Abstract
This paper describes the design and methodology of the Community Hypertension Intervention Project (CHIP). CHIP is investigating the environmental and psychosocial factors related to treatment adherence and examining the effects of combining usual hypertension care with the effects of three interventions designed to improve patient compliance with treatment for high blood pressure in a high-risk, underserved minority population. Thirteen hundred and sixty-seven inner-city hypertension patients (75% black and 25% Hispanic) have agreed to participate in the 4-year longitudinal study. These participants were randomized to usual care or one of three intervention groups: individualized counseling sessions; home visits/discussion groups; or computerized appointment-tracking system. Participants are representative of the surrounding, predominantly low-income minority community and are treated in a hospital-based clinic and in a private clinic in the community. About 65% have blood pressure levels considered to be out of control. It was concluded that structural changes at the clinic site, along with the targeted interventions, would improve patient satisfaction, increase treatment adherence, and improve blood pressure control.(C) 2000 American Journal of Hypertension, Ltd.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 177-183 |
| Number of pages | 7 |
| Journal | American Journal of Hypertension |
| Volume | 13 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 2000 |
| Externally published | Yes |
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Keywords
- Community-based interventions
- Randomized clinical trial
- Underserved minorities
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
A clinic and community-based approach to hypertension control for an underserved minority population : Design and methods. / Ward, H. J.; Morisky, D. E.; Lees, N. B.; Fong, Ronald L.
In: American Journal of Hypertension, Vol. 13, No. 2, 02.2000, p. 177-183.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A clinic and community-based approach to hypertension control for an underserved minority population
T2 - Design and methods
AU - Ward, H. J.
AU - Morisky, D. E.
AU - Lees, N. B.
AU - Fong, Ronald L
PY - 2000/2
Y1 - 2000/2
N2 - This paper describes the design and methodology of the Community Hypertension Intervention Project (CHIP). CHIP is investigating the environmental and psychosocial factors related to treatment adherence and examining the effects of combining usual hypertension care with the effects of three interventions designed to improve patient compliance with treatment for high blood pressure in a high-risk, underserved minority population. Thirteen hundred and sixty-seven inner-city hypertension patients (75% black and 25% Hispanic) have agreed to participate in the 4-year longitudinal study. These participants were randomized to usual care or one of three intervention groups: individualized counseling sessions; home visits/discussion groups; or computerized appointment-tracking system. Participants are representative of the surrounding, predominantly low-income minority community and are treated in a hospital-based clinic and in a private clinic in the community. About 65% have blood pressure levels considered to be out of control. It was concluded that structural changes at the clinic site, along with the targeted interventions, would improve patient satisfaction, increase treatment adherence, and improve blood pressure control.(C) 2000 American Journal of Hypertension, Ltd.
AB - This paper describes the design and methodology of the Community Hypertension Intervention Project (CHIP). CHIP is investigating the environmental and psychosocial factors related to treatment adherence and examining the effects of combining usual hypertension care with the effects of three interventions designed to improve patient compliance with treatment for high blood pressure in a high-risk, underserved minority population. Thirteen hundred and sixty-seven inner-city hypertension patients (75% black and 25% Hispanic) have agreed to participate in the 4-year longitudinal study. These participants were randomized to usual care or one of three intervention groups: individualized counseling sessions; home visits/discussion groups; or computerized appointment-tracking system. Participants are representative of the surrounding, predominantly low-income minority community and are treated in a hospital-based clinic and in a private clinic in the community. About 65% have blood pressure levels considered to be out of control. It was concluded that structural changes at the clinic site, along with the targeted interventions, would improve patient satisfaction, increase treatment adherence, and improve blood pressure control.(C) 2000 American Journal of Hypertension, Ltd.
KW - Community-based interventions
KW - Randomized clinical trial
KW - Underserved minorities
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UR - http://www.scopus.com/inward/citedby.url?scp=0034092642&partnerID=8YFLogxK
U2 - 10.1016/S0895-7061(99)00149-1
DO - 10.1016/S0895-7061(99)00149-1
M3 - Article
C2 - 10701818
AN - SCOPUS:0034092642
VL - 13
SP - 177
EP - 183
JO - American Journal of Hypertension
JF - American Journal of Hypertension
SN - 0895-7061
IS - 2
ER -