Department of Health Promotion and Behavioral Sciences, School of Public Health, University of Texas Health Science Center at Houston, 7000 Fannin, Suite 2558, Houston, TX, 77030, USA.
Center for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA.
BMC Health Serv Res. 2024 Sep 20;24(1):1105. doi: 10.1186/s12913-024-11485-z.
Hypertension is one of the most prevalent chronic diseases in the United States and can increase a person's risk of stroke and other cardiovascular complications. Yet only 1 in 4 people with high blood pressure in the United States have their blood pressure managed. To improve hypertension control, we supported 9 health centers in Texas with the implementation of the Healthy Heart Ambassador Blood Pressure Self-Monitoring (HHA) Program.
We provided health center training using the HHA Program Facilitation Training Guide, recorded barriers to implementing the HHA program, and employed strategies to overcome those barriers.
There were 68 staff members from the health centers trained to deliver the HHA program. Three health centers successfully implemented all three major components of HHA, three were able to implement two components, two adopted two components, and one withdrew due to insufficient capacity. Capability, technology infrastructure, and motivation were among the barriers most referenced.
Clinic non-physician team members delivering the HHA program will need training and ongoing technical assistance to overcome implementation barriers.
高血压是美国最常见的慢性病之一，会增加人们中风和其他心血管并发症的风险。然而，在美国，高血压患者中只有 1/4 的人的血压得到了控制。为了改善高血压的控制，我们为德克萨斯州的 9 个医疗中心提供支持，实施了“健康大使血压自我监测”（HHA）计划。
我们使用 HHA 计划促进培训指南，为医疗中心提供培训，记录实施 HHA 计划的障碍，并采用策略克服这些障碍。
有 68 名医疗中心的工作人员接受了 HHA 计划的培训。有 3 个医疗中心成功实施了 HHA 的全部三个主要组成部分，3 个医疗中心能够实施两个组成部分，2 个医疗中心采用了两个组成部分，1 个医疗中心因能力不足而退出。能力、技术基础设施和动机是被提及最多的障碍。
提供 HHA 计划的诊所非医师团队成员需要培训和持续的技术援助，以克服实施障碍。
