Document Detail


A randomized community-based intervention trial comparing faith community nurse referrals to telephone-assisted physician appointments for health fair participants with elevated blood pressure.
MedLine Citation:
PMID:  20349155     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To measure the effect of faith community nurse referrals versus telephone-assisted physician appointments on blood pressure control among persons with elevated blood pressure at health fairs.
METHODS: Randomized community-based intervention trial conducted from October 2006 to October 2007 of 100 adults who had an average blood pressure reading equal to or above a systolic of 140 mm Hg or a diastolic of 90 mm Hg obtained at a faith community nurse-led church health event. Participants were randomized to either referral to a faith community nurse or to a telephone-assisted physician appointment. The average enrollment systolic blood pressure (SBP) was 149 +/- 14 mm Hg, diastolic blood pressure (DBP) was 87 +/- 11 mm Hg, 57% were uninsured and 25% were undiagnosed at the time of enrollment.
RESULTS: The follow-up rate was 85% at 4 months. Patients in the faith community nurse referral arm had a 7 +/- 15 mm Hg drop in SBP versus a 14 +/- 15 mm Hg drop in the telephone-assisted physician appointment arm (p = 0.04). Twenty-seven percent of the patients in the faith community nurse referral arm had medication intensification compared to 32% in the telephone-assisted physician appointment arm (p = 0.98).
CONCLUSIONS: Church health fairs conducted in low-income, multiethnic communities can identify many people with elevated blood pressure. Facilitating physician appointments for people with elevated blood pressure identified at health fairs confers a greater decrease in SBP than referral to a faith community nurse at four months.
Authors:
Arshiya A Baig; Carol M Mangione; Alice L Sorrell-Thompson; Jeanne M Miranda
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2010-03-27
Journal Detail:
Title:  Journal of general internal medicine     Volume:  25     ISSN:  1525-1497     ISO Abbreviation:  J Gen Intern Med     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-10     Completed Date:  2011-02-18     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  8605834     Medline TA:  J Gen Intern Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  701-9     Citation Subset:  IM    
Affiliation:
Department of Medicine, Section of General Internal Medicine, University of Chicago, Chicago, IL 60637, USA. abaig@uchicago.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Appointments and Schedules
Community Health Services / methods
Female
Follow-Up Studies
Health Fairs / methods*
Humans
Hypertension / prevention & control,  therapy*
Interviews as Topic / methods
Male
Middle Aged
Nurse's Role*
Physician's Role*
Referral and Consultation*
Religion and Medicine*
Grant Support
ID/Acronym/Agency:
2P20MD000182-06/MD/NIMHD NIH HHS; 3P03AG021684/AG/NIA NIH HHS; P30AG021684/AG/NIA NIH HHS; P30AG02874/AG/NIA NIH HHS; P30MH082760 - 01/MH/NIMH NIH HHS
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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