Check it, change it: a community-based intervention to improve blood pressure control.

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.

authors

Shah BR,Thomas KL,Elliot-Bynum S,Thomas K,Damon K,Allen LaPointe N,Calhoun SA,Thomas L,Mathews R,Califf RM,Peterson ED

doi

10.1161/CIRCOUTCOMES.113.000148

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

741-8

issue

6

eissn

1941-7713

issn

1941-7705

pii

CIRCOUTCOMES.113.000148

journal_volume

6

pub_type

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