Community‐Based Approaches to Prevention and Management of Hypertension and Cardiovascular Disease
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Key result
Community-based outreach programs utilizing non-traditional settings and lay health workers offer promising strategies to improve hypertension awareness and control in underserved populations.
Population
General public and specific at-risk communities targeted for hypertension and cardiovascular disease risk…
Design
Review
Authors
Discussion
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Member takes
Implication
Supports community HTN outreach in underserved groups; leaves open whether programs improve long-term CVD outcomes.
Key Points
- The aim is to evaluate community approaches in managing hypertension and cardiovascular disease risks.
- Community-based programs were initiated in the 1980s, funded by NHLBI.
- Barbershops and churches were engaged as hypertension control centers.
- Programs included screenings and educational resources for hypertension and cardiovascular disease.
- Multiple community studies showed positive impacts on hypertension control.
- The REACH program effectively addressed racial and ethnic health disparities.
- Federal initiatives like the Million Hearts Initiative continue to support ongoing hypertension management efforts.
Structured PICO
P
Population
A review of community-based approaches to the prevention and management of hypertension and cardiovascular disease, primarily focusing on underserved and minority populations in the United States.
I
Intervention
Community-based approaches to prevention and management of hypertension and cardiovascular disease (e.g., barbershop screenings, church-based programs, community health workers, professional medical association initiatives)
Community-based outreach programs are valuable and effective strategies for identifying and managing hypertension and cardiovascular disease risks, particularly in underserved and minority populations.
Limitations
- Previous efforts for community cardiovascular outreach programs have not consistently demonstrated effectiveness in increasing control of risk factors or decreasing morbidity and mortality.
- Many earlier trials may not adequately serve as comprehensive models for minority communities in an increasingly diverse America.
Cite This Study
Ferdinand et al. (2012) conducted a review in Hypertension and Cardiovascular Disease. Community-based outreach programs was evaluated. Community-based outreach programs utilizing non-traditional settings and lay health workers offer promising strategies to improve hypertension awareness and control in underserved populations.
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