Key result
Needs assessment informs a clinic-community program targeting improved hypertension control in Black patients.
Why the study?
Hypertension control among Blacks in the USA is a major challenge hindered by patient-, physician-, health system-, and community-level barriers.
This protocol outlines a comprehensive needs assessment to develop a multi-level, clinic-community-based intervention for improving hypertension control among Black patients in New York City.
May guide tailored hypertension programs for Black patients; leaves open efficacy of the proposed multi-level intervention.
BACKGROUND: Hypertension (HTN) control among Blacks in the USA has become a major public health challenge. Barriers to HTN control exist at multiple levels including patient, physician, and the health system. Patients also encounter significant community-level barriers, such as poor linkage to social services that impact health (unstable housing, food access, transportation). We describe a multi-component needs assessment to inform the development, implementation, and evaluation of a program to improve HTN management within a large healthcare system in New York City (NYC). METHODS: Guided by the Community-Based Participatory Research (CBPR) and Consolidated Framework for Implementation Research (CFIR) frameworks, data will be collected from four main sources: (1) quantitative surveys with health systems leadership, providers, and staff and with community-based organizations (CBOs) and faith-based organizations (FBOs); (2) qualitative interviews and focus groups with health systems leadership, providers, and staff and with CBOs and FBOs; (3) NYC Community Health Survey (CHS); and (4) New York University (NYU) Health system Epic Electronic Health Record (EHR) system. The data sources will allow for triangulation and synthesis of findings. DISCUSSION: Findings from this comprehensive needs assessment will inform the development of a clinic-community-based practice facilitation program utilizing three multi-level evidence-based interventions (nurse case management, remote blood pressure (BP) monitoring, and social determinants of health (SDoH) support) integrated as a community-clinic linkage model for improved HTN control in Black patients. Integration of stakeholders' priorities, perspectives, and practices into the development of the program will improve adoption, sustainability, and the potential for scale-up. TRIAL REGISTRATION: NCT05208450; registered on January 26, 2022.
No takes yet. Share an insight, caveat, or question.
Gyamfi et al. (2022) studied Hypertension. Practice Support and Community Engagement (PACE) was evaluated on Context-specific tailored practice facilitation strategy. A comprehensive needs assessment will inform the development of a clinic-community-based practice facilitation program utilizing nurse case management, remote blood pressure monitoring, and social determinants of health support for improved hypertension control in Black patients.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: