Needs assessment and planning for a clinic-community-based implementation program for hypertension control among blacks in New York City: a protocol paper.
Needs assessment and planning for a clinic-community-based implementation program for hypertension control among blacks in New York City: a protocol paper.
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DOI：
10.1186/s43058-022-00340-z
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发表时间：
2022-09-06
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美国黑人高血压（HTN）的控制已成为一项重大的公共卫生挑战。控制HTN的障碍存在于多个层面，包括患者、医生和卫生系统。患者还在社区一级遇到重大障碍，例如与影响健康的社会服务联系不紧密（不稳定的住房、食物获取、交通）。我们描述了一个多组件需求评估，为纽约市（NYC）大型医疗保健系统中改善HTN管理的项目的开发、实施和评估提供信息。在社区参与性研究（CBPR）和实施研究综合框架（CFIR）框架的指导下，将从四个主要来源收集数据：(1)对卫生系统领导、提供者和工作人员以及社区组织（cbo）和信仰组织（fbo）进行定量调查；(2)与卫生系统领导、提供者和工作人员以及cbo和fbo进行定性访谈和焦点小组讨论；(3)纽约市社区健康调查（CHS）；(4)纽约大学（NYU）健康系统Epic电子健康记录系统。数据来源将允许三角测量和综合调查结果。这项综合需求评估的结果将为诊所-社区实践促进计划的发展提供信息，该计划利用三种多层次的循证干预措施（护士病例管理、远程血压监测和健康的社会决定因素（SDoH）支持）整合为改善黑人患者HTN控制的社区-诊所联系模型。将利益相关者的优先事项、观点和实践整合到项目的制定中，将提高项目的采用率、可持续性和扩大规模的潜力。NCT05208450;于2022年1月26日注册
Hypertension (HTN) control among Blacks in the USA has become a major public health challenge. Barriers to HTN control exist at multiple levels including patient, physician, and the health system. Patients also encounter significant community-level barriers, such as poor linkage to social services that impact health (unstable housing, food access, transportation). We describe a multi-component needs assessment to inform the development, implementation, and evaluation of a program to improve HTN management within a large healthcare system in New York City (NYC). Guided by the Community-Based Participatory Research (CBPR) and Consolidated Framework for Implementation Research (CFIR) frameworks, data will be collected from four main sources: (1) quantitative surveys with health systems leadership, providers, and staff and with community-based organizations (CBOs) and faith-based organizations (FBOs); (2) qualitative interviews and focus groups with health systems leadership, providers, and staff and with CBOs and FBOs; (3) NYC Community Health Survey (CHS); and (4) New York University (NYU) Health system Epic Electronic Health Record (EHR) system. The data sources will allow for triangulation and synthesis of findings. Findings from this comprehensive needs assessment will inform the development of a clinic-community-based practice facilitation program utilizing three multi-level evidence-based interventions (nurse case management, remote blood pressure (BP) monitoring, and social determinants of health (SDoH) support) integrated as a community-clinic linkage model for improved HTN control in Black patients. Integration of stakeholders’ priorities, perspectives, and practices into the development of the program will improve adoption, sustainability, and the potential for scale-up. NCT05208450; registered on January 26, 2022
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影响因子：
2
作者：
Lewis LM;Ogedegbe C;Ogedegbe G
通讯作者：
Ogedegbe G
影响因子：
7.2
作者：
Dreischulte, Tobias;Grant, Aileen;Guthrie, Bruce
通讯作者：
Guthrie, Bruce
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
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作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
1.6
作者：
Abegaz TM;Shehab A;Gebreyohannes EA;Bhagavathula AS;Elnour AA
通讯作者：
Elnour AA
影响因子：
--
作者：
Bramley, TJ;Gerbino, PP;Frech-Tamas, F
通讯作者：
Frech-Tamas, F