社区卫生工作者干预措施改善在纽约和新泽西的菲律宾裔美国人的高血压管理：一项试点研究。
A community health worker intervention to improve management of hypertension among Filipino Americans in New York and New Jersey: a pilot study.
出版信息
Ethn Dis. 2014 Winter;24(1):67-76.
OBJECTIVE
The purpose of the pilot study was to assess the feasibility and efficacy of a 4-month community health worker (CHW) intervention to improve hypertension management among Filipino immigrants in New York and New Jersey.
DESIGN
Single-arm CHW pilot intervention using a pre-post design delivered by 5 CHWs.
SETTING
New York City, NY and Jersey City, NJ.
PARTICIPANTS
Of 88 Filipino individuals recruited for the study, 39 received the full pilot intervention, 18 received a partial intervention, and 31 dropped out; 13 Filipino participants, 10 CHW Trainers, and 3 Filipino CHWs were interviewed for qualitative analysis.
INTERVENTION
Individuals participated in 4 workshops related to hypertension management and cardiovascular disease (CVD) risk factors and received monthly in-person visits, and twice monthly phone calls individually from a CHW.
MAIN OUTCOME MEASURES
Primary outcomes included blood pressure (BP) reduction and control, appointment keeping, and medication adherence; secondary outcomes included weight, body mass index (BMI), self-efficacy related to diet, exercise, and medication taking, CVD knowledge, and nutrition (salt/ sodium and cholesterol/fat).
RESULTS
A mixed method analysis was used to assess the intervention, utilizing quantitative and qualitative methods. By the end of the intervention, significant changes were exhibited for systolic and diastolic BP, weight, and BMI (P<.01). Significant changes were not seen for medication adherence and appointment keeping, however, CVD knowledge and self-efficacy related to diet and weight management all improved significantly (P<.01). Qualitative findings provided additional information on the acceptability, feasibility, and efficacy of the intervention.
CONCLUSIONS
This pilot CHW intervention showed evidence of feasibility, as well as efficacy, in improving hypertension management and reducing CVD factors in Filipino Americans.
目的
本研究旨在评估社区卫生工作者（CHW）干预 4 个月以改善纽约和新泽西州菲律宾移民高血压管理的可行性和疗效。
设计
采用 5 名 CHW 实施的单臂 CHW 试点干预，采用前后设计。
地点
纽约市，NY 和泽西城，NJ。
参与者
在招募的 88 名菲律宾人中，有 39 名接受了完整的试点干预，18 名接受了部分干预，31 名退出；13 名菲律宾参与者、10 名 CHW 培训师和 3 名菲律宾 CHW 接受了定性分析访谈。
干预
个体参加了 4 次与高血压管理和心血管疾病（CVD）危险因素相关的讲习班，并接受了每月的面对面访问和每月两次由 CHW 进行的个人电话访问。
主要结局测量
主要结局包括血压（BP）降低和控制、定期就诊和药物依从性；次要结局包括体重、体重指数（BMI）、与饮食、运动和服药相关的自我效能、CVD 知识和营养（盐/钠和胆固醇/脂肪）。
结果
采用混合方法分析评估了干预措施，利用定量和定性方法。干预结束时，收缩压和舒张压、体重和 BMI 均有显著变化（P<.01）。药物依从性和定期就诊无显著变化，但 CVD 知识和与饮食和体重管理相关的自我效能均有显著改善（P<.01）。定性发现提供了干预措施的可接受性、可行性和疗效的额外信息。
结论
该试点 CHW 干预措施显示出在改善菲律宾裔美国人高血压管理和降低 CVD 因素方面具有可行性和疗效。
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