• Find People
  • Campus Map
  • PiratePort
  • A-Z
    • About
    • Submit
    • Browse
    • Login
    View Item 
    •   ScholarShip Home
    • Other Campus Research
    • Open Access
    • View Item
    •   ScholarShip Home
    • Other Campus Research
    • Open Access
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of The ScholarShipCommunities & CollectionsDateAuthorsTitlesSubjectsTypeDate SubmittedThis CollectionDateAuthorsTitlesSubjectsTypeDate Submitted

    My Account

    Login

    Statistics

    View Google Analytics Statistics

    The heart healthy lenoir project-an intervention to reduce disparities in hypertension control: Study protocol

    Thumbnail
    View/ Open
    1472-6963-13-441.pdf (525.2Kb)

    Show full item record
    Author
    Halladay, Jacquie R; Donahue, Katrina E.; Hinderliter, Alan L; Cummings, Doyle M.; Cené, Crystal W.; Miller, Cassie L; Garcia, Beverly A; Tillman, Jim; DeWalt, Darren A.; Heart Healthy Lenoir Research Team
    Abstract
    Background Racial disparities in blood pressure control are well established; however the impact of low health literacy (LHL) on blood pressure has garnered less attention. Office based interventions that are created with iterative patient, practice and community stakeholder input and are rolled out incrementally, may help address these disparities in hypertension control. This paper describes our study protocol. Methods/design Using a community based participatory research (CBPR) approach, we designed and implemented a cohort study that includes both a practice level and patient level intervention to enhance the care and support of patients with hypertension in primary care practices in a rural region of eastern North Carolina. The study is divided into a formative phase and an ongoing 2.5 year implementation phase. Our main care enhancement activities include the integration of a community health coach, using home blood pressure monitoring in clinical decision making, standardizing care delivery processes, and working to improve medication adherence. Main outcomes include overall blood pressure change, the differential change in blood pressure by race (African American vs. White) and health literacy level (low vs. higher health literacy). Discussion Using a community based participatory approach in primary care practice settings has helped to engage patients and practice staff and providers in the research effort and in making practice changes to support hypertension care. Practices have engaged at varying levels, but progress has been made in implementing and iteratively improving upon the interventions to date.
    URI
    http://hdl.handle.net/10342/7809
    Subject
    Hypertension, Methods, Quality improvement, Disparities, Community based participatory research
    Date
    2013-10-25
    Citation:
    APA:
    Halladay, Jacquie R, & Donahue, Katrina E., & Hinderliter, Alan L, & Cummings, Doyle M., & Cené, Crystal W., & Miller, Cassie L, & Garcia, Beverly A, & Tillman, Jim, & DeWalt, Darren A., & Heart Healthy Lenoir Research Team. (October 2013). The heart healthy lenoir project-an intervention to reduce disparities in hypertension control: Study protocol. , (), - . Retrieved from http://hdl.handle.net/10342/7809

    Display/Hide MLA, Chicago and APA citation formats.

    MLA:
    Halladay, Jacquie R, and Donahue, Katrina E., and Hinderliter, Alan L, and Cummings, Doyle M., and Cené, Crystal W., and Miller, Cassie L, and Garcia, Beverly A, and Tillman, Jim, and DeWalt, Darren A., and Heart Healthy Lenoir Research Team. "The heart healthy lenoir project-an intervention to reduce disparities in hypertension control: Study protocol". . . (), October 2013. October 03, 2023. http://hdl.handle.net/10342/7809.
    Chicago:
    Halladay, Jacquie R and Donahue, Katrina E. and Hinderliter, Alan L and Cummings, Doyle M. and Cené, Crystal W. and Miller, Cassie L and Garcia, Beverly A and Tillman, Jim and DeWalt, Darren A. and Heart Healthy Lenoir Research Team, "The heart healthy lenoir project-an intervention to reduce disparities in hypertension control: Study protocol," , no. (October 2013), http://hdl.handle.net/10342/7809 (accessed October 03, 2023).
    AMA:
    Halladay, Jacquie R, Donahue, Katrina E., Hinderliter, Alan L, Cummings, Doyle M., Cené, Crystal W., Miller, Cassie L, Garcia, Beverly A, Tillman, Jim, DeWalt, Darren A., Heart Healthy Lenoir Research Team. The heart healthy lenoir project-an intervention to reduce disparities in hypertension control: Study protocol. . October 2013; (): . http://hdl.handle.net/10342/7809. Accessed October 03, 2023.
    Collections
    • Open Access

    xmlui.ArtifactBrowser.ItemViewer.elsevier_entitlement

    East Carolina University has created ScholarShip, a digital archive for the scholarly output of the ECU community.

    • About
    • Contact Us
    • Send Feedback