Paul L. Hebert|Jane E. Sisk|Leah Tuzzio|Jodi M. Casabianca|Velvie A. Pogue|Jason Wang|Ying?Chun Chen|Christine B Cowles|Mary Ann McLaughlin
Nurse-led Disease Management for Hypertension Control in a Diverse Urban Community: a Randomized Trial
University of Washington|Icahn School of Medicine at Mount Sinai|Kaiser Permanente Washington Health Research Institute|Fordham University|Harlem Hospital Center|Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai|Schulman, Ronca & Bucuvalas|Icahn School of Medicine at Mount Sinai
treated uncontrolled hypertension highly prevalent african american hispanic communities test effectiveness blood pressure home blood pressure monitors alone combination followup nurse manager randomized controlled effectiveness trial four hundred sixteen african american hispanic patients history uncontrolled hypertension patients blood pressure 15095 14085 patients diabetes renal disease enrollment recruited one community clinic four hospital outpatient clinics east central harlem new york city patients randomized receive usual care home blood pressure monitor plus one inperson counseling session 9 months telephone followup registered nurse trial home monitor alone arm added change systolic diastolic blood pressure 9 18 months changes baseline 9 months systolic blood pressure relative usual care 70 mm hg confidence interval ci 134 06 nurse management plus home blood pressure monitor arm 11 mm hg 95 ci 55 78 home blood pressure monitor arm statistically significant differences systolic blood pressure observed among treatment arms 18 months statistically significant improvements diastolic blood pressure found across treatment arms 9 18 months changes prescribing practices explain decrease blood pressure nurse management arm nurse management intervention combining inperson visit periodic phone calls home blood pressure monitoring 9 months associated statistically significant reduction systolic diastolic blood pressure compared usual care high risk population home blood pressure monitoring alone effective usual care