Hypertension identification via emergency responders: A randomized controlled intervention study
Hypertension identification via emergency responders: A randomized controlled intervention study
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DOI：
10.1016/j.ypmed.2013.05.010
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发表时间：
2013-12-01
影响因子：
5.1
通讯作者：
Harris, Jeffrey R.
中科院分区：
文献类型：
--
作者：
Meischke, Hendrika;Ike, Brooke R.;Harris, Jeffrey R.
Objective. The objective was to test the effectiveness of a mail campaign that included blood pressure (BP) measurements from patients treated by emergency medical technicians (EMTs) to motivate them to (re) check their BP at a fire station. The mailing used a 2 x 2 research design tailoring on risk and source personalization.Method. In this randomized controlled trial, participants were randomized into a control group or one of four experimental groups. Participants residing in one of four fire departments in a Pacific Northwest metropolitan area were eligible if they had a systolic BP >= 160 mm Hg and/or diastolic BP >= 100 mm Hg when seen by EMTs during the study period (July 2007-September 2009).Results. Of 7106 eligible participants, 40.7% were reached for a follow-up interview. Multivariable logistic regression analysis showed that although the absolute number of fire station BP checks was low (4%), participants who received any mailed intervention had a 3 to 5-fold increase in the odds of reporting a fire station BP check over controls. Fire station visits did not differ by type of tailored mailing.Conclusion. Partnering with Emergency Medical Services is an innovative way to identify high-risk community members for population health interventions. (C) 2013 Elsevier Inc. All rights reserved.
