Community Partnership to Examine Racial and Ethnic Differences in Health Care for Hypertension and Diabetes

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1204 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2010-05-31

Brief Summary

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Hypertension and diabetes are among the most common chronic diseases in the United States. Racial and ethnic minority groups are more at risk for these diseases than the Caucasian population. This study will attempt to identify factors that contribute to racial and ethnic differences in hypertension and diabetes care among minority patients of community health centers (CHCs). This information will be used to design and implement programs to improve quality of care in these communities.

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Detailed Description

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Hypertension and diabetes are the primary contributors to today's high rates of heart disease and stroke, which are the first and third leading causes of death in the United States, respectively. African Americans and Hispanics have a higher risk of developing hypertension and diabetes than do Caucasians. They are also less likely to know that they have high blood pressure, are more prone to organ damage, and are more likely to die as a result of these chronic conditions. A significant number of African Americans and Hispanics are uninsured and receive care through publicly supported CHCs. It is important to identify factors that contribute to healthcare differences among the lower income, uninsured, and minority populations that are typically served by CHCs. In this study, a collaborative partnership will be developed between CHCs, health service research organizations, and academic researchers. The goal of the study is to examine the barriers that minority CHC patients face in receiving appropriate hypertension and diabetes care.

This study will develop a collaborative partnership between various health organizations and seven CHCs located in Boston neighborhoods that have a large percentage of African American and Hispanic residents. Researchers will conduct focus groups with CHC patients who are receiving care for hypertension or diabetes. CHC staff members will be interviewed to collect information regarding the relationship between CHC organizational structure and disparities in heart disease risk factors among minority patients with hypertension or diabetes. Researchers will then develop, implement, and evaluate a patient- and CHC-focused intervention aimed at reducing the cardiovascular risks of minority patients at four CHCs in Boston.

Conditions

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Hypertension Diabetes Mellitis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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A

Patient-based intervention

Group Type ACTIVE_COMPARATOR

Patient Education and Support

Intervention Type BEHAVIORAL

The details for the patient education and support intervention will be decided at a later date.

B

Health center-based intervention

Group Type ACTIVE_COMPARATOR

Medical Practice Improvement

Intervention Type BEHAVIORAL

The details for the medical practice improvement intervention will be decided at a later date.

C

Combination of patient and health center-based intervention

Group Type ACTIVE_COMPARATOR

Combination Intervention to Include Medical Practice Improvement and Patient Education and Support

Intervention Type OTHER

The details for this combination intervention will be decided at a later date.

D

Control group: Neither patient-based nor center-based intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Medical Practice Improvement

The details for the medical practice improvement intervention will be decided at a later date.

Intervention Type BEHAVIORAL

Patient Education and Support

The details for the patient education and support intervention will be decided at a later date.

Intervention Type BEHAVIORAL

Combination Intervention to Include Medical Practice Improvement and Patient Education and Support

The details for this combination intervention will be decided at a later date.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diabetes
* Hypertension, as diagnosed by the average of two or more blood pressure measurements taken during two or more study visits following an initial screening
* Race is 'Black' or ethnicity is 'Hispanic'
* Patient at participating Community Health Center

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No