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

doi:10.1111/jch.12944

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

College of Nursing

Research output: Contribution to journal › Article › peer-review

19 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 language	English
Pages (from-to)	351-360
Number of pages	10
Journal	Journal of Clinical Hypertension
Volume	19
Issue number	4
DOIs	https://doi.org/10.1111/jch.12944
State	Published - 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

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/jch.12944

Cite this

Cené, C. W., Halladay, J. R., Gizlice, Z., Donahue, K. E., Cummings, D. M., Hinderliter, A., Miller, C., Johnson, L. F., Garcia, B., Tillman, J., Little, E. P., Rachide, M. R., Keyserling, T. C., Ammerman, A., Zhou, H., Wu, J. R., & 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, 19(4), 351-360. https://doi.org/10.1111/jch.12944

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

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.",

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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. https://doi.org/10.1111/jch.12944

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AU - Garcia, Beverly

AU - Tillman, Jim

AU - Little, Edwin P.

AU - Rachide, Marjorie R.

AU - Keyserling, Thomas C.

AU - Ammerman, Alice

AU - Zhou, Haibo

AU - Wu, Jia Rong

AU - DeWalt, Darren

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

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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