Project IMPACT: Community Health Care Worker (CHW) Intervention
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 305
- 试验地点
- 1
- 主要终点
- Percent of current diagnosed hypertensive patients with BP <140/90 (or BP<130/80 for patients with diabetes) at 6 Months
研究概览
简要总结
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.
详细描述
The Goal of this study is that:
- EHR-based decision support and performance feedback interventions will be more effective in improving hypertension control for South Asian patients than standard care;
- 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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •Pregnant patients are excluded.
- •No children or vulnerable subjects will be enrolled in this study.
研究组 & 干预措施
CHW Intervention
CHW lead Sessions Session1: BP and the Cardiovascular System Session 2: Nutrition and food labels Session 3: Physical Activity and Stress Management Session 4: CVD Risk factors: cholesterol, blood sugar, & Smoking Session 5: Health Communication, Healthcare access & Review
干预措施: CHW Intervention (Behavioral)
Control Group
Wait-list
干预措施: Wait List Control Group (Behavioral)
结局指标
主要结局
Percent of current diagnosed hypertensive patients with BP <140/90 (or BP<130/80 for patients with diabetes) at 6 Months
时间窗: 6 Months
Percent of patients with HbA1c <7 (for patients with hypertension + diabetes) at 6 months
时间窗: 6 months
Percent of current diagnosed hypertensive patients with BP <140/90 (or BP<130/80 for patients with diabetes) at 12 months
时间窗: 12 months
次要结局
- 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 patients without hypertension having valid BP measurement, last 12 months(12 months)
- Percent of current diagnosed hypertensive patients referred to a nutritionist in the past year(12 months)
- Percent of current diagnosed hypertensive patients who smoke who have been referred for smoking cessation(12 months)
- Percent of current hypertensive patients screened for diabetes in last year(12 months)