Hypertension identification via emergency responders: A randomized controlled intervention study

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• 作者：Hendrika Meischke ; Brooke R. Ike ; Carol Fahrenbruch ; Alan Kuniyuki ; Peggy Hannon ; Malcolm R. Parks ; Mark Foreh ; Marcia Weaver ; Jeffrey R. Harris
• 关键词：Health Services Research ; Public Health ; Hypertension ; Emergency Medical Services ; Randomized Controlled Trial ; Health Behavior
• 刊名：Preventive Medicine
• 出版年：December, 2013
• 年：2013
• 卷：57
• 期：6
• 页码：914-919
• 全文大小：210 K

文摘

Objective

The objective was to test the effectiveness of a mail campaign that included blood pressure (BP) measurements from patients treated by emergency medical technicians (EMTs) to motivate them to (re)check their BP at a fire station. The mailing used a 2 脳 2 research design tailoring on risk and source personalization.

Method

In this randomized controlled trial, participants were randomized into a control group or one of four experimental groups. Participants residing in one of four fire departments in a Pacific Northwest metropolitan area were eligible if they had a systolic BP 鈮?#xA0;160 mm Hg and/or diastolic BP 鈮?#xA0;100 mm Hg when seen by EMTs during the study period (July 2007-September 2009).

Results

Of 7106 eligible participants, 40.7% were reached for a follow-up interview. Multivariable logistic regression analysis showed that although the absolute number of fire station BP checks was low (4%), participants who received any mailed intervention had a 3 to 5-fold increase in the odds of reporting a fire station BP check over controls. Fire station visits did not differ by type of tailored mailing.

Conclusion

Partnering with Emergency Medical Services is an innovative way to identify high-risk community members for population health interventions.