PTSC: Improving Hypertension Control among Poor Midlife African American Women

 描述(由申请者提供)：非裔美国女性罹患失控高血压的比率高于非西班牙裔白人女性。黄金时段姐妹圈(R)(PTSC)通过促进有效使用预防性保健、鼓励自我监测血压以及教授管理压力、增加体力活动和改善营养的策略，使妇女能够主动控制她们的血压。这项为期12周的社区整体生活方式干预旨在通过改善健康知识、健康功效和健康行为来改善血压控制。PTSC可能会通过预防、更早发现高血压以及通过文化定制计划解决中老年非裔美国女性遇到的特定障碍来改善高血压的管理，从而潜在地降低医疗保健成本。这项拟议的为期5年的研究是约翰·霍普金斯健康差异解决方案中心(HCHDS)、加斯顿和波特健康改善中心(GPHIC)、美国研究所(AIR)和联合健康护理公司(Unity)之间的合作。我们建议确定PTSC干预对患有未控制高血压的低收入非裔美国女性的影响和成本效益。为此，我们将600名年龄在40岁至75岁之间的妇女随机分配到PTSC(n=300)或对照组(n=300)，她们在观察15个月后将接受PTSC干预。利用患者调查和Unity的行政记录，我们将确定PTSC是否帮助低收入的非裔美国女性有效地控制她们的血压。

 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.