Take the Pressure Off, NYC!
Condition: Hypertension
MeSH terms: Hypertension
Study type: Observational

Summary: 
      Briefly, a trained barbershop navigator will work with each barbershop to measure blood
      pressure on each adult customer who agrees, and to provide culturally-targeted education
      about high blood pressure and its consequences, and motivational interviewing-informed
      counseling about therapeutic lifestyle changes. For customers found to have high blood
      pressure, the navigator will also provide referral and navigation to a medical provider and,
      as appropriate, a local pharmacy.
    

Detailed description: 
      This program will be patterned after barbershop-based blood pressure programs that have
      demonstrated efficacy in achieving lower blood pressure and improved hypertension control
      rates among Black men with high blood pressure. This program will reach 10-12 barbershops per
      year, working with 2-3 barbershops each quarter. Briefly, a trained barbershop navigator will
      work with each barbershop t o measure blood pressure on each adult customer who agrees, and
      to provide culturally-targeted education about high blood pressure and its consequences, and
      motivational interviewing-informed counseling about therapeutic lifestyle changes. For
      customers found to have high blood pressure, the navigator will also provide referral and
      navigation to a medical provider and, as appropriate, a local pharmacy. At all recruitment
      events, all study team members and potential participants must wear masks and practice social
      distancing when appropriate. Participants who do not have face masks should be offered masks
      for continued outreach participation. Study team members will also wear gloves and have hand
      sanitizer visible. When available, staff should wash hands frequently with soap and water. If
      this option is not available, staff should frequently use hand sanitizer.
    

Intervention name(s): blood pressure
Intervention type(s): Diagnostic Test
Intervention description(s): The Welch Allyn ABPM 7100 is an easy-to-use 24-hour ambulatory blood pressure monitor that is designed to help avoid the effects of white coat hypertension, provide accurate sleep blood pressure readings, and tailor drug therapy regimes to your individual patient's needs.
This device is programmed to take three BP readings a minute apart. To be eligible, participants must have an average SBP > 135 mm Hg or DBP > 85 mmHg (based on the average of 3 BP readings); or average SBP > 130 mm Hg or DBP > 80 mm hg (for those with diabetes or kidney disease) based on JNC-7 criteria for uncontrolled HTN.
Other intervention name(s): ABPM 7100 Ambulatory Blood Pressure Monitor
Observational model: Other
Time perspective: Prospective
Sampling method: Non-Probability Sample
Study population: 
        This study is limited to men. Because the goal of this study is to reduce the racial
        disparities in hypertension-related outcomes between minority ethnic/racial groups and
        whites, the participants in this study will be self-identified as African American or Black