دورية أكاديمية
أعرض في EDS

Rationale and design for Healthy Hearts for Michigan (HH4M): A pragmatic single-arm hybrid effectiveness-implementation study.

التفاصيل البيبلوغرافية
العنوان: Rationale and design for Healthy Hearts for Michigan (HH4M): A pragmatic single-arm hybrid effectiveness-implementation study.
المؤلفون: Krefman AE; Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA., Ciolino JD; Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA., Kan AK; Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA., Maki B; Altarum Institute, Ann Arbor, MI, USA., McHugh M; Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA., Smith JD; Department of Population Health Sciences, Division of Health System Innovation and Research, Spencer Fox Eccles School of Medicine at the University of Utah, 295 Chipeta Way, Salt Lake City, UT, USA., Bannon J; Division of General Internal Medicine and Center for Health Information Partnerships, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, USA., Carroll AJ; Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, USA., Bustamante P; Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA., Frye C; Altarum Institute, Ann Arbor, MI, USA., Hitsman B; Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA., Day A; Altarum Institute, Ann Arbor, MI, USA., Walunas TL; Department of Medicine, Division of General Internal Medicine and Center for Health Information Partnerships, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, USA.
المصدر: Contemporary clinical trials communications [Contemp Clin Trials Commun] 2023 Aug 21; Vol. 35, pp. 101199. Date of Electronic Publication: 2023 Aug 21 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101671157 Publication Model: eCollection Cited Medium: Internet ISSN: 2451-8654 (Electronic) Linking ISSN: 24518654 NLM ISO Abbreviation: Contemp Clin Trials Commun Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Amsterdam] : Elsevier B.V. [2015]-
مستخلص: Background: The burden of cardiovascular disease (CVD) is particularly high in several US states, which include the state of Michigan. Hypertension and smoking are two major risk factors for mortality due to CVD. Rural Michigan is disproportionally affected by CVD and by primary care shortages. The Healthy Hearts for Michigan (HH4M) study aims to promote hypertension management and smoking cessation through practice facilitation and quality improvement efforts and is part of the multi-state EvidenceNOW: Building State Capacity initiative to provide external support to primary care practices to improve care delivery.
Methods: Primary care practices in rural and underserved areas of Michigan were recruited to join HH4M, a pragmatic, single-arm hybrid Type 2 effectiveness-implementation study during which practice facilitation was delivered at the practice level for 12 months, followed by a 3-month maintenance period.
Results: Fifty-four practices were enrolled over a 12-month recruitment period. At baseline, the mean proportion (standard deviation) of patients at the practice level meeting the clinical quality measures were: blood pressure, 0.72 (0.12); tobacco screening, 0.80 (0.30); tobacco cessation intervention, 0.57 (0.28); tobacco screening and cessation intervention: 0.78 (0.26).
Conclusion: This three-year research program will evaluate the ability of rural and medically underserved primary care practices to implement the quality improvement model by identifying drivers of and barriers to sustainable implementation, and test whether the model improves (a) blood pressure control and (b) tobacco use screening and cessation.
Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(© 2023 The Authors.)
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معلومات مُعتمدة: U18 HS027954 United States HS AHRQ HHS; UL1 TR001422 United States TR NCATS NIH HHS
فهرسة مساهمة: Keywords: Cardiovascular health; Quality improvement; Smoking cessation
تواريخ الأحداث: Date Created: 20230906 Latest Revision: 20231219
رمز التحديث: 20231219
مُعرف محوري في PubMed: PMC10475469
DOI: 10.1016/j.conctc.2023.101199
PMID: 37671245
قاعدة البيانات: MEDLINE
الوصف
تدمد:2451-8654
DOI:10.1016/j.conctc.2023.101199