Lessons from implementing community-based group classes for severe hypertension.
blood pressure
community health centers
health promotion
hypertension
minority health
peer group
Journal
Public health nursing (Boston, Mass.)
ISSN: 1525-1446
Titre abrégé: Public Health Nurs
Pays: United States
ID NLM: 8501498
Informations de publication
Date de publication:
07 2021
07 2021
Historique:
revised:
22
01
2021
received:
16
07
2020
accepted:
23
01
2021
pubmed:
16
2
2021
medline:
5
4
2022
entrez:
15
2
2021
Statut:
ppublish
Résumé
Due to the impact of persistent structural racism, Black men have low rates of hypertension treatment and control despite having high rates of hypertension-related mortality. Peer-based education can improve blood pressure monitoring and lower blood pressure in Black men with hypertension. To address this disparity, we implemented weekly community-based group classes for severe hypertension at a Federally Qualified Health Center. After 9 months, 28 classes were held and 96 individuals were served. Fifty-six percent of the person-hours of attendance have been by Black men. Seven individuals were interviewed about their perspectives and preferences for the classes. They reported that the peer-based model of the group classes was advantageous, and they would recommend the classes to a friend. Successes of implementation included (a) ability to facilitate medication adjustments for participants with blood pressure readings that were over target goal, (b) capacity to give participants take-home blood pressure monitors, (c) and the community-centered approach. Challenges included variability in attendance by participants and retention of individuals with uncontrolled hypertension in primary care. These findings have implications for other Federally Qualified Health Centers seeking to design similar health promotion programs and policy makers evaluating the funding and reimbursement models for community-based disease management programs.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
675-679Informations de copyright
© 2021 Wiley Periodicals, Inc.
Références
Bailey, Z. D., Krieger, N., Agénor, M., Graves, J., Linos, N., & Bassett, M. T. (2017). Structural racism and health inequities in the USA: Evidence and interventions. Lancet (London, England), 389(10077), 1453-1463. https://doi.org/10.1016/S0140-6736(17)30569-X
Benjamin, E. J., Muntner, P., Alonso, A., Bittencourt, M. S., Callaway, C. W., Carson, A. P., Chamberlain, A. M., Chang, A. R., Cheng, S., Das, S. R., Delling, F. N., Djousse, L., Elkind, M. S. V., Ferguson, J. F., Fornage, M., Jordan, L. C., Khan, S. S., Kissela, B. M., Knutson, K. L., … American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. (2019). Heart disease and stroke statistics-2019 update: A report from the American Heart Association. Circulation, 139(10), e56-e528. https://doi.org/10.1161/CIR.0000000000000659
Biola, H., Deyo, J., Hayes, T., Small, L., Chaplin, J., Pak-Harvey, E., Granger, T., Jung, L., Fitzgerald, L., Crowder, C., Patel, B., Stillwell, T., Eisenson, H., & Granger, B. (2020). Reaching the hard-to-reach: Outcomes of the severe hypertension outreach intervention. American Journal of Preventive Medicine, 59(5), 725-732. https://doi.org/10.1016/j.amepre.2020.05.030
CDC. (2018). High blood pressure publications-African american men sourcebook. Centers for Disease Control and Prevention. https://www.cdc.gov/bloodpressure/aa_sourcebook.htm
Geronimus, A. T., Hicken, M., Keene, D., & Bound, J. (2006). “Weathering” and age patterns of allostatic load scores among blacks and whites in the United States. American Journal of Public Health, 96(5), 826-833. https://doi.org/10.2105/AJPH.2004.060749
Houston, T. K., Allison, J. J., Sussman, M., Horn, W., Holt, C. L., Trobaugh, J., Salas, M., Pisu, M., Cuffee, Y. L., Larkin, D., Person, S. D., Barton, B., Kiefe, C. I., & Hullett, S. (2011). Culturally appropriate storytelling to improve blood pressure: A randomized trial. Annals of Internal Medicine, 154(2), 77-84. https://doi.org/10.7326/0003-4819-154-2-201101180-00004
Keil, J. E., Sutherland, S. E., Knapp, R. G., Lackland, D. T., Gazes, P. C., & Tyroler, H. A. (1993). Mortality rates and risk factors for coronary disease in black as compared with white men and women. The New England Journal of Medicine, 329(2), 73-78. https://doi.org/10.1056/NEJM199307083290201
Khatib, R., Schwalm, J.-D., Yusuf, S., Haynes, R. B., McKee, M., Khan, M., & Nieuwlaat, R. (2014). Patient and healthcare provider barriers to hypertension awareness, treatment and follow up: A systematic review and meta-analysis of qualitative and quantitative studies. PLoS One, 9(1), https://doi.org/10.1371/journal.pone.0084238
Lackland, D. T., Bachman, D. L., Carter, T. D., Barker, D. L., Timms, S., & Kohli, H. (1998). The geographic variation in stroke incidence in two areas of the southeastern stroke belt: The Anderson and Pee Dee Stroke Study. Stroke, 29(10), 2061-2068. https://doi.org/10.1161/01.str.29.10.2061
Phelan, J. C., & Link, B. G. (2015). Is racism a fundamental cause of inequalities in health? Annual Review of Sociology, 41(1), 311-330. https://doi.org/10.1146/annurev-soc-073014-112305
Saif-Ur-Rahman, K. M., Shariful Islam, S., Hasan, M., Hossain, S., Mamun, R., Shafique, S., Mamun, A., Khalequzzaman, M., Haseen, F., Rahman, A., & Anwar, I. (2019). Nonpharmacological interventions for the prevention of hypertension in low- and middle-income countries: A systematic review and meta-analysis. Journal of Human Hypertension, 33(11), 786-794. https://doi.org/10.1038/s41371-019-0223-x
Victor, R. G., Lynch, K., Li, N., Blyler, C., Muhammad, E., Handler, J., Brettler, J., Rashid, M., Hsu, B., Foxx-Drew, D., Moy, N., Reid, A. E., & Elashoff, R. M. (2018). A cluster-randomized trial of blood-pressure reduction in black barbershops. The New England Journal of Medicine, 378(14), 1291-1301. https://doi.org/10.1056/NEJMoa1717250
Whittle, J. (2014). Implementing programs to improve hypertension management in typical practice settings: not as easy as it sounds. American Journal of Hypertension, 27(3), 291-293. https://doi.org/10.1093/ajh/hpt237