Key result
The Check. Change. Control. program demonstrated that simplified community-based hypertension interventions may lead to blood pressure improvements, despite high outcomes variability among sites.
Why the study?
Can community-based blood pressure interventions be effectively scaled to multiple communities to improve blood pressure?
Observational (n=4,069)
Yes
Can community-based blood pressure interventions be effectively scaled to multiple communities to improve blood pressure?
Scaling community-based hypertension interventions to multiple communities can improve blood pressure, though outcomes vary based on local implementation strategies such as engagement activities and volunteer training.
High site variability cautions against uniform scaling of community BP programs; leaves open key implementation factors for broader adoption.
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. CONTROL: (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.
No takes yet. Share an insight, caveat, or question.
Anderson et al. (2017) conducted an observational in Hypertension (n=4,069). Check. Change. Control. (CCC) program was evaluated on Blood pressure change from first to last measurement. The Check. Change. Control. program demonstrated that simplified community-based hypertension interventions may lead to blood pressure improvements, despite high outcomes variability among sites.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: