Wald Outreach for Wellness: Blood Pressure Outreach

Study Overview
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Brief Summary
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The Wald Outreach Center will partner with Medicine for the Greater Good (MGG) to implement this pilot project called Wald Outreach for Wellness (WOW), a blood pressure outreach wellness intervention in a retail setting.

Detailed Description
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WOW aims to provide community members with a digital blood pressure monitor, health education, and health care navigation as practical strategies to improve community members' management of pre-hypertension, and to reduce associated burdens and risks related to hypertension health disparities. This approach to reaching populations who use retail settings has the potential to implement a health promotion and wellness strategy aimed at populations with increased risk for hypertension related health disparities. The outreach strategy is aimed at reaching community members where community members gather for health care, provide the community members with practical, low-cost strategies for promoting health and wellness, increase community members' knowledge in hypertension management, help the community members navigate health care options and get the community members engaged in a medical home thereby reducing the burdens of hypertension health disparities. This research is important to continue to assess the best ways to reach and reduce hypertension health disparities in underserved communities with limited access to health care.

Official Title
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Wald Outreach for Wellness

Conditions
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Pre-hypertension, Hypertension

Intervention / Treatment
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* Behavioral: WOW Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Community residents who participate in Day at the Market Adult individuals 18 years and older whose recorded BP reading is within the pre-hypertensive range 120-139 systolic; 80-89 diastolic Able to read and understand English Exclusion Criteria: 17 years or younger BP reading above pre-hypertensive range Unable to read and understand English

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Interventional Model Description: quasi-experimental non-randomized
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: WOW Intervention<br>Participants will receive blood pressure monitor and health passport to record blood pressure readings for 3 months. Participants will receive daily text message reminders to take and record blood pressure readings. Participants will receive health education and health care navigation. Participants will be assessed for social determinants of health. Participants will take surveys 3 times over 3 months. Participants will receive home visits or phone calls to collect data and receive health coaching. | Behavioral: WOW Intervention<br>* Health education and coaching, health care navigation,<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in actions to control hypertension as assessed by the Behavioral Risk Factor Surveillance System Module 7 | Change in yes/no answers assessed by Behavioral Risk Factor Surveillance System (BRFSS) Module 7. 10 questions graded by yes/no response. | Assessed at baseline, 6 weeks and 12 weeks | 
| Change in blood pressure | Change in blood pressure (BP) measured in mmHg. | Assessed at baseline and every 2 weeks, up to 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in usage of BP monitor | Change in usage of blood pressure monitor assessed by number of BP readings done by participants. | Assessed at baseline and every 2 weeks, up to 3 months | 
| Change in knowledge of the signs and symptoms of a heart attack and stroke as assessed by BRFSS Module 8 | Change in knowledge (yes/no responses) of signs and symptoms of stroke/heart attack as assessed by BRFSS Module 8. 13 Questions graded by yes/no. | Assessed at baseline, 6 weeks and 12 weeks | 
| Change in engagement with healthcare provider as assessed by BRFSS Section 3 | Change in engagement with healthcare provider/medical home as assessed by BRFSS Section 3. 3 questions graded by yes/no. | Assessed at baseline, 6 weeks and 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Health Disparities, Outreach, Health Behavior, Under-served communities