1. Outcomes from the AHA Check. Change
Outcomes from the AHA Check.Change.Control Hypertension Initiative in San Antonio
James R. Langabeer II, PhD1; Larissa DeLuna2; Nora Silva, MPA2; Leah T. Meraz3;
Tiffany Champagne-Langabeer, PhD1; Laura Perry Samaniego3
1University of Texas Health Science Center, Houston Texas; 2American Heart Association, San Antonio Texas;
3University Health System, San Antonio Texas
INTRODUCTION
METHODS
RESULTS
Hypertension – one of the most important, modifiable cardiovascular risk factor.
The largest minority ethnic group (Hispanics/Latinos) often have different health outcomes and behavior, making hypertension management more difficult.
AHA’s Check.Change.Control program consists of Fitness and Nutrition Counseling along with Home BP Monitoring
6,725 patients (enrolled)/5,063 (completed) program between July 2016 to December 2017
Intervention consisted of self-engagement in home BP monitoring, fitness and nutritional counseling sessions, and provider coaching and follow-up.
Average patient age = 57 years (±11.7); ; 75% Latino/Hispanic
59% female (41% male)
5 mmHg average systolic BP Reduction (4.95% reduction)
Net increase in Quality of Life scores (+2.5%)
Interventional, Pre-Post design
Community-based hypertension initiative focused primarily on Latinos
3 ambulatory clinics provided geographic distribution across San Antonio Texas
Patient navigators enrolled hypertensive patients (>130 mmHg)
90 day intervention (multiple readings over time)
1st and Last BP readings in the physician’s office
Interim measurements recorded telephonically
RESULTS
SUMMARY
Average Systolic BP Over Times
Pre-Post Outcome Changes (Completed Patients)
Community-based interventions effective at BP reduction in Latino populations
Majority of hypertensive gains in first month of patient enrollment
Patient self-engagement important to overall program success
Measure
Baseline (Pre)
Post
p-value
Systolic BP
137.1
132.0
p<.001
Quality of Life (EQ-5D VAS)
.80
.82
REFERENCE
Geospatial Analysis of Study Participants (San Antonio)
Shah BR, Thomas KL, Elliot-Bynum S, et al (2013). Check it, change it: a community-based intervention to improve blood pressure control. Circ Cardiovasc Qual Outcomes, 6(6):
CONTACT
ACKNOWLEDGEMENTS
James Langabeer, PhD
Professor of Informatics and Emergency Medicine
University of Texas Health Science Center
We appreciate the generous support of the Max and Minnie Tomerlin Voelcker Fund