| Keep on track: a volunteer-run community-based intervention to lower blood pressure in older adults. | |
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MedLine Citation:
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PMID: 20722849 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Uncontrolled hypertension in older adults is a common yet preventable threat to healthy aging. Improvements in blood pressure (BP) control and related health outcomes require innovative approaches that reach beyond the clinical environment. Keep on Track (KOT), a volunteer-run, community-based BP-monitoring program that aims to lower BP of community-dwelling older adults through senior center programming, is described and evaluated. KOT is based on a New York City (NYC) Department for the Aging program that has been in existence for more than 20 years and is evaluated in six senior centers in low- to middle-income neighborhoods in NYC. Program design includes monitoring sessions every other week to measure and record participant BP. BP education is provided using low-literacy materials, and medication adherence is encouraged. Over 6 months of observation, 244 participants enrolled (mean age 73). Of the 181 (74%) with hypertension at baseline, 92% were previously aware of their condition, 78% were treated, and 31% were controlled. BP control among the treated was 42%. Forty-three percent of enrollees (n=105) were multiple-visit participants who experienced on average a 3.9-mmHg reduction in systolic BP (SBP) between the first and last program visit (95% confidence interval (CI)=-7.6 to -0.1, P=.04). Participants with an initial SBP greater than 160 mmHg (n=20) experienced on average a 20.9-mmHg reduction in SBP (95% CI=-32.4 to -9.4, P<.001). Areas for program improvement include greater attention to peer counseling and timely communication with participants' healthcare providers. Volunteer-run, community-based BP monitoring in senior centers may provide an effective, replicable model for reducing BP in older adults. |
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Authors:
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Andrea Truncali; Tamara Dumanovsky; Harriet Stollman; Sonia Y Angell |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of the American Geriatrics Society Volume: 58 ISSN: 1532-5415 ISO Abbreviation: J Am Geriatr Soc Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-08-20 Completed Date: 2010-10-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7503062 Medline TA: J Am Geriatr Soc Country: United States |
Other Details:
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Languages: eng Pagination: 1177-83 Citation Subset: IM |
Affiliation:
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Department of Medicine, New York University School of Medicine, New York, New York 10016, USA. andrea.truncali@nyumc.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Blood Pressure Determination Chi-Square Distribution Female Humans Hypertension / prevention & control* Intervention Studies Male Program Development Program Evaluation Voluntary Workers |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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