A Cluster-Randomized Trial of Blood-Pressure Reduction in Black Barbershops
| Autor: | Ciantel A. Blyler, Robert Elashoff, Norma B Moy, Davontae Foxx-Drew, Kathleen Lynch, Mohamad Rashid, Ning Li, Anthony E. Reid, Eric Muhammad, Jeffrey W. Brettler, Brent Hsu, Ronald G. Victor, Joel F. Handler |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Clinical Trials and Supportive Activities education Psychological intervention Pharmacist Blood Pressure Health Promotion 030204 cardiovascular system & hematology Pharmacists Cardiovascular Barbering Medical and Health Sciences law.invention Cohort Studies 03 medical and health sciences 0302 clinical medicine Drug Therapy Randomized controlled trial Clinical Research law General & Internal Medicine Health care medicine Humans 030212 general & internal medicine Cluster randomised controlled trial Life Style Antihypertensive Agents health care economics and organizations African Americans business.industry Prevention General Medicine Middle Aged Health Services Black or African American Good Health and Well Being Blood pressure Socioeconomic Factors Hypertension Combination Cohort Physical therapy Drug Therapy Combination Self Report business Cohort study |
| Zdroj: | The New England journal of medicine, vol 378, iss 14 |
| ISSN: | 1533-4406 0028-4793 |
| DOI: | 10.1056/nejmoa1717250 |
| Popis: | BackgroundUncontrolled hypertension is a major problem among non-Hispanic black men, who are underrepresented in pharmacist intervention trials in traditional health care settings.MethodsWe enrolled a cohort of 319 black male patrons with systolic blood pressure of 140 mm Hg or more from 52 black-owned barbershops (nontraditional health care setting) in a cluster-randomized trial in which barbershops were assigned to a pharmacist-led intervention (in which barbers encouraged meetings in barbershops with specialty-trained pharmacists who prescribed drug therapy under a collaborative practice agreement with the participants’ doctors) or to an active control approach (in which barbers encouraged lifestyle modification and doctor appointments). The primary outcome was reduction in systolic blood pressure at 6 months.ResultsAt baseline, the mean systolic blood pressure was 152.8 mm Hg in the intervention group and 154.6 mm Hg in the control group. At 6 months, the mean systolic blood pressure fell by 27.0 mm Hg (to 125.8 mm Hg) in the intervention group and by 9.3 mm Hg (to 145.4 mm Hg) in the control group; the mean reduction was 21.6 mm Hg greater with the intervention (95% confidence interval, 14.7 to 28.4; P |
| Databáze: | OpenAIRE |
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