The Baltimore Partnership to Educate and Achieve Control of Hypertension (The BPTEACH Trial): a randomized trial of the effect of education on improving blood pressure control in a largely African American population.
The Baltimore Partnership to Educate and Achieve Control of Hypertension (The BPTEACH Trial): a randomized trial of the effect of education on improving blood pressure control in a largely African American population.
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DOI：
10.1111/j.1751-7176.2011.00477.x
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发表时间：
2011-08
期刊：
影响因子：
--
通讯作者：
Saunders E
中科院分区：
文献类型：
--
作者：
Johnson W;Shaya FT;Khanna N;Warrington VO;Rose VA;Yan X;Bailey-Weaver B;Mullins CD;Saunders E
高血压是发展心血管疾病的主要风险因素，与高加索人相比，高血压在非裔美国人中更普遍。非洲裔美国人在临床试验中的代表性往往偏低。这项研究主要由城市非裔美国人高血压患者队列组成。这是一项前瞻性的四臂随机对照试验，旨在评估医生和患者教育(PPE)、仅患者教育(PAE)和仅医生教育(PHE)与常规护理(UC)的比较效果。高血压专家向医生们进行了一系列的说教，而护士教育者则进行了患者教育。在6个月时，PPE组的平均调整后的收缩压与基线的差值为12−(95%可信区间[CI]，-4.5−-19.4)，随后是PPE组的平均下降4.6MmHg(6.9−-16.12)，Phe组的4.1MmHg(3.4−-11.7)，UC组的2.6MmHg(3 MHg8.2)。PPE组的SBP降幅明显优于UC组。应该进行更多的研究，以评估使用经过认证的高血压教育者与医生合作是否会导致类似的血压下降。
Hypertension is a major risk factor for developing cardiovascular disease and is more prevalent in African-Americans compared to Caucasians. African-Americans are often underrepresented in clinical trials. This study was composed of a largely urban African-American cohort of hypertensive patients. This was a prospective, four-arm randomized controlled trial designed to evaluate the comparative effectiveness of both physician and patient education (PPE), patient education only (PAE), and physician education only (PHE) versus usual care (UC). Hypertension specialists gave a series of didactic lectures to the physicians, while a nurse educator performed the patient education. The mean adjusted difference in systolic blood pressure (SBP) from baseline in the PPE group was an average reduction of 12mmHg (95% confidence interval [CI], -4.5 − -19.4) at 6-months, followed by average reductions of 4.6 mmHg (6.9 − -16.12) in the PAE group, 4.1 mmHg (3.4 − -11.7) in the PHE group, and 2.6 mmHg (3 − -8.2) in the UC group. The PPE group achieved a significantly better reduction in SBP compared with the UC group. Additional research should be conducted to evaluate whether the use of certified hypertension educators in collaboration with physicians will result in a similar blood pressure reduction.
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影响因子：
120.7
作者：
Egan, Brent M.;Zhao, Yumin;Axon, R. Neal
通讯作者：
Axon, R. Neal
影响因子：
168.9
作者：
Lewington, S;Clarke, R;Collins, R
通讯作者：
Collins, R
影响因子：
--
作者：
Carter, Barry L.;Ardery, Gail;Dawson, Jeffrey D.;James, Paul A.;Bergus, George R.;Doucette, William R.;Chrischilles, Elizabeth A.;Franciscus, Carrie L.;Xu, Yinghui
通讯作者：
Xu, Yinghui
影响因子：
37.8
作者：
Lloyd-Jones, Donald;Adams, Robert J.;Wylie-Rosett, Judith
通讯作者：
Wylie-Rosett, Judith
影响因子：
120.7
作者：
Wright, JT;Bakris, G;Rostand, SG
通讯作者：
Rostand, SG