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Prev Med Rep. 2018 May 09;11:42-48. doi: 10.1016/j.pmedr.2018.05.002. eCollection 2018 Sep.

A community health worker intervention to improve blood pressure among Filipino Americans with hypertension: A randomized controlled trial.

Preventive medicine reports

Rhodora A Ursua, David E Aguilar, Laura C Wyatt, Chau Trinh-Shevrin, Leonida Gamboa, Pacita Valdellon, Esperanza G Perrella, Mohammad Z Dimaporo, Potrirankamanis Q Nur, S Darius Tandon, Nadia S Islam

Affiliations

  1. Alameda Health Consortium, San Leandro, CA, United States.
  2. Community Collaborative Solutions, LLC, New Providence, NJ, United States.
  3. New York University School of Medicine, Department of Population Health, New York, NY, United States.
  4. Kalusugan Coalition, Inc., Woodside, NY, United States.
  5. New York Life Insurance Company, New York, NY, United States.
  6. Northwestern University Feinberg School of Medicine, Chicago, IL, United States.

PMID: 29984137 PMCID: PMC6030569 DOI: 10.1016/j.pmedr.2018.05.002

Abstract

Behavioral interventions utilizing community health workers (CHWs) have demonstrated effectiveness in improving hypertension disparities in ethnic minority populations in the United States, but few have focused on Asian Americans. We assessed the efficacy of a CHW intervention to improve hypertension management among Filipino Americans with uncontrolled blood pressure (BP) in New York City (NYC) from 2011 to 2013. A total of 240 Filipino American individuals (112 in the treatment group and 128 in the control group) with uncontrolled hypertension (SBP ≥ 140 mmHg and/or DBP ≥ 90 mmHg) were recruited from community-based settings in NYC. Using a community-based participatory research approach, treatment participants received 4 educational workshops and 4 one-on-one visits with CHWs over a 4-month period, while control group participants received 1 educational workshop. Main outcome measures included BP control, changes in SBP and DBP, and changes in appointment keeping at 8-months. At 8-months, BP was controlled among a significantly greater percentage of treatment group participants (83.3%) compared to the control group (42.7%). The adjusted odds of controlled BP for the treatment group was 3.2 times the odds of the control group (

Keywords: Asian Americans; Community health workers; Community-based participatory research; Hypertension; Immigrants; Minority health; Randomized controlled trial

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