Efficacy of Hypertension Self-Management Classes Among Patients at a Federally Qualified Health Center.
Abstract
Structural racism has contributed to persistent racial disparities in hypertension
control, with Black men suffering the highest prevalence of uncontrolled hypertension.
Lincoln Community Health Center, our urban Federally Qualified Health Center (FQHC),
aimed to use hypertension self-management classes to improve hypertension control
among our clinic patients, particularly Black men. Patients attending classes learned
about hypertension, were given blood pressure cuffs to use at home, and had the opportunity
to speak to physicians in a group setting. We used a nonexperimental quality improvement
intervention design to identify baseline differences between participants who attended
multiple classes and those who attended only 1 class. Participants who attended multiple
classes, most of whom were Black men, achieved an average blood pressure reduction
of 19.1/14.8 mm Hg. Although the classes were effective, current policies around health
insurance reimbursement and federal quality reporting standards hamper the ability
of health care providers to implement such patient education initiatives.
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https://hdl.handle.net/10161/23691Published Version (Please cite this version)
10.5888/pcd18.200628Publication Info
Eck, Cameron; Biola, Holly; Hayes, Tiffany; Bulgin, Dominique; Whitney, Colette; Raman,
Rohith; ... Granger, Bradi B (2021). Efficacy of Hypertension Self-Management Classes Among Patients at a Federally Qualified
Health Center. Preventing chronic disease, 18. pp. E70. 10.5888/pcd18.200628. Retrieved from https://hdl.handle.net/10161/23691.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
Holly Roberts Biola
Consulting Associate in the Department of Medicine
Bradi Bartrug Granger
Research Professor in the School of Nursing
Dr. Bradi Granger is a Research Professor at Duke University School of Nursing, Director
of the Duke Heart Center Nursing Research Program, and adjunct faculty at the University
of Gothenburg, Sweden. She is also a core faculty at the Duke-Margolis Center for
Health Policy. Dr. Granger received her doctorate in nursing from the University of
North Carolina at Chapel Hill, her MSN from Duke University, and her BSN from the
University of Tennessee at Knoxville.
Dr. Granger has extensive
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