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The central objective of this proposal is to rigorously compare two strategies designed to improve BP control in primary care practices serving rural Southeastern African Americans with low socioeconomic status (SES) living in the "Black Belt".
The Agency for Healthcare Research and Quality (AHRQ) Disparities Report identifies individuals with rural residence, minority ethnicity, and low SES as being at high risk for poor health outcomes. The "Black Belt" region stretches from eastern Texas in an arc to Maryland and includes residents with all 3 of these characteristics - the proverbial triple threat. This traditionally agricultural region is characterized by steep poverty, low educational attainment, scarce resources, and mostly African American residents. The Black Belt is in the heart of the Stroke Belt, a geographic area long recognized to have the highest cardiovascular disease (CVD) mortality in the US. The AHRQ Disparities Report also cites that the Southeast has lower quality of care than the rest of the US, thus effective strategies to optimize CVD prevention in general and hypertension (HTN) control specifically are urgently needed here.
In year 1 (AIM 1) we're engaging community members (community members who have experience being community peer advisors or have high blood pressure) to develop the study interventions and protocols. In years 2-5, the investigators will test these interventions.
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Factorial Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
Practice Facilitation, Peer Coach, Enhanced usual care
Not yet recruiting
University of Alabama at Birmingham
Published on BioPortfolio: 2016-08-16T10:08:21-0400
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Patients with diabetes who are counseled by a peer coach (another patient with diabetes) will have improved glycemic control compared with usual care patients.
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The effect or sway that a PEER GROUP exerts on the beliefs, value systems and behavior of each member of a group. The social expectations for individuals to conform to peer group influence is known as peer pressure.
An organized procedure carried out by a select committee of professionals in evaluating the performance of other professionals in meeting the standards of their specialty. Review by peers is used by editors in the evaluation of articles and other papers submitted for publication. Peer review is used also in the evaluation of grant applications. It is applied also in evaluating the quality of health care provided to patients.
Medical care provided after the regular practice schedule of the physicians. Usually it is designed to deliver 24-hour-a-day and 365-day-a-year patient care coverage for emergencies, triage, pediatric care, or hospice care.
The concurrent or retrospective review by practicing physicians or other health professionals of the quality and efficiency of patient care practices or services ordered or performed by other physicians or other health professionals (From The Facts On File Dictionary of Health Care Management, 1988).
Determination of economic value of an established health care provider practice including value of patient lists, equipment, and other assets, and process of buying or selling rights to said practice.
Health care (or healthcare) is the diagnosis, treatment, and prevention of disease, illness, injury, and other physical and mental impairments in humans. Health care is delivered by practitioners in medicine, chiropractic, dentistry, nursing, pharmacy, a...
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Neurology - Central Nervous System (CNS)
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