Related Experiment Video

Updated: Aug 11, 2026

A Community-based Stress Management Program: Using Wearable Devices to Assess Whole Body Physiological Responses in Non-laboratory Settings
10:45

A Community-based Stress Management Program: Using Wearable Devices to Assess Whole Body Physiological Responses in Non-laboratory Settings

Published on: January 22, 2018

A hypertension control program based on the workplace. Report on the Chicago Center

R Stamler, F C Gosch, J Stamler

    Journal of Occupational Medicine. : Official Publication of the Industrial Medical Association
    |September 1, 1978
    PubMed

    Insights

    Workplace screening identified many individuals with high blood pressure. The Hypertension Detection and Follow-Up Program (HDFP) demonstrated that a supported, multi-faceted approach effectively controls hypertension in employees.

    Area of Science:

    • Public Health
    • Cardiovascular Medicine
    • Occupational Health

    Background:

    • Hypertension is a significant public health concern, necessitating effective screening and management strategies.
    • Identifying and treating hypertension in occupational settings can improve population health outcomes.
    • The Hypertension Detection and Follow-Up Program (HDFP) aimed to assess workplace-based hypertension control.

    Purpose of the Study:

    • To evaluate the efficacy of workplace-based hypertension screening and intervention.
    • To assess the adherence and outcomes of a pharmacologic hypertension treatment regimen.
    • To determine the feasibility of using workplace settings for hypertension control.

    Main Methods:

    • Screening of 7,151 individuals in Chicago companies identified 833 suspect hypertensives.
    • 513 individuals had confirmed high diastolic pressure; half were referred to physicians, half to the HDFP.
    • HDFP utilized a step-wise pharmacologic regimen with a multidisciplinary team to maximize adherence.

    Main Results:

    • 94% of those assigned to HDFP accepted treatment, with over 90% active at one year.
    • Average diastolic pressure decreased from 102.6 mm Hg at screening to 83.1 mm Hg at one year.
    • Efforts to mitigate treatment barriers (cost, convenience, understanding) improved program adherence.

    Conclusions:

    • The workplace is a viable and effective setting for hypertension screening and control.
    • A comprehensive, supportive treatment program significantly improves hypertension management.
    • Multidisciplinary teams and outreach efforts enhance patient adherence to long-term therapy.

    More Related Videos

    Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis07:51

    Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis

    Published on: September 26, 2018

    Multidisciplinary Approach to Obesity Management: A Case Report05:10

    Multidisciplinary Approach to Obesity Management: A Case Report

    Published on: May 30, 2025

    Related Concept Videos

    Errors occurring during blood pressure monitoring01:25

    Errors occurring during blood pressure monitoring

    Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
    Several factors...
    Assessment of blood pressure in brachial artery(one-step method)01:15

    Assessment of blood pressure in brachial artery(one-step method)

    This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
    Prepare for the Procedure:
    Hypertension and Regulation of Blood Pressure01:18

    Hypertension and Regulation of Blood Pressure

    Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
    Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

    Hypertension III: Clinical Manifestations and Diagnostic Studies

    Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
    Hypertension IV: Drug Therapy and Lifestyle Modifications01:28

    Hypertension IV: Drug Therapy and Lifestyle Modifications

    Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
    Hypertension V: Nursing Management01:23

    Hypertension V: Nursing Management

    The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.