A randomized controlled trial of community health workers using patient stories to support hypertension management: Study protocol
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UMass Chan Affiliations
Department of Quantitative Health SciencesDepartment of Family and Community Health
Document Type
Journal ArticlePublication Date
2018-06-01Keywords
Blood pressure controlCommunity health centers
Community health workers
Delayed randomization
Health disparities
Hypertension
Methodology
Narrative communication
Cardiovascular Diseases
Clinical Epidemiology
Community Health and Preventive Medicine
Epidemiology
Health Services Administration
Health Services Research
Medical Education
Public Health Education and Promotion
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Show full item recordAbstract
BACKGROUND: Uncontrolled hypertension is a significant public health problem in the U.S. with about one half of people able to keep blood pressure (BP) under control. Uncontrolled hypertension leads to increased risk of stroke, heart attack, and death. Furthermore, the social and economic costs of poor hypertension control are staggering. People living with hypertension can benefit from additional educational outreach and support. METHODS: This randomized trial conducted at two Community Health Centers (CHCs) in Massachusetts assessed the effect of community health workers (CHWs) assisting patients with hypertension. In addition to the support provided by CHWs, the study uses video narratives from patients who have worked to control their BP through diet, exercise, and better medication adherence. Participants enrolled in the study were randomly assigned to immediate intervention (I) by CHWs or a delayed intervention (DI) (4 to 6months later). Each participant was asked to meet with the CHW 5 times (twice in person and three times telephonically). Study outcomes include systolic and diastolic BP, diet, exercise, and body mass index. CONCLUSION: CHWs working directly with patients, using multiple approaches to support patient self-management, can be effective agents to support change in chronic illness management. Moreover, having culturally appropriate tools, such as narratives available through videos, can be an important, cost effective aid to CHWs. Recruitment and intervention delivery within a busy CHC environment required adaptation of the study design and protocols for staff supervision, data collection and intervention delivery and lessons learned are presented. RETROSPECTIVE TRIAL REGISTRATION: Clinical Trials.gov registration submitted 8/17/16: Protocol ID# 5P60MD006912-02 and Clinical trials.gov ID# NCT02874547 Community Health Workers Using Patient Stories to Support Hypertension Management.Source
Contemp Clin Trials. 2018 Jun;69:76-82. doi: 10.1016/j.cct.2018.04.004. Epub 2018 Apr 12. Link to article on publisher's site
DOI
10.1016/j.cct.2018.04.004Permanent Link to this Item
http://hdl.handle.net/20.500.14038/46733PubMed ID
29654929Related Resources
ae974a485f413a2113503eed53cd6c53
10.1016/j.cct.2018.04.004
Scopus Count
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