Gbenga Ogedegbe|Jonathan N. Tobin|Senaida Fernandez|Andrea Cassells|Marleny Diaz-Gloster|Chamanara Khalida|Thomas G. Pickering|Joseph E. Schwartz
Counseling African Americans to Control Hypertension
Clinical Directors Network|Rockefeller University|NYU Langone Health|Yeshiva University|Albert Einstein College of Medicine|Clinical Directors Network|Rockefeller University|NYU Langone Health|Yeshiva University|Albert Einstein College of Medicine|Clinical Directors Network|Rockefeller University|NYU Langone Health|Yeshiva University|Albert Einstein College of Medicine|Clinical Directors Network|Rockefeller University|NYU Langone Health|Yeshiva University|Albert Einstein College of Medicine|Clinical Directors Network|Rockefeller University|NYU Langone Health|Yeshiva University|Albert Einstein College of Medicine|Clinical Directors Network|Rockefeller University|NYU Langone Health|Yeshiva University|Albert Einstein College of Medicine|Clinical Directors Network|Rockefeller University|NYU Langone Health|Yeshiva University|Albert Einstein College of Medicine|Clinical Directors Network|Rockefeller University|NYU Langone Health|Yeshiva University|Albert Einstein College of Medicine
data limited implementation evidencebased multilevel interventions targeted blood pressure bp control hypertensive blacks receive care lowresource primary care practicescounseling african americans control hypertension clusterrandomized clinical trial 30 community health centers randomly assigned intervention condition ic usual care uc patients ic sites received patient education home bp monitoring monthly lifestyle counseling whereas physicians attended monthly hypertension case rounds received feedback patients home bp readings chart audits patients physicians uc sites received printed patient education material hypertension treatment guidelines respectively primary outcome bp control secondary outcomes mean changes systolic diastolic bps 12 months assessed automated bp device total 1059 patients mean age 56 years 28 men 59 obese 36 diabetes mellitus enrolled bp control rate similar groups ic493 versus uc445 odds ratio 121 95 confidence interval 090163 p021 prespecified subgroup analyses intervention associated greater bp control patients without diabetes mellitus ic540 versus uc447 odds ratio 145 confidence interval 102206 smallsized community health centers ic511 versus uc396 odds ratio 145 confidence interval 104245a practicebased multicomponent intervention better uc improving bp control among hypertensive blacks future research implementation behavioral modification strategies hypertension control lowresource settings focus development efficient tailored interventions highrisk populationhttpwwwclinicaltrialsgov unique identifier nct00233220