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The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295)

BACKGROUND: Despite the impact of hypertension and widely accepted target values for blood pressure (BP), interventions to improve BP control have had limited success. OBJECTIVES: We describe the design of a 'translational' study that examines the implementation, impact, sustainability, an...

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Autores principales: Bosworth, Hayden B, Almirall, Daniel, Weiner, Bryan J, Maciejewski, Mathew, Kaufman, Miriam A, Powers, Benjamin J, Oddone, Eugene Z, Lee, Shoou-Yih D, Damush, Teresa M, Smith, Valerie, Olsen, Maren K, Anderson, Daren, Roumie, Christianne L, Rakley, Susan, Del Monte, Pamela S, Bowen, Michael E, Kravetz, Jeffrey D, Jackson, George L
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2914777/
https://www.ncbi.nlm.nih.gov/pubmed/20637095
http://dx.doi.org/10.1186/1748-5908-5-54
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author Bosworth, Hayden B
Almirall, Daniel
Weiner, Bryan J
Maciejewski, Mathew
Kaufman, Miriam A
Powers, Benjamin J
Oddone, Eugene Z
Lee, Shoou-Yih D
Damush, Teresa M
Smith, Valerie
Olsen, Maren K
Anderson, Daren
Roumie, Christianne L
Rakley, Susan
Del Monte, Pamela S
Bowen, Michael E
Kravetz, Jeffrey D
Jackson, George L
author_facet Bosworth, Hayden B
Almirall, Daniel
Weiner, Bryan J
Maciejewski, Mathew
Kaufman, Miriam A
Powers, Benjamin J
Oddone, Eugene Z
Lee, Shoou-Yih D
Damush, Teresa M
Smith, Valerie
Olsen, Maren K
Anderson, Daren
Roumie, Christianne L
Rakley, Susan
Del Monte, Pamela S
Bowen, Michael E
Kravetz, Jeffrey D
Jackson, George L
author_sort Bosworth, Hayden B
collection PubMed
description BACKGROUND: Despite the impact of hypertension and widely accepted target values for blood pressure (BP), interventions to improve BP control have had limited success. OBJECTIVES: We describe the design of a 'translational' study that examines the implementation, impact, sustainability, and cost of an evidence-based nurse-delivered tailored behavioral self-management intervention to improve BP control as it moves from a research context to healthcare delivery. The study addresses four specific aims: assess the implementation of an evidence-based behavioral self-management intervention to improve BP levels; evaluate the clinical impact of the intervention as it is implemented; assess organizational factors associated with the sustainability of the intervention; and assess the cost of implementing and sustaining the intervention. METHODS: The project involves three geographically diverse VA intervention facilities and nine control sites. We first conduct an evaluation of barriers and facilitators for implementing the intervention at intervention sites. We examine the impact of the intervention by comparing 12-month pre/post changes in BP control between patients in intervention sites versus patients in the matched control sites. Next, we examine the sustainability of the intervention and organizational factors facilitating or hindering the sustained implementation. Finally, we examine the costs of intervention implementation. Key outcomes are acceptability and costs of the program, as well as changes in BP. Outcomes will be assessed using mixed methods (e.g., qualitative analyses--pattern matching; quantitative methods--linear mixed models). DISCUSSION: The study results will provide information about the challenges and costs to implement and sustain the intervention, and what clinical impact can be expected.
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spelling pubmed-29147772010-08-04 The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295) Bosworth, Hayden B Almirall, Daniel Weiner, Bryan J Maciejewski, Mathew Kaufman, Miriam A Powers, Benjamin J Oddone, Eugene Z Lee, Shoou-Yih D Damush, Teresa M Smith, Valerie Olsen, Maren K Anderson, Daren Roumie, Christianne L Rakley, Susan Del Monte, Pamela S Bowen, Michael E Kravetz, Jeffrey D Jackson, George L Implement Sci Study Protocol BACKGROUND: Despite the impact of hypertension and widely accepted target values for blood pressure (BP), interventions to improve BP control have had limited success. OBJECTIVES: We describe the design of a 'translational' study that examines the implementation, impact, sustainability, and cost of an evidence-based nurse-delivered tailored behavioral self-management intervention to improve BP control as it moves from a research context to healthcare delivery. The study addresses four specific aims: assess the implementation of an evidence-based behavioral self-management intervention to improve BP levels; evaluate the clinical impact of the intervention as it is implemented; assess organizational factors associated with the sustainability of the intervention; and assess the cost of implementing and sustaining the intervention. METHODS: The project involves three geographically diverse VA intervention facilities and nine control sites. We first conduct an evaluation of barriers and facilitators for implementing the intervention at intervention sites. We examine the impact of the intervention by comparing 12-month pre/post changes in BP control between patients in intervention sites versus patients in the matched control sites. Next, we examine the sustainability of the intervention and organizational factors facilitating or hindering the sustained implementation. Finally, we examine the costs of intervention implementation. Key outcomes are acceptability and costs of the program, as well as changes in BP. Outcomes will be assessed using mixed methods (e.g., qualitative analyses--pattern matching; quantitative methods--linear mixed models). DISCUSSION: The study results will provide information about the challenges and costs to implement and sustain the intervention, and what clinical impact can be expected. BioMed Central 2010-07-16 /pmc/articles/PMC2914777/ /pubmed/20637095 http://dx.doi.org/10.1186/1748-5908-5-54 Text en Copyright ©2010 Bosworth et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study Protocol
Bosworth, Hayden B
Almirall, Daniel
Weiner, Bryan J
Maciejewski, Mathew
Kaufman, Miriam A
Powers, Benjamin J
Oddone, Eugene Z
Lee, Shoou-Yih D
Damush, Teresa M
Smith, Valerie
Olsen, Maren K
Anderson, Daren
Roumie, Christianne L
Rakley, Susan
Del Monte, Pamela S
Bowen, Michael E
Kravetz, Jeffrey D
Jackson, George L
The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295)
title The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295)
title_full The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295)
title_fullStr The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295)
title_full_unstemmed The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295)
title_short The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295)
title_sort implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: the htn-improve study protocol (01295)
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2914777/
https://www.ncbi.nlm.nih.gov/pubmed/20637095
http://dx.doi.org/10.1186/1748-5908-5-54
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