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

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dc.contributor.authorHalladay, Jacqueline R.
dc.contributor.authorDonahue, Katrina E.
dc.contributor.authorHinderliter, Alan L.
dc.contributor.authorCummings, Doyle M.
dc.contributor.authorCené, Crystal W.
dc.contributor.authorMiller, Cassandra L.
dc.contributor.authorGarcia, Beverly A.
dc.contributor.authorTillman, Jim
dc.contributor.authorDeWalt, Darren A.
dc.date.accessioned2016-06-07T18:53:44Z
dc.date.available2016-06-07T18:53:44Z
dc.date.issued2013
dc.description.abstractBackground 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.en_US
dc.identifier.citationBMC Health Services Research; 13: p. 441-441en_US
dc.identifier.doi10.1186/1472-6963-13-441
dc.identifier.issn1472-6963
dc.identifier.pmidpmc4015615en_US
dc.identifier.urihttp://hdl.handle.net/10342/5517
dc.relation.urihttp://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-13-441en_US
dc.subjectHypertensionen_US
dc.subjectMethodsen_US
dc.subjectQuality improvementen_US
dc.subjectDisparitiesen_US
dc.subjectCommunity based participatory researchen_US
dc.titleThe heart healthy lenoir project-an intervention to reduce disparities in hypertension control: study protocolen_US
dc.typeArticleen_US
ecu.journal.nameBMC Health Services Researchen_US
ecu.journal.pages441-441en_US
ecu.journal.volume13en_US

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