Document Detail

Community mobilization, participation, and blood pressure status in a cardiovascular health awareness program in ontario.
MedLine Citation:
PMID:  23448415     Owner:  NLM     Status:  In-Data-Review    
Abstract Purpose. To determine the feasibility of a community-wide approach integrated with primary care (Cardiovascular Health Awareness Program [CHAP]) to promote monitoring of blood pressure (BP) and awareness of cardiovascular disease risk. Design. Demonstration project. Setting. Two midsized Ontario communities. Participants. Community-dwelling seniors. Intervention. CHAP sessions were offered in pharmacies and promoted to seniors using advertising and personalized letters from physicians. Trained volunteers measured BP, completed risk profiles, and provided risk-specific education materials. Method. We examined the distribution of risk factors among participants and predictors of multiple visits and elevated BP. Results. Opinion leaders aided recruitment of family physicians (n  =  56/63) and pharmacists (n  =  18/19). Over 90 volunteers were recruited. Invitations were mailed to 4394 seniors. Over 10 weeks, there were 4165 assessments of 2350 unique participants (approximately 30% of senior residents). 37.5% of attendees had untreated (16%; 360/2247) or uncontrolled (21.5%; 482/2247) high BP. Participants who received a letter (odds ratio [OR] 2.5, 95% confidence interval [CI] 2.1-3.0), had an initial elevated BP (OR 1.2, 95% CI 1.0-1.5), or reported current antihypertensive medication (OR 1.4, 95% CI 1.1-1.6) were more likely to attend multiple sessions (p ≤ .05 for all). Older age (≥70 years; OR 1.5, 95% CI 1.3-1.8), BMI ≥30 (OR 1.7, 95% CI 1.4-2.2), current antihypertensive medication (OR 1.6, 95% CI 1.3-1.9), and diabetes (OR 2.4, 95% CI 1.9-3.2) predicted elevated BP (p < .001 for all). Conclusion. The program yielded learning about community mobilization and identified a substantial number of seniors with undiagnosed/uncontrolled high BP.
Tina Karwalajtys; Janusz Kaczorowski; Larry W Chambers; Heather Hall; Beatrice McDonough; Lisa Dolovich; Rolf Sebaldt; Lynne Lohfeld; Brian Hutchison
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of health promotion : AJHP     Volume:  27     ISSN:  0890-1171     ISO Abbreviation:  Am J Health Promot     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-03-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8701680     Medline TA:  Am J Health Promot     Country:  United States    
Other Details:
Languages:  eng     Pagination:  252-61     Citation Subset:  T    
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