The heart healthy lenoir project-an intervention to reduce disparities in hypertension control: study protocol

Halladay, Jacquie R; Donahue, Katrina E; Hinderliter, Alan L; Cummings, Doyle M; Cene, Crystal W; Miller, Cassie L; Garcia, Beverly A; Tillman, Jim; DeWalt, Darren

doi:10.1186/1472-6963-13-441

BMC Health Services Research

Table 2 Heart healthy lenoir patient and practice level measures*

From: The heart healthy lenoir project-an intervention to reduce disparities in hypertension control: study protocol

Variable	Instrument	Time
Variable	Instrument	Baseline	Follow-up
Patient level measures
Blood pressure	Average of 3 readings	X	X^a
Literacy	Short-TOFHLA	X
Socio-demographic characteristics	Patient self-report/survey (Self Report)
Age	Self-report	X
Gender	Self-report	X
Marital status	Self-report	X
Education (grade level)	Self-report	X
Race/ethnicity (self-report)	Self-report	X
Household income	Self-report	X
Employment	Self-report	X	X^f
Relative social position	MacArthur Scale	X
Health insurance	Self-report	X	X^c
Social support	Medical outcomes study/perceived social support	X
Biometrics
Height	Stadiometer	X
Weight	SECA scale	X	X^a
Creatinine/GFR	Laboratory test	X	X^c
Cholesterol	Laboratory test	X	X^c
A1c	Laboratory test	X	X^d
Clinical characteristics
Medical comorbidities: Heart failure/high Cholesterol/Lung Disease/Chronic Back Pain/ Cancer/Arthritis/Fibromyalgia/Diabetes/Hypertension/COPD/Obstructive Sleep Apnea/ Renal Insufficiency/Stroke	Self-report	X
Depression	Mental Health Inventory (MHI-5)	X	X^e
Smoking status	Self-report	X	X^a
Current medications and supplements	List generated	X	X^a
Patient reported outcomes
Quality of life survey	SF-12	X	X^a
Medication side-effects that limit use	Self-report	X	X^c
Knowledge/behaviors/beliefs	Self-report	X	X^a
Medication adherence (ADH)	Morisky adherence score	X	X^a
Exercise	RESIDE	X	X^d
Diet	Block fruit-vegetable-fiber screener	X	X^d
Understanding illness	HTN beliefs questionnaire	X	X^c
Participatory decision making (PDM)	PDM survey	X	X^c
Patient activation	Short- patient activation measure	X	X^a
Social determinants of health	Social determinants and civic engagement questionnaire		X^b
Access to medication	Cost-related access to medication survey	X	X^a
Practice Level QI Process Variables (Selected Visit planner items)
Action taken if BP uncontrolled	Visit Planner data	Continuous
Consequences of uncontrolled HTN discussed	Visit Planner data	Continuous
Assess medication adherence	Visit Planner data	Continuous
Assess for understanding of instructions	Visit Planner data	Continuous
Percent patients with HTN with BP’s < 140 mmHg and < 90 mmHg	Performance reports	Monthly and yearly

^aVisits with study personnel at 6,12,18 and 24 months post enrollment visit.
^bonly measured at 6 month visit.
^cmeasured at 12 and 24 months.
^dmeasured at 6, 12, 24 months.
^emeasured at 12, 18, 24 months.
^fmeasured at 12 months.
*All patients are given the option to have the study documents read to them.

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ISSN: 1472-6963

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