Support for Cardiovascular Health in African American Primary Care Patients
Completed · Not applicable
Conditions studied: Cardiovascular Diseases, Blood Pressure
In brief
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.
Key facts
- Study ID
- NCT00948714
- Run by
- University of Pennsylvania
- People needed
- 130
- Starts
- 2008-05-01
- Expected to finish
- 2011-01-01
- Last updated by the study team
- 2017-07-21
Who can join
Age: 40 and older, up to 75. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- African American
- Uncontrolled Hypertension
- at least 3 practice visits in the past 2 years
- One lipid panel since 2005
You may not qualify if…
- No recent lipid panel
- Kept less than 60% of primary care visits in the prior 2 years
Where it is running
- Edward S. Cooper Practice of General Internal Medicine — Philadelphia, Pennsylvania, United States
- PennCare Internal Medicine Associates — Philadelphia, Pennsylvania, United States
Full record on ClinicalTrials.gov
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