Show simple item record Bosworth, HB Almirall, D Weiner, BJ Maciejewski, M Kaufman, MA Powers, BJ Oddone, EZ Lee, SY Damush, TM Smith, V Olsen, MK Anderson, D Roumie, CL Rakley, S Del Monte, PS Bowen, ME Kravetz, JD Jackson, GL
dc.coverage.spatial England 2011-06-21T17:30:25Z 2010-07-16
dc.identifier 1748-5908-5-54
dc.identifier.citation Implement Sci, 2010, 5 pp. 54 - ?
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.format.extent 54 - ?
dc.language eng
dc.language.iso en_US 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 en_US
dc.type Journal Article
dc.description.version Version of Record en_US 2010-7-16 en_US
duke.description.endpage 54 en_US
duke.description.issue en_US
duke.description.startpage 54 en_US
duke.description.volume 5 en_US
dc.relation.journal Implementation Science en_US
pubs.organisational-group /Duke
pubs.organisational-group /Duke/School of Medicine
pubs.organisational-group /Duke/School of Medicine/Basic Science Departments
pubs.organisational-group /Duke/School of Medicine/Basic Science Departments/Biostatistics & Bioinformatics
pubs.organisational-group /Duke/School of Medicine/Clinical Science Departments
pubs.organisational-group /Duke/School of Medicine/Clinical Science Departments/Medicine
pubs.organisational-group /Duke/School of Medicine/Clinical Science Departments/Medicine/Medicine, General Internal Medicine
pubs.organisational-group /Duke/School of Medicine/Clinical Science Departments/Psychiatry & Behavioral Sciences
pubs.organisational-group /Duke/School of Medicine/Institutes and Centers
pubs.organisational-group /Duke/School of Medicine/Institutes and Centers/Center for the Study of Aging and Human Development
pubs.organisational-group /Duke/School of Medicine/Institutes and Centers/Duke Cancer Institute
pubs.publication-status Published online
pubs.volume 5
dc.identifier.eissn 1748-5908

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