Support for Cardiovascular Health in African American Primary Care Patients
Study Details
Study Description
Brief Summary
Project Overview:
Poor hypertension control has dire consequences for the African-American population who suffer greater death and disability from heart disease, stroke, and renal failure than whites. To reduce these health disparities it is critical to promote of a healthy lifestyle in regard to diet, exercise, adherence to medications, as well as other behaviors. However, physicians usually fail to address lifestyle behaviors in the context of the harried patient visit. Therefore, the investigators hypothesized that the investigators could reduce cardiovascular risk by providing additional support to persons with poorly controlled hypertension through phone calls from trained peer patients and visits to an office support staff member.
Study Design:
A single-blind, randomized, controlled trial in 280 African-American primary care patients aged 40-75 with poorly controlled hypertension (HTN). The intervention group receives a practice-based team intervention that combines peer coach with office staff (i.e., medical assistant or licensed practice nurse) visits to address lifestyle challenges. Both intervention and control groups receive informational materials and healthy soul food recipes from the American Heart Association. The 6 month intervention alternates monthly phone calls from peer coaches about lifestyle behavioral changes with office-based visits with the support staff member during which patients review and discuss low literacy slide shows about healthy behaviors as well as examine their personal cardiovascular risk profile.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Case
|
Behavioral: Peer Coach Phone Calls
Subjects will receive 3 phone calls from a trained peer coach over 6 months.
Behavioral: Health Educator Visits
Subjects will meet 2 times with a trained health educator in the practice
Other: written materials
Subjects will receive written material and brochures and a cookbook from the American Heart Association addressing healthy lifestyle
|
| Active Comparator: Control
|
Other: written materials
Subjects will receive written material and brochures and a cookbook from the American Heart Association addressing healthy lifestyle
|
Outcome Measures
Primary Outcome Measures
- Greater reduction in CHD risk in case group vs. control [6 months]
Secondary Outcome Measures
- 5mm reduction in systolic blood pressure in case group [6 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
African American
-
Uncontrolled Hypertension
-
at least 3 practice visits in the past 2 years
-
One lipid panel since 2005
Exclusion Criteria:
-
No recent lipid panel
-
Kept less than 60% of primary care visits in the prior 2 years
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Edward S. Cooper Practice of General Internal Medicine | Philadelphia | Pennsylvania | United States | 19104 |
| 2 | PennCare Internal Medicine Associates | Philadelphia | Pennsylvania | United States | 19104 |
Sponsors and Collaborators
- University of Pennsylvania
- Robert Wood Johnson Foundation
- Pfizer
Investigators
- Principal Investigator: Mark G Weiner, MD, University of Pennsylvania
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 808214