Hypertension Identification via Emergency Responders: A Randomized Controlled Intervention Study

Details

• Personal Author:
  Fahrenbruch C ; Forehand M ; Hannon P ; Harris JR ; Ike BR ; Kuniyuki A ; Meischke H ; Parks MR ; Weaver M
• Description:
  Objective: The objective was to test the effectiveness of a mail campaign that included blood pressure (BP) measurements from patients treated by emergency medical technicians (EMTs) to motivate them to (re)check their BP at a fire station. The mailing used a 2 × 2 research design tailoring on risk and source personalization. Method: In this randomized controlled trial, participants were randomized into a control group or one of four experimental groups. Participants residing in one of four fire departments in a Pacific Northwest metropolitan area were eligible if they had a systolic BP >/= 160 mm Hg and/or diastolic BP >/= 100 mm Hg when seen by EMTs during the study period (July 2007-September 2009). Results: Of 7106 eligible participants, 40.7% were reached for a follow-up interview. Multivariable logistic regression analysis showed that although the absolute number of fire station BP checks was low (4%), participants who received any mailed intervention had a 3 to 5-fold increase in the odds of reporting a fire station BP check over controls. Fire station visits did not differ by type of tailored mailing. Conclusion: Partnering with Emergency Medical Services is an innovative way to identify high-risk community members for population health interventions. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Community Health Services Delivery Of Health Care Emergency Responders Occupational Health Safety
• Keywords:
  Author Keywords: Health Services Research Blood Pressure Community Health Emergency Medical Services Emergency Medical Services Workers EMS Health Behavior Hypertension Medical Care Medical Screening Public Health Randomized Controlled Trial

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• ISSN:
  0091-7435
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  57
• Issue:
  6
• NIOSHTIC Number:
  nn:20056941
• Citation:
  Prev Med 2013 Dec; 57(6):914-919
• Contact Point Address:
  Brooke R. Ike, Department of Health Services, Box 354809, University of Washington, Seattle WA, 91895
• Email:
  bike2@uw.edu
• Federal Fiscal Year:
  2014
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Preventive Medicine
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:9570383e0fe111ddcc24d4bd65bfcf33afc23ad66d81e89e304fbdc91dc3ab78c501e85829a072092e3ad3a3bcafb98bd2881366bd582fecb6542937f2179438
• Download URL:
  https://stacks.cdc.gov/view/cdc/214431/cdc_214431_DS1.pdf
• File Type:
  [PDF - 116.25 KB ]