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

Abstract:

BACKGROUND:Although home blood pressure (BP) monitoring interventions have shown potential in selected populations, it is unclear whether such strategies can be generalized. We sought to determine whether a multifaceted BP control program that uses a web-based health portal (Heart360), community health coaches, and physician assistant guidance could improve hypertension control in a diverse community setting. METHODS AND RESULTS:Between September 12, 2010, and November 11, 2011 Check It, Change It, a community-based hypertension quality improvement program, enrolled 1756 patients with hypertension from 8 clinics in Durham County, NC. The Check It, Change It community intervention was evaluated using a prepost study design without a concurrent control. Participants were stratified into 3 tiers according to their initial BP: tier 0 (BP <140/90 mm Hg)=51% of population, tier 1 (BP=140/90-159/99 mm Hg)=30% of total, and tier 2 (BP ≥159/99 mm Hg)=19% of total. Overall, median age was 59 years (interquartile range, 49-69), 67% were female, and 76% black. After 6 months, the mean overall systolic BP declined 4.7 mm Hg. Rates of achieving target BP control (<140/90) increased overall from 51% at baseline to 63% by 6 months, and 69% had either reached their BP target or had reduced their baseline systolic BP by 10 mm Hg or more. CONCLUSIONS:A multicomponent-tiered hypertension program was associated with improved BP control in a diverse community-based population.

authors

Thomas KL,Shah BR,Elliot-Bynum S,Thomas KD,Damon K,Allen LaPointe NM,Calhoun S,Thomas L,Breathett K,Mathews R,Anderson M,Califf RM,Peterson ED

doi

10.1161/CIRCOUTCOMES.114.001039

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

828-34

issue

6

eissn

1941-7713

issn

1941-7705

pii

CIRCOUTCOMES.114.001039

journal_volume

7

pub_type

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