Outcomes of a multi-community hypertension implementation study: the American Heart Association's Check. Change. Control. program

Monique L. Anderson, Rachel Peragallo Urrutia, Emily C. O'Brien, Nancy M. Allen LaPointe, Alexander J. Christian, Lisa A. Kaltenbach, Laura E. Webb, Angel M. Alexander, Paramita Saha Chaudhuri, Juliana Crawford, Patrick Wayte, Eric D. Peterson

Research output: Contribution to journalArticlepeer-review

Abstract

Single-site, intensive, community-based blood pressure (BP) intervention programs have led to BP improvements. The authors examined the American Heart Association's Check. Change. Control. (CCC) program (4069 patients/18 cities) to determine whether BP interventions can effectively be scaled to multiple communities, using a simplified template and local customization. Effectiveness was evaluated at each site via site percent enrollment goals, participant engagement, and BP change from first to last measurement. High-enrolling sites frequently recruited at senior residential institutions and service organizations held hypertension management classes and utilized established and new community partners. High-engagement sites regularly held hypertension education classes and followed up with participants. Top-performing sites commonly distributed BP cuffs, checked BP at engagement activities, and trained volunteers. CCC demonstrated that simplified community-based hypertension intervention programs may lead to BP improvements, but there was high outcomes variability among programs. Several factors were associated with BP improvement that may guide future program development.

Original languageEnglish (US)
Pages (from-to)479-487
Number of pages9
JournalJournal of Clinical Hypertension
Volume19
Issue number5
DOIs
StatePublished - May 2017
Externally publishedYes

Keywords

  • blood pressure management
  • hypertension intervention programs

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Cardiology and Cardiovascular Medicine

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