Impact of a Patient-Centered Behavioral Economics Intervention on Hypertension Control in a Highly Disadvantaged Population: a Randomized Trial
| Autor: | José J. Escarce, Craig R. Fox, Noah J. Goldstein, Chi-Hong Tseng, Stewart B Reed, Ronald G. Victor, Martin F. Shapiro, Suzanne B. Shu, Sitaram Vangala, Estivali Villa, Braden K. Mogler |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Psychological intervention Blood Pressure Behavioral economics Vulnerable Populations 01 natural sciences law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Patient-Centered Care Internal medicine Intervention (counseling) Post-hoc analysis Internal Medicine medicine Humans 030212 general & internal medicine 0101 mathematics Antihypertensive Agents business.industry Economics Behavioral 010102 general mathematics Capsule Commentary Odds ratio Disadvantaged Blood pressure Hypertension business |
| Zdroj: | J Gen Intern Med |
| ISSN: | 1525-1497 0884-8734 |
| Popis: | Uncontrolled hypertension contributes to disparities in cardiovascular outcomes. Patient intervention strategies informed by behavioral economics and social psychology could improve blood pressure (BP) control in disadvantaged minority populations. To assess the impact on BP control of an intervention combining short-term financial incentives with promotion of intrinsic motivation among highly disadvantaged patients. Randomized controlled trial. Two hundred seven adults (98% African American or Latino) aged 18 or older with uncontrolled hypertension attending Federally Qualified Health Centers. Six-month intervention, combining financial incentives for measuring home BP, recording medication use, BP improvement, and achieving target BP values with counseling linking hypertension control efforts to participants’ personal reasons to stay healthy. Primary outcomes: percentage achieving systolic BP (SBP) |
| Databáze: | OpenAIRE |
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