芝加哥减少心血管疾病的社区干预 (CIRCL-芝加哥):采用并行集群随机试验设计的3型混合疗效实施研究的协议
Justin D Smith1, Allison J Carroll2, Yacob G Tedla3
1Spencer Fox Eccles School of Medicine at the University of Utah, Salt Lake City, UT, USA. jd.smith@hsc.utah.edu.
Implementation science : IS
|May 5, 2025
概括
社区卫生计划有望改善非裔美国人和黑人成年人的高血压控制. 这项研究测试了芝加哥社区适应的干预措施,以减少心血管差异.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 心血管疾病研究研究
背景情况:
- 高血压不成比例地影响美国的非洲裔美国人和黑人 (AA / B) 成年人,控制率停滞不前,导致健康差异.
- 贫困和医疗保健不信任等系统性障碍阻碍了AA/B社区的高血压有效管理.
- 基于社区的干预措施,特别是那些涉及基于信仰的组织的干预措施,为改善血压控制提供了一个有希望的策略.
研究的目的:
- 为了测试一个社区适应的高血压控制计划在芝加哥南侧卫生中心的有效性.
- 通过整合临床和社区基础的方法来解决心血管健康差异.
- 提高基于证据的高血压干预措施在不同城市环境中的覆盖范围和有效性.
主要方法:
- 一项采用集群随机试验的3型混合疗效实施研究,涉及16家诊所.
- 实施适应社区的高血压控制包,有或没有实践便利.
- 招募5,760名参与者参加社区高血压注册,主要结果是干预达到,次要结果是12个月血压控制.
主要成果:
- 这项研究旨在衡量适应凯撒捆绑干预在符合条件的患者中的影响力.
- 血压控制率将在入学后12个月被评估为次要结果.
- 该研究将评估实践便利化的有效性,作为支持实施的战略.
结论:
- 这项CIRCL-芝加哥研究旨在减少AA/B成年人心血管健康差异.
- 结果可能会为各种城市社区的高血压控制提供可扩展模型.
- 整合社区参与和临床策略可以改善高血压管理.
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