title: Outcomes of a multi-community hypertension implementation study: the American Heart Association's Check. Change. Control. program.
abstract: Single-site, intensive, community-based blood pressure (BP) intervention programs have led to BP improvements. The authors examined the American Heart Association's Check. Change.
  
  
  METHODS
  (CCC) program (4069 patients/18 cities) to determine whether BP interventions can effectively be scaled to multiple communities, using a simplified template and local customization. Effectiveness was evaluated at each site via site percent enrollment goals, participant engagement, and BP change from first to last measurement. High-enrolling sites frequently recruited at senior residential institutions and service organizations held hypertension management classes and utilized established and new community partners. High-engagement sites regularly held hypertension education classes and followed up with participants. Top-performing sites commonly distributed BP cuffs, checked BP at engagement activities, and trained volunteers. CCC demonstrated that simplified community-based hypertension intervention programs may lead to BP improvements, but there was high outcomes variability among programs. Several factors were associated with BP improvement that may guide future program development.
authors.affiliation: Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA.|Division of Cardiology, Duke University Medical Center, Durham, NC, USA.
authors.forename: Monique L
authors.initials: ML
authors.lastname: Anderson
authors.affiliation: Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Rachel
authors.initials: R
authors.lastname: Peragallo Urrutia
authors.affiliation: Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA.
authors.forename: Emily C
authors.initials: EC
authors.lastname: O'Brien
authors.affiliation: Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA.
authors.forename: Nancy M
authors.initials: NM
authors.lastname: Allen LaPointe
authors.affiliation: Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA.
authors.forename: Alexander J
authors.initials: AJ
authors.lastname: Christian
authors.affiliation: Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA.
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Kaltenbach
authors.affiliation: Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA.
authors.forename: Laura E
authors.initials: LE
authors.lastname: Webb
authors.affiliation: Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA.
authors.forename: Angel M
authors.initials: AM
authors.lastname: Alexander
authors.affiliation: Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA.
authors.forename: Paramita
authors.initials: P
authors.lastname: Saha Chaudhuri
authors.affiliation: American Heart Association, Dallas, TX, USA.
authors.forename: Juliana
authors.initials: J
authors.lastname: Crawford
authors.affiliation: American Heart Association, Dallas, TX, USA.
authors.forename: Patrick
authors.initials: P
authors.lastname: Wayte
authors.affiliation: Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA.|Division of Cardiology, Duke University Medical Center, Durham, NC, USA.
authors.forename: Eric D
authors.initials: ED
authors.lastname: Peterson
mesh_terms: D000328:Adult; D000572:American Heart Association / Q000458:organization & administration*; D001794:Blood Pressure / Q000502:physiology*; D001795:Blood Pressure Determination / Q000295:instrumentation*; D019058:Community Networks / Q000458:organization & administration*; D003376:Counseling; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D017063:Outcome Assessment, Health Care; D016730:Program Development; D058996:Quality Improvement; D014481:United States / Q000453:epidemiology
keywords: blood pressure management; hypertension intervention programs