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

Publication ,  Journal Article
Thomas, KL; Shah, BR; Elliot-Bynum, S; Thomas, KD; Damon, K; Allen LaPointe, NM; Calhoun, S; Thomas, L; Breathett, K; Mathews, R; Anderson, M ...
Published in: Circ Cardiovasc Qual Outcomes
November 2014

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.

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Published In

Circ Cardiovasc Qual Outcomes

DOI

EISSN

1941-7705

Publication Date

November 2014

Volume

7

Issue

6

Start / End Page

828 / 834

Location

United States

Related Subject Headings

  • United States
  • Retrospective Studies
  • Residence Characteristics
  • Quality Improvement
  • Morbidity
  • Models, Organizational
  • Middle Aged
  • Male
  • Hypertension
  • Humans
 

Citation

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Thomas, K. L., Shah, B. R., Elliot-Bynum, S., Thomas, K. D., Damon, K., Allen LaPointe, N. M., … Peterson, E. D. (2014). Check it, change it: a community-based, multifaceted intervention to improve blood pressure control. Circ Cardiovasc Qual Outcomes, 7(6), 828–834. https://doi.org/10.1161/CIRCOUTCOMES.114.001039
Thomas, Kevin L., Bimal R. Shah, Sharon Elliot-Bynum, Kristin D. Thomas, Katrina Damon, Nancy M. Allen LaPointe, Sarah Calhoun, et al. “Check it, change it: a community-based, multifaceted intervention to improve blood pressure control.Circ Cardiovasc Qual Outcomes 7, no. 6 (November 2014): 828–34. https://doi.org/10.1161/CIRCOUTCOMES.114.001039.
Thomas KL, Shah BR, Elliot-Bynum S, Thomas KD, Damon K, Allen LaPointe NM, et al. Check it, change it: a community-based, multifaceted intervention to improve blood pressure control. Circ Cardiovasc Qual Outcomes. 2014 Nov;7(6):828–34.
Thomas, Kevin L., et al. “Check it, change it: a community-based, multifaceted intervention to improve blood pressure control.Circ Cardiovasc Qual Outcomes, vol. 7, no. 6, Nov. 2014, pp. 828–34. Pubmed, doi:10.1161/CIRCOUTCOMES.114.001039.
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. Check it, change it: a community-based, multifaceted intervention to improve blood pressure control. Circ Cardiovasc Qual Outcomes. 2014 Nov;7(6):828–834.

Published In

Circ Cardiovasc Qual Outcomes

DOI

EISSN

1941-7705

Publication Date

November 2014

Volume

7

Issue

6

Start / End Page

828 / 834

Location

United States

Related Subject Headings

  • United States
  • Retrospective Studies
  • Residence Characteristics
  • Quality Improvement
  • Morbidity
  • Models, Organizational
  • Middle Aged
  • Male
  • Hypertension
  • Humans