Michael W Long, Sharon Hobson, Jacqueline Dougé, Kerrie Wagaman, Rachel Sadlon, Olga Acosta Price
Effectiveness and Cost-Benefit of an Elementary School-Based Telehealth Program
The Journal of school nursing : the official publication of the National Association of School Nurses
uncontrolled hypertension significant public health problem us one half people able keep blood pressure bp control uncontrolled hypertension leads increased risk stroke heart attack death furthermore social economic costs poor hypertension control staggering people living hypertension benefit additional educational outreach support randomized trial conducted two community health centers chcs massachusetts assessed effect community health workers chws assisting patients hypertension addition support provided chws study uses video narratives patients worked control bp diet exercise better medication adherence participants enrolled study randomly assigned immediate intervention chws delayed intervention di 4 6 months later participant asked meet chw 5 times twice person three times telephonically study outcomes include systolic diastolic bp diet exercise body mass index chws working directly patients using multiple approaches support patient selfmanagement effective agents support change chronic illness management moreover culturally appropriate tools narratives available videos important cost effective aid chws recruitment intervention delivery within busy chc environment required adaptation study design protocols staff supervision data collection intervention delivery lessons learned presented clinical trialsgov registration submitted 81716 protocol id 5p60md00691202 clinical trialsgov id nct02874547 community health workers using patient stories support hypertension management