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Sustainability of blood pressure reduction in black barbershops

Ciantel A Blyler1, Florian Rader

  • 1Smidt Heart Institute at Cedars-Sinai Medical Center, Los Angeles, California, USA.

Current Opinion in Cardiology
|August 20, 2019
PubMed

Insights

Hypertension control improved in Black men through a community-based program involving pharmacists and barbers. This barbershop intervention demonstrated sustained blood pressure reduction, addressing critical health disparities.

Area of Science:

  • Cardiovascular Health
  • Health Disparities
  • Community-Based Interventions

Background:

  • Hypertension (HTN) prevalence is highest among non-Hispanic Black individuals, with lower treatment and control rates in men.
  • Existing healthcare models show limited success in addressing these disparities.
  • Community-based outreach is essential for improving blood pressure (BP) management in this demographic.

Purpose of the Study:

  • To review the Los Angeles Barbershop Blood Pressure Study (LABBPS).
  • To evaluate a community-based, multidisciplinary approach to improve hypertension control among Black men.
  • To assess the efficacy and sustainability of a pharmacist-led intervention.

Main Methods:

  • LABBPS was a cluster-randomized trial involving pharmacists, physicians, and barbers.
  • Barbers promoted patient follow-up with pharmacists prescribing antihypertensive therapy.
  • Collaborative practice agreements were established with primary care providers.

Main Results:

  • The intervention group achieved a significantly greater systolic blood pressure (SBP) fall (21 mmHg) compared to the control group.
  • BP reductions were sustained over a 6-month extension phase with reduced pharmacist contact.
  • This community-based model demonstrated effectiveness in improving BP control.

Conclusions:

  • Multidisciplinary, community-based approaches are effective for hypertension management.
  • The LABBPS model offers a viable strategy to address BP control disparities in Black men.
  • Community partnerships can enhance healthcare accessibility and outcomes.
Abstract

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