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The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295).

Publication ,  Journal Article
Bosworth, HB; Almirall, D; Weiner, BJ; Maciejewski, M; Kaufman, MA; Powers, BJ; Oddone, EZ; Lee, S-YD; Damush, TM; Smith, V; Olsen, MK ...
Published in: Implement Sci
July 16, 2010

BACKGROUND: Despite the impact of hypertension and widely accepted target values for blood pressure (BP), interventions to improve BP control have had limited success. OBJECTIVES: We describe the design of a 'translational' study that examines the implementation, impact, sustainability, and cost of an evidence-based nurse-delivered tailored behavioral self-management intervention to improve BP control as it moves from a research context to healthcare delivery. The study addresses four specific aims: assess the implementation of an evidence-based behavioral self-management intervention to improve BP levels; evaluate the clinical impact of the intervention as it is implemented; assess organizational factors associated with the sustainability of the intervention; and assess the cost of implementing and sustaining the intervention. METHODS: The project involves three geographically diverse VA intervention facilities and nine control sites. We first conduct an evaluation of barriers and facilitators for implementing the intervention at intervention sites. We examine the impact of the intervention by comparing 12-month pre/post changes in BP control between patients in intervention sites versus patients in the matched control sites. Next, we examine the sustainability of the intervention and organizational factors facilitating or hindering the sustained implementation. Finally, we examine the costs of intervention implementation. Key outcomes are acceptability and costs of the program, as well as changes in BP. Outcomes will be assessed using mixed methods (e.g., qualitative analyses--pattern matching; quantitative methods--linear mixed models). DISCUSSION: The study results will provide information about the challenges and costs to implement and sustain the intervention, and what clinical impact can be expected.

Duke Scholars

Published In

Implement Sci

DOI

EISSN

1748-5908

Publication Date

July 16, 2010

Volume

5

Start / End Page

54

Location

England

Related Subject Headings

  • Health Policy & Services
  • 52 Psychology
  • 32 Biomedical and clinical sciences
  • 11 Medical and Health Sciences
  • 08 Information and Computing Sciences
 

Citation

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Bosworth, H. B., Almirall, D., Weiner, B. J., Maciejewski, M., Kaufman, M. A., Powers, B. J., … Jackson, G. L. (2010). The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295). Implement Sci, 5, 54. https://doi.org/10.1186/1748-5908-5-54
Bosworth, Hayden B., Daniel Almirall, Bryan J. Weiner, Mathew Maciejewski, Miriam A. Kaufman, Benjamin J. Powers, Eugene Z. Oddone, et al. “The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295).Implement Sci 5 (July 16, 2010): 54. https://doi.org/10.1186/1748-5908-5-54.
Bosworth HB, Almirall D, Weiner BJ, Maciejewski M, Kaufman MA, Powers BJ, et al. The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295). Implement Sci. 2010 Jul 16;5:54.
Bosworth HB, Almirall D, Weiner BJ, Maciejewski M, Kaufman MA, Powers BJ, Oddone EZ, Lee S-YD, Damush TM, Smith V, Olsen MK, Anderson D, Roumie CL, Rakley S, Del Monte PS, Bowen ME, Kravetz JD, Jackson GL. The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295). Implement Sci. 2010 Jul 16;5:54.
Journal cover image

Published In

Implement Sci

DOI

EISSN

1748-5908

Publication Date

July 16, 2010

Volume

5

Start / End Page

54

Location

England

Related Subject Headings

  • Health Policy & Services
  • 52 Psychology
  • 32 Biomedical and clinical sciences
  • 11 Medical and Health Sciences
  • 08 Information and Computing Sciences