Hypertension identification via emergency responders: a randomized controlled intervention study.

Abstract:

OBJECTIVE:The objective was to test the effectiveness of a mail campaign that included blood pressure (BP) measurements from patients treated by emergency medical technicians (EMTs) to motivate them to (re)check their BP at a fire station. The mailing used a 2×2 research design tailoring on risk and source personalization. METHOD:In this randomized controlled trial, participants were randomized into a control group or one of four experimental groups. Participants residing in one of four fire departments in a Pacific Northwest metropolitan area were eligible if they had a systolic BP≥160 mm Hg and/or diastolic BP≥100 mm Hg when seen by EMTs during the study period (July 2007-September 2009). RESULTS:Of 7106 eligible participants, 40.7% were reached for a follow-up interview. Multivariable logistic regression analysis showed that although the absolute number of fire station BP checks was low (4%), participants who received any mailed intervention had a 3 to 5-fold increase in the odds of reporting a fire station BP check over controls. Fire station visits did not differ by type of tailored mailing. CONCLUSION:Partnering with Emergency Medical Services is an innovative way to identify high-risk community members for population health interventions.

journal_name

Prev Med

journal_title

Preventive medicine

authors

Meischke H,Ike BR,Fahrenbruch C,Kuniyuki A,Hannon P,Parks MR,Forehand M,Weaver M,Harris JR

doi

10.1016/j.ypmed.2013.05.010

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

914-9

issue

6

eissn

0091-7435

issn

1096-0260

pii

S0091-7435(13)00155-2

journal_volume

57

pub_type

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