tailieunhanh - báo cáo khoa học: " The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol "

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol | Bosworth et al. Implementation Science 2010 5 54 http content 5 1 54 IMPLEMENTATION SCIENCE Implementation Science STUDY PROTOCOL Open Access The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control The HTN-IMPROVE study protocol 01295 Hayden B Bosworth 1 2 3 Daniel Almirall1 4 Bryan J Weiner5 Mathew Maciejewski1 2 Miriam A Kaufman1 Benjamin J Powers1 2 Eugene Z Oddone1 2 Shoou-Yih D Lee5 Teresa M Damush6 Valerie Smith1 Maren K Olsen1 4 Daren Anderson7 Christianne L Roumie8 Susan Rakley1 Pamela S Del Monte1 Michael E Bowen9 Jeffrey D Kravetz7 and George L Jackson1 2 Abstract Background Despite the impact of hypertension and widely accepted target values for blood pressure BP interventions to improve BP control have had limited success. Objectives We describe the design of a translational study that examines the implementation impact sustainability and cost of an evidence-based nurse-delivered tailored behavioral self-management intervention to improve BP control as it moves from a research context to healthcare delivery. The study addresses four specific aims assess the implementation of an evidence-based behavioral self-management intervention to improve BP levels evaluate the clinical impact of the intervention as it is implemented assess organizational factors associated with the sustainability of the intervention and assess the cost of implementing and sustaining the intervention. Methods The project involves three geographically diverse VA intervention facilities and nine control sites. We first conduct an evaluation of barriers and facilitators for implementing the intervention at intervention sites. We examine the impact of the intervention by comparing 12-month pre post changes in BP control between patients in intervention sites versus patients in the matched control sites. Next we examine the sustainability of the intervention and organizational factors .