Johnson Heather M, LaMantia Jamie N, Brown Colleen M, Warner Ryan C, Zeller Laura M, Haggart Ryan C, Stonewall Keven, Lauver Diane R
Department of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, United States.
Health Innovation Program, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, United States.
JMIR Cardio. 2017 Jul-Dec;1(2). doi: 10.2196/cardio.8025. Epub 2017 Sep 17.
Young adults (18 to 39 years old) with hypertension have the lowest rates of blood pressure control (defined as blood pressure less than 140/90 mmHg) compared to other adult age groups. Approximately 1 in 15 young adults have high blood pressure, increasing their risk of future heart attack, stroke, congestive heart failure, and/or chronic kidney disease. Many young adults reported having few resources to address their needs for health education on managing cardiovascular risk.
The goal of our study was to develop and disseminate a website with evidence-based, clinical information and health behavior resources tailored to young adults with hypertension.
In collaboration with young adults, health systems, and community stakeholders, the My Hypertension Education and Reaching Target (MyHEART) website was created. A toolkit was also developed for clinicians and healthcare systems to disseminate the website within their organizations. The dissemination plan was guided by the Dissemination Planning Tool of the Agency for Healthcare Research and Quality (AHRQ).
Google Analytics data were acquired for January 1, 2017 to June 29, 2017. The MyHEART website received 1090 visits with 2130 page views; 18.99% (207/1090) were returning visitors. The majority (55.96%, 610/1090) approached the website through organic searches, 34.95% (381/1090) accessed the MyHEART website directly, and 5.96% (65/1090) approached through referrals from other sites. There was a spike in site visits around times of increased efforts to disseminate the website.
The successfully implemented MyHEART website and toolkit reflect collaborative input from community and healthcare stakeholders to provide evidence-based, portable hypertension education to a hard-to-reach population. The MyHEART website and toolkit can support healthcare providers' education and counseling with young adults and organizations' hypertension population health goals.
与其他成年年龄组相比，患有高血压的年轻人（18至39岁）血压控制率（定义为血压低于140/90 mmHg）最低。约每15名年轻人中就有1人患有高血压，这增加了他们未来患心脏病发作、中风、充血性心力衰竭和/或慢性肾病的风险。许多年轻人表示，他们几乎没有资源来满足其对心血管疾病风险管理健康教育的需求。
我们研究的目标是开发并传播一个网站，该网站提供针对患有高血压的年轻人的循证临床信息和健康行为资源。
与年轻人、卫生系统及社区利益相关者合作，创建了“我的高血压教育与达标”（MyHEART）网站。还为临床医生和卫生系统开发了一个工具包，以便在其组织内传播该网站。传播计划以医疗保健研究与质量局（AHRQ）的传播规划工具为指导。
获取了2017年1月1日至2017年6月29日的谷歌分析数据。MyHEART网站有1090次访问，2130次页面浏览量；18.99%（207/1090）为回访用户。大多数（55.96%，610/1090）通过自然搜索访问该网站，34.95%（381/1090）直接访问MyHEART网站，5.96%（65/1090）通过其他网站的推荐访问。在加大网站传播力度期间，网站访问量出现了峰值。
成功实施的MyHEART网站和工具包反映了社区和医疗保健利益相关者的共同意见，为难以接触到的人群提供了循证的、便于携带的高血压教育。MyHEART网站和工具包可支持医疗保健提供者对年轻人进行教育和咨询，以及实现各组织的高血压人群健康目标。
