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


ABSTRACT: 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.

SUBMITTER: Anderson ML 

PROVIDER: S-EPMC8030833 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature

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

Anderson Monique L ML   Peragallo Urrutia Rachel R   O'Brien Emily C EC   Allen LaPointe Nancy M NM   Christian Alexander J AJ   Kaltenbach Lisa A LA   Webb Laura E LE   Alexander Angel M AM   Saha Chaudhuri Paramita P   Crawford Juliana J   Wayte Patrick P   Peterson Eric D ED  

Journal of clinical hypertension (Greenwich, Conn.) 20170106 5


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.<h4>Control</h4>(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 firs  ...[more]

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