title: The effectiveness of a community/academic health center partnership in decreasing the level of blood pressure in an urban African-American population.
abstract: This study investigated the effectiveness of a community-academic health center partnership, utilizing nurse-supervised indigenous community health workers, in decreasing the blood pressure in an urban African-American population. A four-year randomized clinical trial was conducted in the Sandtown-Winchester community, which has an excess prevalence of high blood pressure, in order to test the effectiveness of 2 different levels of intervention intensity on increasing the control of high blood pressure. Community health workers were trained and certified in blood pressure management, monitoring, education and counseling, social support mobilization, and community outreach and follow up. The primary results were a significant decrease in mean systolic and diastolic pressures after both levels of intervention, and a significant increase in the percentage of individuals with controlled high blood pressure. Surprisingly, no differences in results were observed between the 2 levels of intervention intensity. This study supports the use of community-based partnership efforts, and the utilization of indigenous health workers, to enhance the control of high blood pressure in a high-risk, African-American urban population.
authors.affiliation: Sandtown-Winchester High Blood Pressure Control Program, The Johns Hopkins Schools of Medicine, Public Health and Nursing, Baltimore, Maryland 21205, USA.
authors.forename: David M
authors.initials: DM
authors.lastname: Levine
authors.forename: Lee R
authors.initials: LR
authors.lastname: Bone
authors.forename: Martha N
authors.initials: MN
authors.lastname: Hill
authors.forename: Rebecca
authors.initials: R
authors.lastname: Stallings
authors.forename: Allan C
authors.initials: AC
authors.lastname: Gelber
authors.forename: Anne
authors.initials: A
authors.lastname: Barker
authors.forename: Elder C
authors.initials: EC
authors.lastname: Harris
authors.forename: Scott L
authors.initials: SL
authors.lastname: Zeger
authors.forename: Kaytura L
authors.initials: KL
authors.lastname: Felix-Aaron
authors.forename: Jeanne M
authors.initials: JM
authors.lastname: Clark
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration*; D001741:Black or African American / Q000193:education*; D015142:Baltimore / Q000453:epidemiology; D003151:Community Health Centers / Q000458:organization & administration*; D003150:Community Health Workers; D003299:Cooperative Behavior; D005260:Female; D006302:Health Services Research; D006303:Health Services, Indigenous / Q000458:organization & administration*; D006801:Humans; D006973:Hypertension / Q000208:ethnology / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D009935:Organizational Affiliation; D015397:Program Evaluation; D014505:Urban Population