This study assessed the effectiveness of enhanced tracking and follow-up services provided by community health workers in promot ing medical follow-up of persons whose elevated blood pressures were detected during blood pressure measurement at urban community sites.
In a randomized controlled trial, 421 participants received either enhanced or usual referrals to care.
Participants were 18 years or older, were either Black or White, and had blood pressure greater than or equal to 140/90 mm Hg and income equal to or less than 200% of poverty, The primary outcome measure was completion of a medical follow-up visit within 90 days of referral Results.
The enhanced intervention increased follow-up by 39.4% (95% confidence interval [CI]=14%, 71% ; P=001) relative to usual care.
Follow-up visits were completed by 65.1% of participants in the interven65.1% of participants tion group, compared with 46.7% of those in the usual-care group.
The number needed to treat was 5 clients (95% CI=3,13) per additional follow up visit realized Conclusions.
Enhanced tracking and outreach increased the proportion of persons with elevated blood pressure detected during community measure ment who followed up with medical care.
Mots-clés Pascal : Hypertension artérielle, Homme, Dépistage, Randomisation, Essai clinique, Contrôle, Pression artérielle, Intervention, Programme sanitaire, Surveillance sanitaire, Santé communautaire, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Evaluation, Efficacité, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Hypertension, Human, Medical screening, Randomization, Clinical trial, Check, Arterial pressure, Operation, Sanitary program, Sanitary surveillance, Community health, United States, North America, America, Epidemiology, Evaluation, Efficiency, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0313002
Code Inist : 002B12B05B. Création : 16/11/1999.