TY - JOUR
T1 - Outcomes of a multi-community hypertension implementation study
T2 - the American Heart Association's Check. Change. Control. program
AU - Anderson, Monique L.
AU - Peragallo Urrutia, Rachel
AU - O'Brien, Emily C.
AU - Allen LaPointe, Nancy M.
AU - Christian, Alexander J.
AU - Kaltenbach, Lisa A.
AU - Webb, Laura E.
AU - Alexander, Angel M.
AU - Saha Chaudhuri, Paramita
AU - Crawford, Juliana
AU - Wayte, Patrick
AU - Peterson, Eric D.
N1 - Funding Information:
Funding information The authors would like to acknowledge and thank the AHA market directors, volunteer health mentors, and community partners who made the Check. Change. Control. program possible. We also thank the AHA's High Blood Pressure Science Advisory Group for conceiving the idea of the Check. Change. Control. program. The authors would like to thank Erin Hanley, MS, for her editorial contributions to this manuscript. Ms Hanley has not received compensation for her contributions, apart from their employment at the institution where this study was conducted. Ms Hanley is an employee of the Duke Clinical Research Institute, Duke University Medical Center, Durham, NC.
Publisher Copyright:
©2017 Wiley Periodicals, Inc.
PY - 2017/5
Y1 - 2017/5
N2 - 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.
AB - 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.
KW - blood pressure management
KW - hypertension intervention programs
UR - http://www.scopus.com/inward/record.url?scp=85008467894&partnerID=8YFLogxK
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U2 - 10.1111/jch.12950
DO - 10.1111/jch.12950
M3 - Article
C2 - 28058813
AN - SCOPUS:85008467894
SN - 1524-6175
VL - 19
SP - 479
EP - 487
JO - Journal of Clinical Hypertension
JF - Journal of Clinical Hypertension
IS - 5
ER -