Hypertension affects 1 in every 3 adults in US and contributes to 410,000 deaths annually. Hypertension and its associated complications disproportionately affect inner-city minority populations. In Chicago, health status indicators show worsening of disparities between black and white residents, with the highest rates of hypertension, heart disease, and stroke clustering in the predominantly black South and West sides. Kaiser Permanente demonstrated that a bundle of evidence-based interventions implemented within a large integrated health system in Northern California significantly increased blood pressure control rates. However, it is unclear whether a health system centered intervention can be adapted to other settings, particularly under-resourced inner-city communities. Therefore, our overall goal is to support a community-centered design and adaptation of the Kaiser bundle to the underserved communities. Our adaptation shifts the Kaiser bundle to be centered within churches within the South Side of Chicago, one of the most medically underserved communities in the U.S. The proposed interventions are the same as in Kaiser bundle (registry/audit and feedback, simplified treatment regimens and accurate bp measurement) but implementation of the components of the bundle will be adapted for delivery in the community. The intervention will be carried out by local community health workers and ministry facilitators, with health clinics and hospitals in the community as support, all connected through a common data platform. Thus, the focus of our proposed project is on the strategies used to support adoption, implementation with fidelity, and sustainment of the Kaiser bundle, rather than on the bundle itself.
|Effective start/end date||9/10/20 → 8/31/23|
- National Heart, Lung, and Blood Institute (5UG3HL154297-02)
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