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

Journal Article (Journal Article)

UNLABELLED: 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.

Full Text

Duke Authors

Cited Authors

  • Anderson, ML; Peragallo Urrutia, R; O'Brien, EC; Allen LaPointe, NM; Christian, AJ; Kaltenbach, LA; Webb, LE; Alexander, AM; Saha Chaudhuri, P; Crawford, J; Wayte, P; Peterson, ED

Published Date

  • May 2017

Published In

Volume / Issue

  • 19 / 5

Start / End Page

  • 479 - 487

PubMed ID

  • 28058813

Pubmed Central ID

  • PMC8030833

Electronic International Standard Serial Number (EISSN)

  • 1751-7176

Digital Object Identifier (DOI)

  • 10.1111/jch.12950


  • eng

Conference Location

  • United States