Needs assessment and planning for a clinic-community-based implementation program for hypertension control among blacks in New York City: a protocol paper

Joyce Gyamfi; Claire Cooper; Aigna Barber; Deborah Onakomaiya; Wen-Yu Lee; Jennifer Zanowiak; Moses Mansu; Laura Diaz; Linda Thompson; Roger Abrams; Antoinette Schoenthaler; Nadia Islam; Gbenga Ogedegbe

doi:10.1186/s43058-022-00340-z

Needs assessment and planning for a clinic-community-based implementation program for hypertension control among blacks in New York City: a protocol paper

Implement Sci Commun. 2022 Sep 6;3(1):96. doi: 10.1186/s43058-022-00340-z.

Authors

Affiliations

¹ New York University School of Global Public Health, 708 Broadway, New York, NY, 10003, USA. gyamfj01@nyu.edu.
² Department of Population Health, New York University School of Medicine, New York, NY, USA.
³ Vilcek Institute of Graduate Biomedical Sciences, New York University Grossman School of Medicine, New York, NY, USA.
⁴ NYU Grossman School of Medicine, NYU Langone Health, 180 Madison Avenue, New York, NY, 10016, USA.
⁵ Institute for Excellence in Health Equity, New York University Langone Health, New York, NY, USA.
⁶ Center for Healthful Behavior Change, Institute for Excellence in Health Equity, NYU Langone Health, New York, NY, USA.

Abstract

Background: Hypertension (HTN) control among Blacks in the USA has become a major public health challenge. Barriers to HTN control exist at multiple levels including patient, physician, and the health system. Patients also encounter significant community-level barriers, such as poor linkage to social services that impact health (unstable housing, food access, transportation). We describe a multi-component needs assessment to inform the development, implementation, and evaluation of a program to improve HTN management within a large healthcare system in New York City (NYC).

Methods: Guided by the Community-Based Participatory Research (CBPR) and Consolidated Framework for Implementation Research (CFIR) frameworks, data will be collected from four main sources: (1) quantitative surveys with health systems leadership, providers, and staff and with community-based organizations (CBOs) and faith-based organizations (FBOs); (2) qualitative interviews and focus groups with health systems leadership, providers, and staff and with CBOs and FBOs; (3) NYC Community Health Survey (CHS); and (4) New York University (NYU) Health system Epic Electronic Health Record (EHR) system. The data sources will allow for triangulation and synthesis of findings.

Discussion: Findings from this comprehensive needs assessment will inform the development of a clinic-community-based practice facilitation program utilizing three multi-level evidence-based interventions (nurse case management, remote blood pressure (BP) monitoring, and social determinants of health (SDoH) support) integrated as a community-clinic linkage model for improved HTN control in Black patients. Integration of stakeholders' priorities, perspectives, and practices into the development of the program will improve adoption, sustainability, and the potential for scale-up.

Trial registration: NCT05208450; registered on January 26, 2022.

Keywords: Blacks; Blood pressure control; Clinic-community-based partnerships; Hypertension; Implementation context; Needs assessment.

Associated data

ClinicalTrials.gov/NCT05208450

Abstract

Associated data

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