A randomized controlled trial of community health workers using patient stories to support hypertension management: Study protocol
| Autor: | J. Lee Hargraves, Debra Bonollo, Sharina D. Person, Warren J. Ferguson |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Teaching Materials law.invention 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Randomized controlled trial law Intervention (counseling) medicine Humans Pharmacology (medical) 030212 general & internal medicine Stroke Community Health Workers 030505 public health Consumer Health Information business.industry Patient Selection Self-Management Public health Psychosocial Support Systems General Medicine Middle Aged medicine.disease Health equity Health Literacy Blood pressure Family medicine Hypertension Community health Female 0305 other medical science business Risk Reduction Behavior Body mass index Program Evaluation |
| Zdroj: | Contemporary Clinical Trials. 69:76-82 |
| ISSN: | 1551-7144 0287-4547 |
| DOI: | 10.1016/j.cct.2018.04.004 |
| Popis: | 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 6 months 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. |
| Databáze: | OpenAIRE |
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