PTSC: Improving Hypertension Control among Poor Midlife African American Women

 描述（由申请人提供）：非裔美国妇女患不受控制的高血压的比率高于非西班牙裔白色妇女。黄金时间姐妹圈（PTSC）通过促进有效使用预防性保健，使妇女能够积极主动地管理自己的血压;鼓励自我监测血压，并教授管理压力、增加体育活动和改善营养的策略。为期12周的以社区为基础的整体生活方式干预旨在通过提高健康知识，健康功效和健康行为来改善血压控制。PTSC可能通过预防，早期检测和改善高血压管理来降低医疗保健成本，通过针对中年和晚年非洲裔美国妇女所经历的特定障碍的文化定制计划。这项为期5年的研究是约翰霍普金斯健康差异解决中心（HCHDS）、加斯顿和波特健康改善中心公司（Gaston & Porter Health Improvement Center，Inc.）（GPHIC）、美国研究院（AIR）和Unity Health Care，Inc.（团结）。我们建议确定PTSC干预对高血压未控制的低收入非洲裔美国妇女的影响和成本效益。为此，我们将600名年龄在40至75岁之间的女性随机分配到PTSC（n = 300）或对照组（n = 300），这些女性将在观察15个月后接受PTSC干预。利用患者调查和Unity的行政记录数据，我们将确定PTSC是否有助于低收入非洲裔美国妇女有效地管理血压。

 DESCRIPTION (provided by applicant): African American women suffer higher rates of uncontrolled hypertension than do non-Hispanic white women. Prime Time Sister Circles(r) (PTSC) empowers women to proactively manage their blood pressure by promoting the effective use of preventive health care; encouraging self-monitoring of blood pressure, and teaching strategies for managing stress, increasing physical activity, and improving nutrition. The 12-week community-based, holistic lifestyle intervention aims to improve blood pressure control by improving health knowledge, health efficacy, and health behaviors. PTSC potentially reduces health care costs through prevention, earlier detection, and improved management of hypertension through a culturally tailored program addressing specific barriers experienced by midlife and late life African American women. The proposed 5-year study is a collaboration between The Johns Hopkins Center for Health Disparities Solutions (HCHDS), The Gaston & Porter Health Improvement Center, Inc. (GPHIC), the American Institutes for Research (AIR), and Unity Health Care, Inc. (Unity). We propose to determine the impact and cost- effectiveness of the PTSC intervention among low-income African American women with uncontrolled hypertension. To do this, we will randomly assign 600 women between the ages of 40 and 75 who receive their care from Unity to either PTSC (n=300) or a comparison group (n=300) who will receive the PTSC intervention after they have been observed for 15 month. Using data from patient surveys and Unity's administrative records, we will determine if PTSC help low-income African American women effectively manage their blood pressure.