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

Published

Journal Article

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.

Full Text

Duke Authors

Cited 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

Published Date

  • November 2014

Published In

Volume / Issue

  • 7 / 6

Start / End Page

  • 828 - 834

PubMed ID

  • 25351480

Pubmed Central ID

  • 25351480

Electronic International Standard Serial Number (EISSN)

  • 1941-7705

International Standard Serial Number (ISSN)

  • 1941-7713

Digital Object Identifier (DOI)

  • 10.1161/circoutcomes.114.001039

Language

  • eng