A clinical trial to improve high blood pressure care in young urban black men - Recruitment, follow-up, and outcomes

被引:57
作者
Hill, MN [1 ]
Bone, LR
Hilton, SC
Roary, MC
Kelen, GD
Levine, DM
机构
[1] Johns Hopkins Univ, Sch Nursing, 525 N Wolfe St,Room 301, Baltimore, MD 21205 USA
[2] Johns Hopkins Univ, Sch Hyg & Publ Hlth, Baltimore, MD 21205 USA
[3] Brigham Young Univ, Salt Lake City, UT USA
基金
美国国家卫生研究院;
关键词
recruitment; follow-up; hypertension; young black men; randomized clinical trial;
D O I
10.1016/S0895-7061(99)00007-2
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
This randomized trial recruited and followed underserved, inner-city, hypertensive (HTN), young black men and investigated whether a nurse-community health worker team in combination with usual medical care (SI) increased entry into care and reduced high blood pressure (HBP), in comparison to usual medical care (UC) alone, Emergency department records, advertising, and BP screenings identified potential participants with HBP. Telephone calls and personal contacts tracked enrollees. Of 1391 potential participants, 803 (58%) responded to an invitation to be screened and scheduled a visit. Of these, 528 (66%) kept an appointment, 207 (35%) were BP eligible, and 204 (99%) consented to enroll. At 12 months 91% of men were accounted for and 85.8% (adjusted for death, in jail, or moved away) were seen. Mean BP changed from 153(16)/98(10) to 152(19)/94(11) mm Hg in the SI group and 151(18)/ 98(11) to 147(21)/92(14) mm Hg in the UC group (P = NS). High rates of participation are attainable in this population; however, culturally acceptable ways of delivering HBP care are needed. (C) 1999 American Journal of Hypertension, Ltd.
引用
收藏
页码:548 / 554
页数:7
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