Check It, Change It a community-based intervention to improve blood pressure control

Bimal R. Shah, Kevin L. Thomas, Sharon Elliot-Bynum, Kristin Thomas, Katrina Damon, Nancy Allen LaPointe, Sarah A. Calhoun, Laine Thomas, Robin Mathews, Robert M. Califf, Eric D. Peterson

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Background - Despite the widespread availability of effective and affordable therapies, hypertension remains this country's most significant modifiable cardiovascular risk factor. Approximately 30% to 50% of individuals with hypertension currently fail to reach guideline-recommended target blood pressure (BP) goals. Although multiple interventions have been proposed to affect better hypertension control, the integration of multiple elements in a community-based program has not been evaluated to date. Methods and Results - We created a broadly inclusive community-based initiative to control hypertension called Check It, Change It: The Durham Blood Pressure Challenge (CICI). We enrolled ≈2000 participants with hypertension in 8 ambulatory clinics across Durham County, NC. The CICI program engaged individuals by providing them with tools for self-monitoring and tied this information to their caregivers via a web-based portal (the American Heart Association's Heart360, a remote BP monitoring system). Additionally, the CICI facilitated clinical intervention of high-risk individuals using physician assistants and community health coaches. The primary outcome will be a change in BP during the 6 months postenrollment in the program, which will be compared with concurrent and historical control populations of nonparticipants. Conclusions - We think that this integrated and tiered approach will lead to improved BP control within 6 months. If successful, the CICI program has the potential to enhance community-level BP control.

Original languageEnglish (US)
Pages (from-to)741-748
Number of pages8
JournalCirculation: Cardiovascular Quality and Outcomes
Issue number6
StatePublished - Nov 2013
Externally publishedYes


  • Hypertension
  • Residence characteristics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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