title: Program participation and blood pressure improvement in the Heart of New Ulm Project, Minnesota, 2009-2011.
abstract: BACKGROUND
  The Heart of New Ulm (HONU) Project is a community-based heart disease prevention intervention that delivers various component programs through health care, work sites, and the community. We examined the association between HONU program participation and blood pressure (BP) control over the first 2 years of the project.
  
  
  METHODS
  The sample included residents aged 40 to 79 years from the target zip code who attended a heart health screening at baseline (2009) and again at follow-up (2011). BP control was defined as achieving or maintaining a BP less than 140/90 mm Hg in 2011.
  
  
  RESULTS
  BP improvements were observed in the sample: 81.7% of those who had controlled BP in 2009 maintained controlled BP 2 years later, and 52.4% of those with uncontrolled BP at baseline had controlled BP 2 years later (mean [SD] change in systolic BP, -10.6 mm Hg [20.8]). In the final adjusted model, participation in any 2 component programs of the HONU Project was associated with significantly higher odds of BP control among those with uncontrolled BP at baseline (n = 374). Participation in any component of the HONU Project among those with uncontrolled BP was associated with significant BP improvement compared with no participation.
  
  
  CONCLUSIONS
  The clinical, work site, and community education and behavioral programs (eg, healthful diet or physical activity) delivered as part of a population-level heart disease prevention intervention were associated with meaningful BP improvements over 2 years among those with uncontrolled BP at baseline.
authors.affiliation: Allina Health, Division of Applied Research Center for Healthcare Research and Innovation, Mail Route 10105; 2925 Chicago Ave, Minneapolis, MN 55407. E-mail: arthur.sillah@allina.com.
authors.forename: Arthur
authors.initials: A
authors.lastname: Sillah
authors.affiliation: Allina Health, Minneapolis, Minnesota.
authors.forename: Abbey C
authors.initials: AC
authors.lastname: Sidebottom
authors.affiliation: Minneapolis Heart Institute Foundation, Minneapolis, Minnesota.
authors.forename: Jackie L
authors.initials: JL
authors.lastname: Boucher
authors.affiliation: Minneapolis Heart Institute Foundation, Minneapolis, Minnesota.
authors.forename: Raquel
authors.initials: R
authors.lastname: Pereira
authors.affiliation: Epidemiology Research Center, Marshfield Clinic Research Foundation, Marshfield, Wisconsin.
authors.forename: Jeffrey J
authors.initials: JJ
authors.lastname: VanWormer
mesh_terms: D000328:Adult; D000368:Aged; D000959:Antihypertensive Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001794:Blood Pressure; D003153:Community Health Services; D006266:Health Education / Q000458:organization & administration; D006801:Humans; D006973:Hypertension / Q000517:prevention & control*; D008403:Mass Screening; D008875:Middle Aged; D008910:Minnesota; D015999:Multivariate Analysis; D012307:Risk Factors
chemical_list: D000959:Antihypertensive Agents