S. ;
Asmar, R. ;
Bilo, G. ;
de Leeuw, P. ;
Imai, Y. ;
Kario, K. ;
Lurbe, E. ;
Manolis, A. ;
Mengden, T. ;
O'Brien, E. ;
Ohkubo, T. ;
Padfield, P. ;
Palatini, P. ;
Pickering, T. G. ;
Redon, J. ;
Revera, M. ;
Ruilope, L. M. ;
Shennan, A. ;
Staessen, J. A. ;
Tisler, A. ;
Waeber, B. ;
Zanchetti, A. ;
Mancia, G. .
JOURNAL OF HUMAN HYPERTENSION, 2010, 24 (12) :779-785
[35]   Clinical inertia [J].
Phillips, LS ;
Branch, WT ;
Cook, CB ;
Doyle, JP ;
El-Kebbi, IM ;
Gallina, DL ;
Miller, CD ;
Ziemer, DC ;
Barnes, CS .
ANNALS OF INTERNAL MEDICINE, 2001, 135 (09) :825-834
[36]   Call to action on use and reimbursement for home blood pressure monitoring: A joint scientific statement from the American Heart Association, American Society of Hypertension, and Preventive Cardiovascular Nurses Association [J].
Pickering, Thomas G. ;
Miller, Nancy Houston ;
Ogedegbe, Gbenga ;
Krakoff, Lawrence R. ;
Artinian, Nancy T. ;
Goff, David .
JOURNAL OF CARDIOVASCULAR NURSING, 2008, 23 (04) :299-323
[37]   The need for transformative innovation in hypertension management [J].
Roark, Robin F. ;
Shah, Bimal R. ;
Udayakumar, Krishna ;
Peterson, Eric D. .
AMERICAN HEART JOURNAL, 2011, 162 (03) :405-411
[38]  
Roger VL, 2012, CIRCULATION, V125, pE2, DOI [10.1161/CIR.0b013e31823ac046, 10.1161/CIR.0b013e3182456d46]
[39]  
Rosenthal EL, 1998, WEAVING FUTURE FINAL
[40]  
Satterfield D., 2002, HLTH PROMPT PRACT, V3, P166, DOI DOI 10.1177/152483990200300212