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Needs assessment and planning for a clinic-community-based implementation program for hypertension control among blacks in New York City: a protocol paper
BACKGROUND: Hypertension (HTN) control among Blacks in the USA has become a major public health challenge. Barriers to HTN control exist at multiple levels including patient, physician, and the health system. Patients also encounter significant community-level barriers, such as poor linkage to socia...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9450294/ https://www.ncbi.nlm.nih.gov/pubmed/36068611 http://dx.doi.org/10.1186/s43058-022-00340-z |
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author | Gyamfi, Joyce Cooper, Claire Barber, Aigna Onakomaiya, Deborah Lee, Wen-Yu Zanowiak, Jennifer Mansu, Moses Diaz, Laura Thompson, Linda Abrams, Roger Schoenthaler, Antoinette Islam, Nadia Ogedegbe, Gbenga |
author_facet | Gyamfi, Joyce Cooper, Claire Barber, Aigna Onakomaiya, Deborah Lee, Wen-Yu Zanowiak, Jennifer Mansu, Moses Diaz, Laura Thompson, Linda Abrams, Roger Schoenthaler, Antoinette Islam, Nadia Ogedegbe, Gbenga |
author_sort | Gyamfi, Joyce |
collection | PubMed |
description | BACKGROUND: Hypertension (HTN) control among Blacks in the USA has become a major public health challenge. Barriers to HTN control exist at multiple levels including patient, physician, and the health system. Patients also encounter significant community-level barriers, such as poor linkage to social services that impact health (unstable housing, food access, transportation). We describe a multi-component needs assessment to inform the development, implementation, and evaluation of a program to improve HTN management within a large healthcare system in New York City (NYC). METHODS: Guided by the Community-Based Participatory Research (CBPR) and Consolidated Framework for Implementation Research (CFIR) frameworks, data will be collected from four main sources: (1) quantitative surveys with health systems leadership, providers, and staff and with community-based organizations (CBOs) and faith-based organizations (FBOs); (2) qualitative interviews and focus groups with health systems leadership, providers, and staff and with CBOs and FBOs; (3) NYC Community Health Survey (CHS); and (4) New York University (NYU) Health system Epic Electronic Health Record (EHR) system. The data sources will allow for triangulation and synthesis of findings. DISCUSSION: Findings from this comprehensive needs assessment will inform the development of a clinic-community-based practice facilitation program utilizing three multi-level evidence-based interventions (nurse case management, remote blood pressure (BP) monitoring, and social determinants of health (SDoH) support) integrated as a community-clinic linkage model for improved HTN control in Black patients. Integration of stakeholders’ priorities, perspectives, and practices into the development of the program will improve adoption, sustainability, and the potential for scale-up. TRIAL REGISTRATION: NCT05208450; registered on January 26, 2022 |
format | Online Article Text |
id | pubmed-9450294 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-94502942022-09-08 Needs assessment and planning for a clinic-community-based implementation program for hypertension control among blacks in New York City: a protocol paper Gyamfi, Joyce Cooper, Claire Barber, Aigna Onakomaiya, Deborah Lee, Wen-Yu Zanowiak, Jennifer Mansu, Moses Diaz, Laura Thompson, Linda Abrams, Roger Schoenthaler, Antoinette Islam, Nadia Ogedegbe, Gbenga Implement Sci Commun Study Protocol BACKGROUND: Hypertension (HTN) control among Blacks in the USA has become a major public health challenge. Barriers to HTN control exist at multiple levels including patient, physician, and the health system. Patients also encounter significant community-level barriers, such as poor linkage to social services that impact health (unstable housing, food access, transportation). We describe a multi-component needs assessment to inform the development, implementation, and evaluation of a program to improve HTN management within a large healthcare system in New York City (NYC). METHODS: Guided by the Community-Based Participatory Research (CBPR) and Consolidated Framework for Implementation Research (CFIR) frameworks, data will be collected from four main sources: (1) quantitative surveys with health systems leadership, providers, and staff and with community-based organizations (CBOs) and faith-based organizations (FBOs); (2) qualitative interviews and focus groups with health systems leadership, providers, and staff and with CBOs and FBOs; (3) NYC Community Health Survey (CHS); and (4) New York University (NYU) Health system Epic Electronic Health Record (EHR) system. The data sources will allow for triangulation and synthesis of findings. DISCUSSION: Findings from this comprehensive needs assessment will inform the development of a clinic-community-based practice facilitation program utilizing three multi-level evidence-based interventions (nurse case management, remote blood pressure (BP) monitoring, and social determinants of health (SDoH) support) integrated as a community-clinic linkage model for improved HTN control in Black patients. Integration of stakeholders’ priorities, perspectives, and practices into the development of the program will improve adoption, sustainability, and the potential for scale-up. TRIAL REGISTRATION: NCT05208450; registered on January 26, 2022 BioMed Central 2022-09-06 /pmc/articles/PMC9450294/ /pubmed/36068611 http://dx.doi.org/10.1186/s43058-022-00340-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Study Protocol Gyamfi, Joyce Cooper, Claire Barber, Aigna Onakomaiya, Deborah Lee, Wen-Yu Zanowiak, Jennifer Mansu, Moses Diaz, Laura Thompson, Linda Abrams, Roger Schoenthaler, Antoinette Islam, Nadia Ogedegbe, Gbenga Needs assessment and planning for a clinic-community-based implementation program for hypertension control among blacks in New York City: a protocol paper |
title | Needs assessment and planning for a clinic-community-based implementation program for hypertension control among blacks in New York City: a protocol paper |
title_full | Needs assessment and planning for a clinic-community-based implementation program for hypertension control among blacks in New York City: a protocol paper |
title_fullStr | Needs assessment and planning for a clinic-community-based implementation program for hypertension control among blacks in New York City: a protocol paper |
title_full_unstemmed | Needs assessment and planning for a clinic-community-based implementation program for hypertension control among blacks in New York City: a protocol paper |
title_short | Needs assessment and planning for a clinic-community-based implementation program for hypertension control among blacks in New York City: a protocol paper |
title_sort | needs assessment and planning for a clinic-community-based implementation program for hypertension control among blacks in new york city: a protocol paper |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9450294/ https://www.ncbi.nlm.nih.gov/pubmed/36068611 http://dx.doi.org/10.1186/s43058-022-00340-z |
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