January 28, 2007American Journal of Hypertension
Underserved Urban African American Men: Hypertension Trial Outcomes and Mortality During 5 Years
Why the study?
Does a more intensive educational/behavioral/pharmacologic intervention improve blood pressure control and reduce sequelae of hypertension in hypertensive urban African American men?
Population
309 hypertensive urban African American men aged 21 to 54 years in low socioeconomic environments
Comparison
More intensive educational/behavioral/pharmacolog… vs Less intensive information and referral…
Design
RCT, Randomized
Follow-up
5 years
Authors
Discussion
Loading...
Member takes
Implication
Supports intensive intervention for greater long-term BP reductions in urban African American men; extends evidence to 5-year outcomes in this population.
Structured PICO
Does a more intensive educational/behavioral/pharmacologic intervention improve blood pressure control and reduce sequelae of hypertension in hypertensive urban African American men?
P
Population
309 hypertensive urban African American men aged 21 to 54 years in low socioeconomic environments
I
Intervention
More intensive educational/behavioral/pharmacologic intervention provided by a nurse practitioner/community health worker/physician team
C
Comparator
Less intensive information and referral intervention
O
Outcome
Changes in behavioral factors, health care utilization, blood pressure (BP) control, left ventricular hypertrophy (LVH), and renal insufficiency over 5 yearssurrogate
An intensive team-based educational, behavioral, and pharmacologic intervention improved blood pressure control and reduced left ventricular hypertrophy in underserved urban African American men over 5 years, though sustained control remained challenging.
Limitations
- Sustained control of HTN was difficult to maintain during 5 years
- Improvement in risk factors other than HTN was limited
Cite This Study
Post et al. (2007) studied this question.