Improving hypertension control in a population of low-income frail older adults: An evaluation of the just for us model

Journal Article (Journal Article)

We evaluated hypertension management among enrollees in Just for Us (JFU)-an approach to providing coordinated, in-home care to medically fragile, low-income older or disabled adults living independently. The sample was 264 JFU patients who enrolled between January 1, 2002 and December 31, 2004, lived in a JFU building, and had blood pressure (BP) recorded 1 year from baseline. BP change was analyzed with paired t tests, and control status change with McNemar's. Characteristics associated with change were explored with ordinary least squares (OLS) regression. For the 225 individuals with hypertension at baseline, average systolic pressure dropped 7.73 mmHg (p <.001) and diastolic 4.41 mmHg (p <.001). In the same group, 57.4% of those not in control at baseline were in control 1 year later; 19.7% of those in control at baseline moved out of control (p <.001). BP declined across subgroups and was greater for African Americans, the predominant racial group. Additional evaluation of such models is warranted. © 2012 The Author(s).

Full Text

Duke Authors

Cited Authors

  • Silberberg, M; Sloane, R; Yarnall, KSH; McKinnon, A; Patel, R; Champagne, M

Published Date

  • August 1, 2012

Published In

Volume / Issue

  • 31 / 4

Start / End Page

  • 467 - 487

Electronic International Standard Serial Number (EISSN)

  • 1552-4523

International Standard Serial Number (ISSN)

  • 0733-4648

Digital Object Identifier (DOI)

  • 10.1177/0733464810391254

Citation Source

  • Scopus