Project IMPACT: Community Health Care Worker (CHW) Intervention
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Hypertension
- Sponsor
- NYU Langone Health
- Enrollment
- 305
- Locations
- 1
- Primary Endpoint
- Percent of current diagnosed hypertensive patients with BP <140/90 (or BP<130/80 for patients with diabetes) at 6 Months
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The proposed study "Project IMPACT: CHW Intervention" is part of a larger study examining the efficacy, adoption, and impact of integrated EHR-based decision-support and physician feedback interventions with community health worker (CHW)-led self-management and coaching support for South Asian patients with uncontrolled hypertension. This is a randomized control intervention utilizing community health worker (CHW)-led self-management and coaching support for South Asian patients with uncontrolled hypertension at PCP clinics in New York City.
Detailed Description
The Goal of this study is that: 1. EHR-based decision support and performance feedback interventions will be more effective in improving hypertension control for South Asian patients than standard care; 2. A combined EHR-CHW intervention will be more effective in improving hypertension control for South Asian patients compared to standard care and the EHR-based intervention Investigators hope to implement and assess the efficacy of CHW-led coaching through promotion of team-based care and use of culturally tailored education to improve hypertension control and mitigate risk factors related to CVD among South Asian patients with uncontrolled hypertension. Study findings can provide translatable and scalable models for other limited English proficient communities.
Investigators
Eligibility Criteria
Inclusion Criteria
- •CHW Intervention
- •Diagnosis of hypertension or at least two systolic blood pressure measurements of 140 mm Hg or greater, or at least two diastolic BP 90 mm Hg or greater in the past 12 months.
- •Focus Group
- •Any clinical patients meeting the inclusion criteria for the CHW Intervention who participated in the CHW Intervention Pilot Round.
Exclusion Criteria
- •Pregnant patients are excluded.
- •No children or vulnerable subjects will be enrolled in this study.
Outcomes
Primary Outcomes
Percent of current diagnosed hypertensive patients with BP <140/90 (or BP<130/80 for patients with diabetes) at 6 Months
Time Frame: 6 Months
Percent of patients with HbA1c <7 (for patients with hypertension + diabetes) at 6 months
Time Frame: 6 months
Percent of current diagnosed hypertensive patients with BP <140/90 (or BP<130/80 for patients with diabetes) at 12 months
Time Frame: 12 months
Secondary Outcomes
- Percent of current diagnosed hypertensive patients referred to a nutritionist in the past year(12 months)
- Percent of patients with diagnosis of hypertension with a BP measure taken in the past 6 months(6 months)
- Percent of current hypertensive patients receiving counseling on BMI, diet and physical activity(12 months)
- Percent of current diagnosed hypertensive patients who smoke who have been referred for smoking cessation(12 months)
- Percent of patients without hypertension having valid BP measurement, last 12 months(12 months)
- Percent of current hypertensive patients screened for diabetes in last year(12 months)