Key result
Computerized appointment tracking improved blood pressure control at 6 months, while individualized counseling and home visits by community health workers resulted in sustained improvements at 12 months.
Why the study?
Do community-based interventions (counseling, tracking, home visits) improve appointment keeping and blood pressure control in an underserved, ethnically diverse hypertensive population compared to usual care?
Population
1,367 Black and Hispanic adults with hypertension in a high-risk, underserved, ethnically diverse population
Comparison
Three interventions: individualized counseling… vs Usual care
Design
RCT, Randomized to either usual care or one of three interventions
Follow-up
4 years (results reported at 6 and 12 months)
Authors
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Supports community health worker visits for sustained BP control in underserved hypertensives; extends RCT evidence on long-term adherence strategies.
RCT (n=1,367)
randomized
Yes
Do community-based interventions (counseling, tracking, home visits) improve appointment keeping and blood pressure control in an underserved, ethnically diverse hypertensive population compared to usual care?
Community health worker counseling and home visits provide sustained improvements in blood pressure control and appointment adherence in underserved minority populations.
Morisky et al. (2002) conducted an RCT in hypertension (n=1,367). Individualized counseling, computerized appointment tracking, or home visits/focus groups vs. usual care was evaluated on Appointment keeping and blood pressure control status. Computerized appointment tracking improved blood pressure control at 6 months, while individualized counseling and home visits by community health workers resulted in sustained improvements at 12 months.
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