Show simple item record

The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295).

dc.contributor.author Almirall, D
dc.contributor.author Anderson, D
dc.contributor.author Bosworth, Hayden Barry
dc.contributor.author Bowen, ME
dc.contributor.author Damush, TM
dc.contributor.author Del Monte, PS
dc.contributor.author Jackson, GL
dc.contributor.author Kaufman, MA
dc.contributor.author Kravetz, JD
dc.contributor.author Lee, SY
dc.contributor.author Maciejewski, Matthew Leonard
dc.contributor.author Oddone, EZ
dc.contributor.author Olsen, MK
dc.contributor.author Powers, BJ
dc.contributor.author Rakley, S
dc.contributor.author Roumie, CL
dc.contributor.author Smith, V
dc.contributor.author Weiner, BJ
dc.coverage.spatial England
dc.date.accessioned 2011-06-21T17:30:25Z
dc.date.issued 2010-07-16
dc.identifier http://www.ncbi.nlm.nih.gov/pubmed/20637095
dc.identifier 1748-5908-5-54
dc.identifier.uri https://hdl.handle.net/10161/4382
dc.description.abstract BACKGROUND: Despite the impact of hypertension and widely accepted target values for blood pressure (BP), interventions to improve BP control have had limited success. OBJECTIVES: We describe the design of a 'translational' study that examines the implementation, impact, sustainability, and cost of an evidence-based nurse-delivered tailored behavioral self-management intervention to improve BP control as it moves from a research context to healthcare delivery. The study addresses four specific aims: assess the implementation of an evidence-based behavioral self-management intervention to improve BP levels; evaluate the clinical impact of the intervention as it is implemented; assess organizational factors associated with the sustainability of the intervention; and assess the cost of implementing and sustaining the intervention. METHODS: The project involves three geographically diverse VA intervention facilities and nine control sites. We first conduct an evaluation of barriers and facilitators for implementing the intervention at intervention sites. We examine the impact of the intervention by comparing 12-month pre/post changes in BP control between patients in intervention sites versus patients in the matched control sites. Next, we examine the sustainability of the intervention and organizational factors facilitating or hindering the sustained implementation. Finally, we examine the costs of intervention implementation. Key outcomes are acceptability and costs of the program, as well as changes in BP. Outcomes will be assessed using mixed methods (e.g., qualitative analyses--pattern matching; quantitative methods--linear mixed models). DISCUSSION: The study results will provide information about the challenges and costs to implement and sustain the intervention, and what clinical impact can be expected.
dc.language eng
dc.language.iso en_US
dc.relation.ispartof Implement Sci
dc.relation.isversionof 10.1186/1748-5908-5-54
dc.title The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295).
dc.title.alternative
dc.type Journal article
dc.description.version Version of Record
duke.date.pubdate 2010-7-16
duke.description.issue
duke.description.volume 5
dc.relation.journal Implementation Science
pubs.author-url http://www.ncbi.nlm.nih.gov/pubmed/20637095
pubs.begin-page 54
pubs.organisational-group Basic Science Departments
pubs.organisational-group Biostatistics & Bioinformatics
pubs.organisational-group Center for the Study of Aging and Human Development
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Duke
pubs.organisational-group Duke Cancer Institute
pubs.organisational-group Institutes and Centers
pubs.organisational-group Medicine
pubs.organisational-group Medicine, General Internal Medicine
pubs.organisational-group Psychiatry & Behavioral Sciences
pubs.organisational-group School of Medicine
pubs.publication-status Published online
pubs.volume 5
dc.identifier.eissn 1748-5908


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record