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 journalArticlepeer-review

14 Scopus citations

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.

Original languageEnglish
Pages (from-to)351-360
Number of pages10
JournalJournal of Clinical Hypertension
Volume19
Issue number4
DOIs
StatePublished - Apr 1 2017

Bibliographical note

Publisher Copyright:
©2016 Wiley Periodicals, Inc.

Keywords

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

ASJC Scopus subject areas

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

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