A multicomponent quality improvement intervention to improve blood pressure and reduce racial disparities in rural primary care practices

Crystal W. Cené, Jacqueline R. Halladay, Ziya Gizlice, Katrina E. Donahue, Doyle M. Cummings, Alan Hinderliter, Cassandra Miller, Larry F. Johnson, Beverly Garcia, Jim Tillman, Edwin P. Little, Marjorie R. Rachide, Thomas C. Keyserling, Alice Ammerman, Haibo Zhou, Jia Rong Wu, Darren DeWalt

Research output: Contribution to journalArticle

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Abstract

The Southeastern United States has the highest prevalence of hypertension and African Americans have disproportionately worse blood pressure control. The authors sought to evaluate the effect of a multicomponent practice-based quality improvement intervention on lowering mean systolic blood pressure (SBP) at 12 and 24 months compared with baseline among 525 patients, and to assess for a differential effect of the intervention by race (African Americans vs white). At 12 months, both African Americans (−5.0 mm Hg) and whites (−7.8 mm Hg) had a significant decrease in mean SBP compared with baseline, with no significant between-group difference. Similarly, at 24 months, mean SBP decreased in both African Americans (−6.0 mm Hg) and whites (−7.2 mm Hg), with no significant difference between groups. Notably, no significant racial disparity in mean SBP at baseline was shown. The intervention was effective in lowering mean SBP in both African Americans and whites but there was no differential effect of the intervention by race.

LanguageEnglish (US)
Pages351-360
Number of pages10
JournalJournal of Clinical Hypertension
Volume19
Issue number4
DOIs
StatePublished - Apr 1 2017

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Quality Improvement
Primary Health Care
Blood Pressure
African Americans
Southeastern United States
Hypertension

Keywords

  • disparities
  • hypertension
  • quality improvement
  • race/ethnicity
  • Southeastern United States

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Cardiology and Cardiovascular Medicine

Cite this

A multicomponent quality improvement intervention to improve blood pressure and reduce racial disparities in rural primary care practices. / Cené, Crystal W.; Halladay, Jacqueline R.; Gizlice, Ziya; Donahue, Katrina E.; Cummings, Doyle M.; Hinderliter, Alan; Miller, Cassandra; Johnson, Larry F.; Garcia, Beverly; Tillman, Jim; Little, Edwin P.; Rachide, Marjorie R.; Keyserling, Thomas C.; Ammerman, Alice; Zhou, Haibo; Wu, Jia Rong; DeWalt, Darren.

In: Journal of Clinical Hypertension, Vol. 19, No. 4, 01.04.2017, p. 351-360.

Research output: Contribution to journalArticle

Cené, CW, Halladay, JR, Gizlice, Z, Donahue, KE, Cummings, DM, Hinderliter, A, Miller, C, Johnson, LF, Garcia, B, Tillman, J, Little, EP, Rachide, MR, Keyserling, TC, Ammerman, A, Zhou, H, Wu, JR & DeWalt, D 2017, 'A multicomponent quality improvement intervention to improve blood pressure and reduce racial disparities in rural primary care practices' Journal of Clinical Hypertension, vol. 19, no. 4, pp. 351-360. DOI: 10.1111/jch.12944
Cené, Crystal W. ; Halladay, Jacqueline R. ; Gizlice, Ziya ; Donahue, Katrina E. ; Cummings, Doyle M. ; Hinderliter, Alan ; Miller, Cassandra ; Johnson, Larry F. ; Garcia, Beverly ; Tillman, Jim ; Little, Edwin P. ; Rachide, Marjorie R. ; Keyserling, Thomas C. ; Ammerman, Alice ; Zhou, Haibo ; Wu, Jia Rong ; DeWalt, Darren. / A multicomponent quality improvement intervention to improve blood pressure and reduce racial disparities in rural primary care practices. In: Journal of Clinical Hypertension. 2017 ; Vol. 19, No. 4. pp. 351-360
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