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143 A Youth-Led Digital Education Intervention to Improve Blood Pressure for Adults Who Present to the Emergency Department with Hypertension

OBJECTIVES/GOALS: To describe a study to develop, test, and collect implementation data on a youth-led hypertension (HTN) education digital intervention that acts as an electronic tool to guide youth through learning and then teaching adults on how to achieve better HTN control. Adults with uncontro...

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Autores principales: Heinert, Sara, Escalante, Victoria, Chen, Annie, Penugonda, Ananya, Crabtree, Benjamin, Greene, Kathryn, Heckman, Carolyn, Ohman-Strickland, Pamela, Hudson, Shawna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9209111/
http://dx.doi.org/10.1017/cts.2022.56
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author Heinert, Sara
Escalante, Victoria
Chen, Annie
Penugonda, Ananya
Crabtree, Benjamin
Greene, Kathryn
Heckman, Carolyn
Ohman-Strickland, Pamela
Hudson, Shawna
author_facet Heinert, Sara
Escalante, Victoria
Chen, Annie
Penugonda, Ananya
Crabtree, Benjamin
Greene, Kathryn
Heckman, Carolyn
Ohman-Strickland, Pamela
Hudson, Shawna
author_sort Heinert, Sara
collection PubMed
description OBJECTIVES/GOALS: To describe a study to develop, test, and collect implementation data on a youth-led hypertension (HTN) education digital intervention that acts as an electronic tool to guide youth through learning and then teaching adults on how to achieve better HTN control. Adults with uncontrolled HTN are recruited from a New Jersey emergency department (ED). METHODS/STUDY POPULATION: Adults with HTN and youth (15-18 years) participate in a remote user-centered design session focus group to provide input in the development of the youth-led HTN education digital intervention. 100 adult ED patients with uncontrolled HTN (blood pressure (BP) ≥130/80 mm Hg) who live with a youth (15-18 years) and the youth themselves are recruited for a randomized control trial (RCT). The adult-youth dyad is randomized to one of two arms, each a 6-week program with youth earning a digital badge: 1) intervention- youth-led HTN education with the adult, or 2) control- youth learn life skills (such as job readiness/resume building). Implementation metrics are collected through a post-intervention survey and qualitative interviews on the digital badge intervention including acceptability, feasibility, and fidelity. RESULTS/ANTICIPATED RESULTS: We completed two youth focus groups (total of 8 participants) and data collection is ongoing. Youth have shown great interest in the intervention prototype and thought their peers would find it acceptable. They suggested additions to nutrition education activities, such as adding a sodium tracker and examples of high sodium foods. For the RCT, the primary study outcome is adult BP change (from baseline to 1 week and 2-months post-intervention), with secondary outcomes of HTN knowledge and youth self-efficacy. We anticipate that intervention arm adults will have a more significant decrease in BP than control arm adults. We also expect that HTN knowledge and youth self-efficacy will be higher for the intervention arm. Implementation data collected will allow for improvements to future renditions of the intervention. DISCUSSION/SIGNIFICANCE: Bringing health education home while simultaneously empowering youth is an innovative technology-driven model for improving BP for patients with uncontrolled HTN who may lack access to care. Outcomes of this project will result in a scalable and easily adoptable model to reach an otherwise difficult to reach adult population.
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spelling pubmed-92091112022-07-01 143 A Youth-Led Digital Education Intervention to Improve Blood Pressure for Adults Who Present to the Emergency Department with Hypertension Heinert, Sara Escalante, Victoria Chen, Annie Penugonda, Ananya Crabtree, Benjamin Greene, Kathryn Heckman, Carolyn Ohman-Strickland, Pamela Hudson, Shawna J Clin Transl Sci Community Engagement OBJECTIVES/GOALS: To describe a study to develop, test, and collect implementation data on a youth-led hypertension (HTN) education digital intervention that acts as an electronic tool to guide youth through learning and then teaching adults on how to achieve better HTN control. Adults with uncontrolled HTN are recruited from a New Jersey emergency department (ED). METHODS/STUDY POPULATION: Adults with HTN and youth (15-18 years) participate in a remote user-centered design session focus group to provide input in the development of the youth-led HTN education digital intervention. 100 adult ED patients with uncontrolled HTN (blood pressure (BP) ≥130/80 mm Hg) who live with a youth (15-18 years) and the youth themselves are recruited for a randomized control trial (RCT). The adult-youth dyad is randomized to one of two arms, each a 6-week program with youth earning a digital badge: 1) intervention- youth-led HTN education with the adult, or 2) control- youth learn life skills (such as job readiness/resume building). Implementation metrics are collected through a post-intervention survey and qualitative interviews on the digital badge intervention including acceptability, feasibility, and fidelity. RESULTS/ANTICIPATED RESULTS: We completed two youth focus groups (total of 8 participants) and data collection is ongoing. Youth have shown great interest in the intervention prototype and thought their peers would find it acceptable. They suggested additions to nutrition education activities, such as adding a sodium tracker and examples of high sodium foods. For the RCT, the primary study outcome is adult BP change (from baseline to 1 week and 2-months post-intervention), with secondary outcomes of HTN knowledge and youth self-efficacy. We anticipate that intervention arm adults will have a more significant decrease in BP than control arm adults. We also expect that HTN knowledge and youth self-efficacy will be higher for the intervention arm. Implementation data collected will allow for improvements to future renditions of the intervention. DISCUSSION/SIGNIFICANCE: Bringing health education home while simultaneously empowering youth is an innovative technology-driven model for improving BP for patients with uncontrolled HTN who may lack access to care. Outcomes of this project will result in a scalable and easily adoptable model to reach an otherwise difficult to reach adult population. Cambridge University Press 2022-04-19 /pmc/articles/PMC9209111/ http://dx.doi.org/10.1017/cts.2022.56 Text en © The Association for Clinical and Translational Science 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
spellingShingle Community Engagement
Heinert, Sara
Escalante, Victoria
Chen, Annie
Penugonda, Ananya
Crabtree, Benjamin
Greene, Kathryn
Heckman, Carolyn
Ohman-Strickland, Pamela
Hudson, Shawna
143 A Youth-Led Digital Education Intervention to Improve Blood Pressure for Adults Who Present to the Emergency Department with Hypertension
title 143 A Youth-Led Digital Education Intervention to Improve Blood Pressure for Adults Who Present to the Emergency Department with Hypertension
title_full 143 A Youth-Led Digital Education Intervention to Improve Blood Pressure for Adults Who Present to the Emergency Department with Hypertension
title_fullStr 143 A Youth-Led Digital Education Intervention to Improve Blood Pressure for Adults Who Present to the Emergency Department with Hypertension
title_full_unstemmed 143 A Youth-Led Digital Education Intervention to Improve Blood Pressure for Adults Who Present to the Emergency Department with Hypertension
title_short 143 A Youth-Led Digital Education Intervention to Improve Blood Pressure for Adults Who Present to the Emergency Department with Hypertension
title_sort 143 a youth-led digital education intervention to improve blood pressure for adults who present to the emergency department with hypertension
topic Community Engagement
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9209111/
http://dx.doi.org/10.1017/cts.2022.56
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