Abstract:
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 ≈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.
journal_name
Circ Cardiovasc Qual Outcomesjournal_title
Circulation. Cardiovascular quality and outcomesauthors
Shah BR,Thomas KL,Elliot-Bynum S,Thomas K,Damon K,Allen LaPointe N,Calhoun SA,Thomas L,Mathews R,Califf RM,Peterson EDdoi
10.1161/CIRCOUTCOMES.113.000148subject
Has Abstractpub_date
2013-11-01 00:00:00pages
741-8issue
6eissn
1941-7713issn
1941-7705pii
CIRCOUTCOMES.113.000148journal_volume
6pub_type
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