Community Health Workers Using Patient Stories to Support Hypertension Managemen

心血管疾病是所有生活在美国的人的主要死亡原因，高血压（HTN）是一个很强的风险因素。不受控制的HTN在黑人，西班牙裔和穷人中更有可能。我们需要新的干预措施来改善HTN控制和缩小持续的种族/民族差距。 社区卫生工作者（CHW）代表他们所服务的患者群体的语言，文化和社会状况。虽然有巨大的潜力，CHW，以帮助患者坚持慢性病自我管理方案，这种潜力尚未完全实现。该项目构建 我们先前的研究表明，社区卫生中心的CHW可以直接与糖尿病患者合作，以改善饮食，运动和药物依从性的自我管理目标设置。更具体地说，我们将在CHW的医疗设备中集成一个新的强大的行为改变工具： 讲故事

Cardiovascular disease is the leading cause of death for all persons living in the United States, and hypertension (HTN) is a strong risk factor. Uncontrolled HTN is more likely among Blacks, Hispanics, and the poor. We need new interventions to improve HTN control and narrow persistent racial/ethnic gaps. Community health workers (CHWs) represent patient groups they serve in terms of language, culture, and social situation. While there is tremendous potential for CHWs to assist patients with adherence to chronic disease self-management regimens, this potential has yet to been fully realized. This project builds on our prior research demonstrating that CHWs in community health centers can work directly with people with diabetes to improve self-management goal setting for diet, exercise, and medication adherence. More specifically, we will integrate a new and powerful behavior-change tool in the CHWs' armamentarium: storytelling by