Document Detail


Effectiveness of a barber-based intervention for improving hypertension control in black men: the BARBER-1 study: a cluster randomized trial.
MedLine Citation:
PMID:  20975012     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Barbershop-based hypertension (HTN) outreach programs for black men are becoming increasingly common, but whether they are an effective approach for improving HTN control remains uncertain.
METHODS: To evaluate whether a continuous high blood pressure (BP) monitoring and referral program conducted by barbers motivates male patrons with elevated BP to pursue physician follow-up, leading to improved HTN control, a cluster randomized trial (BARBER-1) of HTN control was conducted among black male patrons of 17 black-owned barbershops in Dallas County, Texas (March 2006-December 2008). Participants underwent 10-week baseline BP screening, and then study sites were randomized to a comparison group that received standard BP pamphlets (8 shops, 77 hypertensive patrons per shop) or an intervention group in which barbers continually offered BP checks with haircuts and promoted physician follow-up with sex-specific peer-based health messaging (9 shops, 75 hypertensive patrons per shop). After 10 months, follow-up data were obtained. The primary outcome measure was change in HTN control rate for each barbershop.
RESULTS: The HTN control rate increased more in intervention barbershops than in comparison barbershops (absolute group difference, 8.8% [95% confidence interval (CI), 0.8%-16.9%]) (P = .04); the intervention effect persisted after adjustment for covariates (P = .03). A marginal intervention effect was found for systolic BP change (absolute group difference, -2.5 mm Hg [95% CI, -5.3 to 0.3 mm Hg]) (P = .08).
CONCLUSIONS: The effect of BP screening on HTN control among black male barbershop patrons was improved when barbers were enabled to become health educators, monitor BP, and promote physician follow-up. Further research is warranted.
TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00325533.
Authors:
Ronald G Victor; Joseph E Ravenell; Anne Freeman; David Leonard; Deepa G Bhat; Moiz Shafiq; Patricia Knowles; Joy S Storm; Emily Adhikari; Kirsten Bibbins-Domingo; Pamela G Coxson; Mark J Pletcher; Peter Hannan; Robert W Haley
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2010-10-25
Journal Detail:
Title:  Archives of internal medicine     Volume:  171     ISSN:  1538-3679     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-03-01     Completed Date:  2011-04-11     Revised Date:  2013-11-08    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  342-50     Citation Subset:  AIM; IM    
Affiliation:
Division of Hypertension, University of Texas Southwestern Medical Center, Dallas, USA. Ronald.Victor@cshs.org
Data Bank Information
Bank Name/Acc. No.:
ClinicalTrials.gov/NCT00325533
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MeSH Terms
Descriptor/Qualifier:
African Americans
Barbering*
Blood Pressure Monitoring, Ambulatory*
Cluster Analysis
Community-Institutional Relations
Health Education
Humans
Hypertension / therapy*
Male
Middle Aged
Motivation
Patient Acceptance of Health Care
Referral and Consultation
Texas
Grant Support
ID/Acronym/Agency:
R0-1 HL080582/HL/NHLBI NIH HHS; R01 HL080582/HL/NHLBI NIH HHS; R01 HL080582-04/HL/NHLBI NIH HHS
Comments/Corrections
Comment In:
Arch Intern Med. 2011 Feb 28;171(4):350-2   [PMID:  20975014 ]
Home Healthc Nurse. 2012 Oct;30(9):560-6   [PMID:  23026993 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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