CHW Intervention to Improve Nutrition Security of Primary Care Patients With Hypertension
概览
- 阶段
- 不适用
- 干预措施
- Nutrition-enhanced CHW
- 疾病 / 适应症
- Hypertension
- 发起方
- Massachusetts General Hospital
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Feasiblity
- 状态
- 已完成
- 最后更新
- 11天前
概览
简要总结
The goal of this study is to implement and evaluate a randomized pilot study of a 4-month Nutrition-enhanced community health worker (CHW) intervention for primary care patients with nutrition insecurity and poorly controlled hypertension. The nutrition intervention will be added to the pre-existing Massachusetts General Hospital CHW hypertension (Basic CHW) program that provides hypertension education, coaching about adherence to medications and primary care visits, and home BP cuffs and promotion of BP self-monitoring over the course of approximately 4 months.
详细描述
The goal of this study is to implement and evaluate a randomized pilot study of a 4-month Nutrition-enhanced CHW intervention in primary care patients with nutrition insecurity and poorly controlled hypertension. The nutrition intervention will be added to the pre-existing Massachusetts General Hospital CHW hypertension (Basic CHW) that provides basic hypertension education, coaching about adherence to medications and primary care visits, and home BP cuffs and promotion of BP self-monitoring over the course of approximately 4 months. The CHW nutrition intervention curriculum is tailored to the needs and preferences of a food-insecure population with limited resources. Nutrition education materials will be provided to participants, including a booklet of nutrition information and a summarized version of key points on a brochure that they can use as a quick reference when grocery shopping. Nutrition education will focus on reducing sodium, saturated fats, and added sugars and increasing fruits, vegetables, and whole grains. Much of the educational material is based on a traffic-light system. These topics are organized into four modules: nutrition label reading, grocery shopping, meal-planning, and healthy cooking.
研究者
Anne N. Thorndike, MD, MPH
Associate Professor of Medicine
Massachusetts General Hospital
入排标准
入选标准
- •Eligible to participate in the Massachusetts General Hospital CHW hypertension program (age 21 years or older, uncontrolled hypertension, patient at one of 5 participating primary care clinics; either identifies as a minoritized race/ethnicty or is low-income); speaks English or Spanish
排除标准
- •declines participation in CHW hypertension program; does not speak English or Spanish
研究组 & 干预措施
Nutrition-enhanced CHW intervention
This intervention integrates a nutrition component into the Basic CHW hypertension intervention to address gaps in patients' knowledge, skills, and resources for consuming and sustaining a healthful diet. CHWs will administer a 4-part nutrition curriculum that is tailored to the needs and preferences of a food-insecure population with limited resources. The nutrition education materials provided to participants will include a booklet of nutrition information that will serve as the primary educational resource for CHW use with participants.
干预措施: Nutrition-enhanced CHW
Basic CHW intervention
The CHW provides basic hypertension education, coaching about adherence to medications and primary care visits, and home BP cuffs and promotion of BP self-monitoring. All participants are provided home BP cuffs and remote monitoring free of charge.
干预措施: Basic CHW
结局指标
主要结局
Feasiblity
时间窗: Baseline
Proportion of eligible participants enrolled in study
Feasibility of CHW nutrition intervention (intervention arm only)
时间窗: 4 months
At least 70% participants complete at least 3 of 4 CHW nutrition education modules
Acceptability (intervention arm only)
时间窗: 4 months
Average of participants' ratings of intervention components on a 10-point scale.
次要结局
- Blood pressure(4 months)
- Diet quality(4 months)
- Secondary feasibility (intervention arm only)(4 months)