Asian American Partnerships in Research and Empowerment (AsPIRE)
Condition: Hypertensive Heart Disease; Hypertension
MeSH terms: Hypertension; Heart Diseases
Study type: Interventional

Summary: 
      The proposed intervention is part of a multi-year year grant awarded to the NYU Center for
      the Study of Asian American Health by to the National Institutes of Health/National Center
      for Minority Health and Health Disparities (NIH/NCMHD). The funding mechanism is specifically
      the NCMHD Community-Based Participatory Research (CBPR) Initiative in Reducing and
      Eliminating Health Disparities: Intervention Research Phase (R24).

      The objective of this study is to implement and assess the efficacy of a Community Health
      worker (CHW) intervention to improve hypertension management and access to care among
      Filipino Americans living in New York and New Jersey. It is believed that when compared to
      individuals receiving the less intensive CHW intervention, Filipino Americans receiving the
      more intensive CHW intervention will:

      H1: Exhibit greater compliance with appointment keeping. H2: Exhibit greater compliance with
      medication taking H3: Show greater reductions in mean systolic and mean diastolic blood
      pressure. H4: Be more likely to exhibit controlled blood pressure
    

Detailed description: 
      Filipino Americans exhibit high rates of hypertension and are therefore at high risk for
      cardiovascular disease and stroke. However, few interventions have been developed and
      implemented for this population to address these concerns. A CHW intervention, developed with
      community input to ensure its cultural and linguistic appropriateness, has the potential to
      prevent cardiovascular disease and stroke by helping Filipino Americans control their blood
      pressure. This study has the overall goal of improving health access and cardiovascular
      health status, particularly hypertension, in the Filipino American community living in New
      York City and New Jersey through the use of Community Health Workers (CHW).
    

Intervention name(s): More intensive CHW Intervention; Less Intensive CHW Intervention
Intervention type(s): Behavioral; Behavioral
Intervention description(s): Group A participants will attend 4 monthly 90 minute group health education sessions that provide the tools and strategies to promote heart health to Filipino American individuals, families, and communities on high blood pressure and CVD. The CHWs will lead these sessions utilizing NHLBI's Healthy Heart Healthy Family, A CHW's Manual for the Filipino Community. Each of the group health education sessions will discuss different content related to CVD, hypertension, and other CVD risk factors. The first session focuses on assessing heart disease risk and recognition of heart attack signs. The second session focuses on physical activity and weight management and blood pressure control. The third session addresses control of cholesterol, and diabetes. The final 4th session teaches participants about nutrition and living smoke free.; Individuals randomized to the less intensive CHW intervention will have the baseline, 4 month, and 8 month interviews and blood pressure measurements will be collected in those succeeding time points. Participants will also receive a 30 minute one on one session from the CHW and a referral to a physician if needed.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: Hypertensive; Hypertension; Filipino