Community Partnership to Examine Racial and Ethnic Differences in Health Care for Hypertension and Diabetes (CHAMPP)
|Hypertension Diabetes Mellitis||Behavioral: Medical Practice Improvement Behavioral: Patient Education and Support Other: Combination Intervention to Include Medical Practice Improvement and Patient Education and Support|
|Study Design:||Allocation: Non-Randomized
Intervention Model: Factorial Assignment
Masking: Open Label
Primary Purpose: Health Services Research
|Official Title:||Community, Health Center, and Academic Medicine Partnership Project (CHAMPP)|
- Potential outcomes for the future intervention include systolic blood pressure, diastolic blood pressure, and hemoglobin A1c [ Time Frame: Measured from June to August 2008 ]
|Study Start Date:||October 2009|
|Study Completion Date:||May 2010|
|Primary Completion Date:||May 2010 (Final data collection date for primary outcome measure)|
Active Comparator: A
Behavioral: Patient Education and Support
The details for the patient education and support intervention will be decided at a later date.
Active Comparator: B
Health center-based intervention
Behavioral: Medical Practice Improvement
The details for the medical practice improvement intervention will be decided at a later date.
Active Comparator: C
Combination of patient and health center-based intervention
Other: 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.
No Intervention: D
Control group: Neither patient-based nor center-based intervention
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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00379652
|United States, Massachusetts|
|Harvard Medical School|
|Boston, Massachusetts, United States, 02115|
|Center for Community Health Education, Research, and Service|
|Boston, Massachusetts, United States, 02118|
|Principal Investigator:||LeRoi S. Hicks, MD, MPH||Harvard Medical School|
|Study Director:||Thomas Keegan, PhD||Harvard Medical School|