Details:

• Alternative Title:
  J Public Health Manag Pract
• Personal Author:
  Greene, Leah K. ; Song, Glory ; Palma, Ana V. ; Santarelli, Claire ; Wetzel, Caroline ; ... More +

  Greene, Leah K. ; Song, Glory ; Palma, Ana V. ; Santarelli, Claire ; Wetzel, Caroline ; Spillane, Janet ; Nielsen, Victoria M. Less -
• Description:
  Context:
  
  Self-monitoring blood pressure (SMBP) programs are an evidence-based hypertension management intervention facilitated through telehealth. SMBP programs can provide a continuum of care beyond a clinical setting by facilitating hypertension management at home, however equitable access to SMBP is a concern.
  
  Objectives:
  
  To evaluate the implementation of telehealth SMBP programs using an equity lens in five federally qualified health centers (FQHC) in Massachusetts (MA).
  
  Design:
  
  Prospective case series study.
  
  Setting:
  
  Five FQHCs.
  
  Participants:
  
  The MA Department of Public Health (MDPH) selected five FQHCs to implement SMBP programs using telehealth. FQHCs were selected if their patient population experiences inequities due to social determinants of health and has higher rates of cardiovascular disease. Each of the five FQHCs reported data on patients enrolled in their SMBP programs totaling 241 patients examined in this study.
  
  Intervention:
  
  SMBP programs implemented through telehealth.
  
  Main Outcome Measure:
  
  systolic blood pressure (SBP), diastolic blood pressure (DBP).
  
  Results:
  
  Approximately 53.5% of SMBP participants experienced a decrease in blood pressure. The average blood pressure decreased from 146/87 mmHg to 136/81 mmHg. Among all patients across the five FQHCs, the average blood pressure decreased by 10.06/5.34 mmHg (p<0.001). Blood pressure improved in all racial, ethnic, and language subgroups.
  
  Conclusions:
  
  Five MA FQHCs successfully implemented equitable telehealth SMBP programs. The SMBP participants enrolled in the programs demonstrated notable improvements in their blood pressure at the conclusion of the program. A flexible, pragmatic study design that was adjusted to meet unique patient needs; engaging non-physician team members, particularly community health workers (CHW); adapting health information technology (HIT); and partnerships with community-based organizations were critical facilitators to program success.
  
  
• Subjects:
  [+]

  Adult Aged Blood Pressure Blood Pressure Monitoring, Ambulatory Female Humans Hypertension Male Massachusetts Middle Aged Prospective Studies Self Care Telemedicine
• Keywords:
  [+]

  Cardiovascular Disease Health-related Social Needs Health Equity Self-monitoring Blood Pressure Social Determinants Of Health Telehealth
• Source:
  J Public Health Manag Pract. 30:S71-S79
• Pubmed ID:
  38870363
• Pubmed Central ID:
  PMC11178246
• Document Type:
  Journal Article
• Funding:
  NU58DP006613/CC/CDC HHSUnited States/ ; NU58DP006613/ImCDC/Intramural CDC HHSUnited States/

  NU58DP006613/CC/CDC HHSUnited States/ ; NU58DP006613/ImCDC/Intramural CDC HHSUnited States/ Less -
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  [+]

  urn:sha-512:0fabaff4f31b84cb82f55e30ed69d46b71f917a2aa01f727a01099d285bf89fcda6113b14980415cd64817592762902c49f3756f092b2999e28084736fc28c27
• File Type:

• Supporting Files:
  No Additional Files