Counseling African Americans to control hypertension (CAATCH) trial: A multi-level intervention to improve blood pressure control in hypertensive blacks

Gbenga Ogedegbe, Jonathan N. Tobin, Senaida Fernandez, William Gerin, Marleny Diaz-Gloster, Andrea Cassells, Chamanara Khalida, Thomas Pickering, Antoinette Schoenthaler, Joseph Ravenell

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Despite strong evidence of effective interventions targeted at blood pressure (BP) control, there is little evidence on the translation of these approaches to routine clinical practice in care of hypertensive blacks. The goal of this study is to evaluate the effectiveness of a multilevel, multicomponent, evidence-based intervention compared with usual care in improving BP control among hypertensive blacks who receive care in community health centers. The primary outcomes are BP control rate at 12 months and maintenance of intervention 1 year after the trial. The secondary outcomes are within-patient change in BP from baseline to 12 months and cost-effectiveness of the intervention. Counseling African Americans to Control Hypertension (CAATCH) is a group randomized clinical trial with 2 conditions: intervention condition and usual care. Thirty community health centers were randomly assigned equally to the intervention condition group (n=15) or the usual care group (n=15). The intervention comprises 3 components targeted at patients (interactive computerized hypertension education, home BP monitoring, and monthly behavioral counseling on lifestyle modification) and 2 components targeted at physicians (monthly case rounds based on Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure guidelines, chart audit and provision of feedback on clinical performance and patients' home BP readings). All outcomes are assessed at quarterly study visits for 1 year. Chart review is conducted at 24 months to evaluate maintenance of intervention effects and sustainability of the intervention. Poor BP control is one of the major reasons for the mortality gap between blacks and whites. Findings from this study, if successful, will provide salient information needed for translation and dissemination of evidence-based interventions targeted at BP control into clinical practice for this high-risk population. (Circ Cardiovasc Qual Outcomes. 2009;2:249-256.)

Original languageEnglish (US)
Pages (from-to)249-256
Number of pages8
JournalCirculation: Cardiovascular Quality and Outcomes
Volume2
Issue number3
DOIs
StatePublished - May 1 2009

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African Americans
Counseling
Blood Pressure
Hypertension
Community Health Centers
Maintenance
Ambulatory Blood Pressure Monitoring
Cost-Benefit Analysis
Life Style
Reading
Randomized Controlled Trials
Guidelines
Physicians
Education
Mortality
Population

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Ogedegbe, Gbenga ; Tobin, Jonathan N. ; Fernandez, Senaida ; Gerin, William ; Diaz-Gloster, Marleny ; Cassells, Andrea ; Khalida, Chamanara ; Pickering, Thomas ; Schoenthaler, Antoinette ; Ravenell, Joseph. / Counseling African Americans to control hypertension (CAATCH) trial : A multi-level intervention to improve blood pressure control in hypertensive blacks. In: Circulation: Cardiovascular Quality and Outcomes. 2009 ; Vol. 2, No. 3. pp. 249-256.
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Ogedegbe, G, Tobin, JN, Fernandez, S, Gerin, W, Diaz-Gloster, M, Cassells, A, Khalida, C, Pickering, T, Schoenthaler, A & Ravenell, J 2009, 'Counseling African Americans to control hypertension (CAATCH) trial: A multi-level intervention to improve blood pressure control in hypertensive blacks', Circulation: Cardiovascular Quality and Outcomes, vol. 2, no. 3, pp. 249-256. https://doi.org/10.1161/CIRCOUTCOMES.109.849976

Counseling African Americans to control hypertension (CAATCH) trial : A multi-level intervention to improve blood pressure control in hypertensive blacks. / Ogedegbe, Gbenga; Tobin, Jonathan N.; Fernandez, Senaida; Gerin, William; Diaz-Gloster, Marleny; Cassells, Andrea; Khalida, Chamanara; Pickering, Thomas; Schoenthaler, Antoinette; Ravenell, Joseph.

In: Circulation: Cardiovascular Quality and Outcomes, Vol. 2, No. 3, 01.05.2009, p. 249-256.

Research output: Contribution to journalArticle

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AU - Ogedegbe, Gbenga

AU - Tobin, Jonathan N.

AU - Fernandez, Senaida

AU - Gerin, William

AU - Diaz-Gloster, Marleny

AU - Cassells, Andrea

AU - Khalida, Chamanara

AU - Pickering, Thomas

AU - Schoenthaler, Antoinette

AU - Ravenell, Joseph

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N2 - Despite strong evidence of effective interventions targeted at blood pressure (BP) control, there is little evidence on the translation of these approaches to routine clinical practice in care of hypertensive blacks. The goal of this study is to evaluate the effectiveness of a multilevel, multicomponent, evidence-based intervention compared with usual care in improving BP control among hypertensive blacks who receive care in community health centers. The primary outcomes are BP control rate at 12 months and maintenance of intervention 1 year after the trial. The secondary outcomes are within-patient change in BP from baseline to 12 months and cost-effectiveness of the intervention. Counseling African Americans to Control Hypertension (CAATCH) is a group randomized clinical trial with 2 conditions: intervention condition and usual care. Thirty community health centers were randomly assigned equally to the intervention condition group (n=15) or the usual care group (n=15). The intervention comprises 3 components targeted at patients (interactive computerized hypertension education, home BP monitoring, and monthly behavioral counseling on lifestyle modification) and 2 components targeted at physicians (monthly case rounds based on Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure guidelines, chart audit and provision of feedback on clinical performance and patients' home BP readings). All outcomes are assessed at quarterly study visits for 1 year. Chart review is conducted at 24 months to evaluate maintenance of intervention effects and sustainability of the intervention. Poor BP control is one of the major reasons for the mortality gap between blacks and whites. Findings from this study, if successful, will provide salient information needed for translation and dissemination of evidence-based interventions targeted at BP control into clinical practice for this high-risk population. (Circ Cardiovasc Qual Outcomes. 2009;2:249-256.)

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