Key result
Team-based education and home cuffs reduce systolic BP ~20 mm Hg in Black hypertensive patients.
Why the study?
Non-Hispanic Black patients have disproportionately higher rates of uncontrolled hypertension compared to others, as reflected in a local clinic population.
Does a team-based educational intervention with EHR videos and home BP cuffs reduce blood pressure in Black patients with uncontrolled hypertension?
Does a team-based educational intervention with EHR videos and home BP cuffs reduce blood pressure in Black patients with uncontrolled hypertension?
Mean Difference: -20.3
p-value: p=>.001
A team-based educational intervention with home BP monitoring and EHR-based videos significantly improved systolic blood pressure and health knowledge in Black patients with uncontrolled hypertension.
Supports targeted BP education in Black patients with uncontrolled HTN; leaves open whether gains hold in randomized or multicenter settings.
BACKGROUND: Nearly half of American adults have hypertension (HTN), and non-Hispanic Black patients are diagnosed at a higher rate than others. LOCAL PROBLEM: Our local clinic population reflected disproportionate rates of uncontrolled HTN among Black patients. METHODS: A quality improvement pre-/postintervention design was used to evaluate an educational intervention to reduce blood pressure (BP) and improve self-monitoring of BP in Black patients using the Chronic Care Model. INTERVENTIONS: A team-based approach was used to redesign clinic workflows and patient education, prescribe self-paced videos from an electronic health record (EHR) patient portal, and provide home BP cuffs. RESULTS: Black participants (n = 79) improved viewing of prescribed videos (7.9% to 68.5%), knowledge scores (67.9 to 75.2), and mean systolic BP (-20.3 mm Hg; P > .001). CONCLUSIONS: This team-based approach enhanced patient engagement, self-monitoring skills, EHR-reported BP, and overall BP control for a cohort of Black patients with uncontrolled BP.
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Duckie et al. (2023) studied Hypertension (n=79). Team-based educational intervention, EHR videos, and home BP cuffs vs. Pre-intervention baseline was evaluated on mean systolic BP (MD -20.3 mm Hg, p=>.001). A team-based educational intervention including EHR videos and home BP cuffs reduced mean systolic blood pressure by 20.3 mm Hg (P > .001) in Black patients with uncontrolled hypertension.
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