TY - JOUR
T1 - A clinical trial to improve high blood pressure care in young urban black men recruitment, follow-up, and outcomes
AU - Hill, Martha N.
AU - Bone, Lee R.
AU - Hilton, Sterling C.
AU - Roary, Mary C.
AU - Kelen, Gabor D.
AU - Levine, David M.
N1 - Funding Information:
This study was supported by National Institute of Nursing Research and National Institutes of Health (KO8 NR00049), The Johns Hopkins Outpatient General Clinical Research Center, and The JM Foundation, Hoechst Marion Roussel, and W.A. Baum Co.
PY - 1999/6
Y1 - 1999/6
N2 - This randomized trial recruited and followed underserved, inner-city, hypertensive (HTN), young black men and investigated whether a nurse- community health worker team in combination with usual medical care (SI) increased entry into care and reduced high blood pressure (HBP), in comparison to usual medical care (UC) alone. Emergency department records, advertising, and BP screenings identified potential participants with HBP. Telephone calls and personal contacts tracked enrollees. Of 1391 potential participants, 803 (58%) responded to an invitation to be screened and scheduled a visit. Of these, 528 (66%) kept an appointment, 207 (35%) were BP eligible, and 204 (99%) consented to enroll. At 12 months 91% of men were accounted for and 85.8% (adjusted for death, in jail, or moved away) were seen. Mean BP changed from 153(16)/98(10) to 152(19)/94(11) mm Hg in the SI group and 151(18)/98(11) to 147(21)/92(14) mm Hg in the UC group (P = NS). High rates of participation are attainable in this population; however, culturally acceptable ways of delivering HBP care are needed.
AB - This randomized trial recruited and followed underserved, inner-city, hypertensive (HTN), young black men and investigated whether a nurse- community health worker team in combination with usual medical care (SI) increased entry into care and reduced high blood pressure (HBP), in comparison to usual medical care (UC) alone. Emergency department records, advertising, and BP screenings identified potential participants with HBP. Telephone calls and personal contacts tracked enrollees. Of 1391 potential participants, 803 (58%) responded to an invitation to be screened and scheduled a visit. Of these, 528 (66%) kept an appointment, 207 (35%) were BP eligible, and 204 (99%) consented to enroll. At 12 months 91% of men were accounted for and 85.8% (adjusted for death, in jail, or moved away) were seen. Mean BP changed from 153(16)/98(10) to 152(19)/94(11) mm Hg in the SI group and 151(18)/98(11) to 147(21)/92(14) mm Hg in the UC group (P = NS). High rates of participation are attainable in this population; however, culturally acceptable ways of delivering HBP care are needed.
KW - Follow-up
KW - Hypertension
KW - Randomized clinical trial
KW - Recruitment
KW - Young black men
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U2 - 10.1016/S0895-7061(99)00007-2
DO - 10.1016/S0895-7061(99)00007-2
M3 - Article
C2 - 10371363
AN - SCOPUS:0033038582
SN - 0895-7061
VL - 12
SP - 548
EP - 554
JO - American Journal of Hypertension
JF - American Journal of Hypertension
IS - 6
ER -