Journal article
Community Targeting of Uncontrolled Hypertension: Results of a Hypertension Screening and Education Intervention in Community Churches Serving Predominantly Racial/Ethnic Minority Populations
Health promotion practice, Vol.22(5), pp.714-723
09/01/2021
DOI: 10.1177/1524839920933897
PMID: 32552138
Abstract
Background.Uncontrolled hypertension is the primary risk factor for the development of cardiovascular complications and particularly burdens racial/ethnic minority populations.Aim.To determine the effectiveness of a community hypertension screening, education, and empowerment intervention on blood pressure (BP) improvement.Method. We screened 152 participants across four churches in predominantly racial/ethnic minority neighborhoods for elevated BP. During this visit, those with BP >= 140/90 mmHg were enrolled in the study and completed interventions. Individuals with moderately elevated BP (>= 140/90 and <160/100 mmHg; Group 1) viewed a 3-minute hypertension education video. Individuals with severely elevated BP (>= 160/100 mmHg; Group 2) additionally viewed echocardiograms images with subclinical changes from uncontrolled hypertension and had a brief on-site medication review with a pharmacist. Both groups received automated BP monitors and information on neighborhood federally qualified health centers for primary care. Participants returned to each church for follow-up 3 months later. We analyzed BP difference at 3 months and percentage with controlled BP for each group.Results. For Group 1, mean baseline and follow-up BPs were 143.5/88.0 mmHg and 138.5/85.8 mmHg, respectively. For Group 2, BPs significantly decreased from 165.4/98.3 mmHg to 150.4/90.8 mmHg. After the intervention, participants with controlled BP for Groups 1 and 2 were 35.5% and 55.2%, respectively.Discussion. Participants in both groups had BP improvements. Greater improvements were in individuals at higher cardiovascular risk due to severely elevated BPs (>= 160/100 mmHg).Conclusion. This pilot highlights the impact that streamlined empowerment interventions with dedicated health personnel can have in high-risk communities with elevated BPs.
Details
- Title: Subtitle
- Community Targeting of Uncontrolled Hypertension: Results of a Hypertension Screening and Education Intervention in Community Churches Serving Predominantly Racial/Ethnic Minority Populations
- Creators
- Heather M. Prendergast - University of Illinois at ChicagoSandra Escobar-Schulz - University of Illinois at ChicagoMarina Del Rios - University of Illinois at ChicagoRenee Petzel-Gimbar - University of Illinois at ChicagoCharles McPherson - University of Illinois at ChicagoMaya Jackson - University of Illinois at ChicagoKaLynn Terrell - Marian University - IndianaSara W. Heinert - University of Illinois at Chicago
- Resource Type
- Journal article
- Publication Details
- Health promotion practice, Vol.22(5), pp.714-723
- Publisher
- Sage
- DOI
- 10.1177/1524839920933897
- PMID
- 32552138
- ISSN
- 1524-8399
- eISSN
- 1552-6372
- Number of pages
- 10
- Grant note
- University of Illinois at Chicago Department of Emergency Medicine
- Language
- English
- Date published
- 09/01/2021
- Academic Unit
- Emergency Medicine
- Record Identifier
- 9984296976902771
Metrics
7 Record Views