Community Health Workers as Key Allies in the Global Battle Against Hypertension: Current Roles and Future Possibilities

Brook, Robert D.; Levy, Phillip D.; Brook, Alec J; Opara, Ijeoma Nnodim

doi:10.1161/circoutcomes.123.009900

Cited by 4 publications

(2 citation statements)

References 9 publications

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“…Though it is unlikely that every clinical trial research team can be entirely racially concordant with Black participants, the intention to engage and communicate in a culturally humble manner that acknowledges an individual's perspectives and shares power may be an avenue to overcome participant apprehension [47]. To better facilitate this, researchers may consider the addition of concordant "patient navigators" or "community health workers" to their teams [48]. In a 2016 study examining the retention of Black Americans in cancer clinical trials, researchers found that the use of these navigators, who explain the trial in clear detail, keep participants updated, and customize support measures for them, increased retention among Black Americans [49].…”

Section: Discussionmentioning

confidence: 99%

More than Just a Number: Perspectives from Black Male Participants on Community-Based Interventions and Clinical Trials to Address Cardiovascular Health Disparities

Metlock,

Addison,

McKoy

et al. 2024

IJERPH

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Background: Black Americans remain significantly underrepresented and understudied in research. Community-based interventions have been increasingly recognized as an effective model for reckoning with clinical trial participation challenges amongst underrepresented groups, yet a paucity of studies implement this approach. The present study sought to gain insight into Black male participants’ perception of clinical trials before and after participating in a community-based team lifestyle intervention in the United States. Methods: Black Impact, a 24-week community-based lifestyle intervention, applied the American Heart Association’s Life’s Simple 7 (LS7) framework to assess changes in the cardiovascular health of seventy-four Black male participants partaking in weekly team-based physical activities and LS7-themed education and having their social needs addressed. A subset of twenty participants completed an exit survey via one of three semi-structured focus groups aimed at understanding the feasibility of interventions, including their perceptions of participating in clinical trials. Data were transcribed verbatim and analyzed using a content analysis, which involved systematically identifying, coding, categorizing, and interpreting the primary patterns of the data. Results: The participants reported a positive change in their perceptions of clinical trials based on their experience with a community-based lifestyle intervention. Three prominent themes regarding their perceptions of clinical trials prior to the intervention were as follows: (1) History of medical abuse; (2) Lack of diversity amongst research teams and participants; and (3) A positive experience with racially concordant research teams. Three themes noted to influence changes in their perception of clinical trials based on their participation in Black Impact were as follows: (1) Building trust with the research team; (2) Increasing awareness about clinical trials; and (3) Motivating participation through community engagement efforts. Conclusions: Improved perceptions of participating in clinical trials were achieved after participation in a community-based intervention. This intervention may provide a framework by which to facilitate clinical trial participation among Black men, which must be made a priority so that Black men are “more than just a number” and no longer “receiving the short end of the stick”.

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Section: Discussionmentioning

confidence: 99%

More than Just a Number: Perspectives from Black Male Participants on Community-Based Interventions and Clinical Trials to Address Cardiovascular Health Disparities

Metlock,

Addison,

McKoy

et al. 2024

IJERPH

View full text Add to dashboard Cite

show abstract

“…Given the widespread shortage of PCPs and the promising role of CHWs in hypertension management, we believe that the PAL 2 template (with or without coupling to pharmacist‐directed medical care) will pave the way for a more efficacious and cost‐effective alternative care model for hypertension. 8 , 9 Project 3 aims to control CVD risk factors in socially vulnerable Black patients living across Cleveland OH using CHWs and team‐based care and a personalized care plan based upon free‐of‐charge coronary artery calcium screening. Finally, project 4 focuses on reducing the high burden of recurrent admissions for heart failure over 30–90 days by decreasing exposure to fine particulate matter air pollution using portable air cleaners among patients recently discharged from Henry Ford Hospital in Detroit.…”

Section: Introductionmentioning

confidence: 99%

Origins of a novel mobile health unit program to prevent cardiovascular disease in vulnerable communities

Twiner,

Akcasu,

Foster

et al. 2024

J of Clinical Hypertension

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Hypertension Management to Reduce Racial/Ethnic Disparities: Clinical and Community-Based Interventions

Turkson-Ocran,

Ogungbe,

Botchway

et al. 2024

Curr Cardiovasc Risk Rep

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Community Health Workers as Key Allies in the Global Battle Against Hypertension: Current Roles and Future Possibilities

Cited by 4 publications

References 9 publications

More than Just a Number: Perspectives from Black Male Participants on Community-Based Interventions and Clinical Trials to Address Cardiovascular Health Disparities

More than Just a Number: Perspectives from Black Male Participants on Community-Based Interventions and Clinical Trials to Address Cardiovascular Health Disparities

Origins of a novel mobile health unit program to prevent cardiovascular disease in vulnerable communities

Hypertension Management to Reduce Racial/Ethnic Disparities: Clinical and Community-Based Interventions

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