Hypertension, Pre-hypertension
Conditions
Keywords
Health Disparities, Outreach, Health Behavior, Under-served communities
Brief summary
The Wald Outreach Center will partner with Medicine for the Greater Good (MGG) to implement this pilot project called Wald Outreach for Wellness (WOW), a blood pressure outreach wellness intervention in a retail setting.
Detailed description
WOW aims to provide community members with a digital blood pressure monitor, health education, and health care navigation as practical strategies to improve community members' management of pre-hypertension, and to reduce associated burdens and risks related to hypertension health disparities. This approach to reaching populations who use retail settings has the potential to implement a health promotion and wellness strategy aimed at populations with increased risk for hypertension related health disparities. The outreach strategy is aimed at reaching community members where community members gather for health care, provide the community members with practical, low-cost strategies for promoting health and wellness, increase community members' knowledge in hypertension management, help the community members navigate health care options and get the community members engaged in a medical home thereby reducing the burdens of hypertension health disparities. This research is important to continue to assess the best ways to reach and reduce hypertension health disparities in underserved communities with limited access to health care.
Interventions
Health education and coaching, health care navigation,
Sponsors
Study design
Intervention model description
quasi-experimental non-randomized
Eligibility
Inclusion criteria
* Community residents who participate in Day at the Market * Adult individuals 18 years and older whose recorded BP reading is within the pre-hypertensive range 120-139 systolic; 80-89 diastolic * Able to read and understand English
Exclusion criteria
* 17 years or younger * BP reading above pre-hypertensive range * Unable to read and understand English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in actions to control hypertension as assessed by the Behavioral Risk Factor Surveillance System Module 7 | Assessed at baseline, 6 weeks and 12 weeks | Change in yes/no answers assessed by Behavioral Risk Factor Surveillance System (BRFSS) Module 7. 10 questions graded by yes/no response. |
| Change in blood pressure | Assessed at baseline and every 2 weeks, up to 3 months | Change in blood pressure (BP) measured in mmHg. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in usage of BP monitor | Assessed at baseline and every 2 weeks, up to 3 months | Change in usage of blood pressure monitor assessed by number of BP readings done by participants. |
| Change in knowledge of the signs and symptoms of a heart attack and stroke as assessed by BRFSS Module 8 | Assessed at baseline, 6 weeks and 12 weeks | Change in knowledge (yes/no responses) of signs and symptoms of stroke/heart attack as assessed by BRFSS Module 8. 13 Questions graded by yes/no. |
| Change in engagement with healthcare provider as assessed by BRFSS Section 3 | Assessed at baseline, 6 weeks and 12 weeks | Change in engagement with healthcare provider/medical home as assessed by BRFSS Section 3. 3 questions graded by yes/no. |
Countries
United States