부산대학교 도서관

Introduction: Minority populations are particularly burdened by uncontrolled hypertension (HTN) with disparities in treatment and outcomes well-documented in the United States. Patients with severely elevated BP (≥160/100 mmHg) are at the highest risk for developing secondary cardiovascular complications as a result of their uncontrolled HTN. Objective: To determine the effectiveness of a community-based HTN Screening and Education Intervention on blood pressure (BP) improvement in a predominately minority population. The primary outcome was mean BP differences at 3-months. Methods: Participants were screened for HTN across four community churches in Chicago. Those with elevated BPs (≥140/90 mmHg) were enrolled in a HTN intervention and followed up at 3-months. The intervention consisted of five surveys and a 3-minute culturally appropriate video on HTN. Individuals with severely elevated BPs (≥160/100 mmHg) additionally viewed a brief collection of echocardiograms images with changes resulting from uncontrolled HTN, and had a brief on-site consultation with a clinical pharmacist. All participants received automated BP monitors and information on Federally Qualified Health Centers in their area for ongoing care. Results: There were 152 individuals screened as part of the study, of which 59% (n= 89) had HTN and were enrolled in the intervention. Demographics of intervention participants included 59% African American, 39% Hispanic/Latino, and 2% other races. Baseline HTN knowledge and medication adherence were similar across racial/ethnic groups. The mean BP was 143/89 mmHg for participants with Moderate HTN (≥140/90 mmHg) and 166/98 mmHg for those with Severe HTN (≥160/100 mmHg). Mean differences in BP at 3-months for those with Moderate HTN were systolic: -4.9 (SD, 16.5) and diastolic: -2.3 (SD, 9.8) mmHg. Mean differences in BP for those with Severe HTN were systolic: -15.0 SBP (SD, 20.6) and diastolic: -7.4 (SD, 10.7) mmHg. Conclusions: Participants in a community-focused HTN screening and brief education intervention experienced statistically significant improvements in BPs over a 3 month period. The greatest improvements were seen in those individuals with the greatest cardiovascular risk due to severely elevated BPs. [ABSTRACT FROM AUTHOR]