Open AccessA multicomponent quality improvement intervention to improve blood pressure and reduce racial disparities in rural primary care practices
Author(s) -
Cené Crystal W.,
Halladay Jacqueline R.,
Gizlice Ziya,
Donahue Katrina E.,
Cummings Doyle M.,
Hinderliter Alan,
Miller Cassandra,
Johnson Larry F.,
Garcia Beverly,
Tillman Jim,
Little Edwin P.,
Rachide Marjorie R.,
Keyserling Thomas C.,
Ammerman Alice,
Zhou Haibo,
Wu JiaRong,
DeWalt Darren
Publication year - 2017
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.12944
Subject(s) - medicine , african american , blood pressure , differential effects , intervention (counseling) , demography , primary care , race (biology) , significant difference , baseline (sea) , physical therapy , gerontology , family medicine , nursing , ethnology , botany , oceanography , sociology , biology , history , geology
The Southeastern United States has the highest prevalence of hypertension and African Americans have disproportionately worse blood pressure control. The authors sought to evaluate the effect of a multicomponent practice‐based quality improvement intervention on lowering mean systolic blood pressure ( SBP ) at 12 and 24 months compared with baseline among 525 patients, and to assess for a differential effect of the intervention by race (African Americans vs white). At 12 months, both African Americans (−5.0 mm Hg) and whites (−7.8 mm Hg) had a significant decrease in mean SBP compared with baseline, with no significant between‐group difference. Similarly, at 24 months, mean SBP decreased in both African Americans (−6.0 mm Hg) and whites (−7.2 mm Hg), with no significant difference between groups. Notably, no significant racial disparity in mean SBP at baseline was shown. The intervention was effective in lowering mean SBP in both African Americans and whites but there was no differential effect of the intervention by race.