Evidence map›Paper›PMID 38846736›Full record

ArticleEthnicity & disease2023

Community and Healthcare Perspectives on Implementing Hypertension Interventions for a Multiethnic Safety-Net Population.

Utpal N Sandesara, Savanna L Carson, Alex Dopp, Lilian G Perez, Atkia Sadia, Soma Wali, Nina J Park, Alejandra Casillas, Gloria Kim, Maria G Morales and 5 more

Abstract read
In one paragraph

Article in Ethnicity & disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Utpal N SandesaraDivision of General Internal Medicine and Health Services Research, University of California-Los Angeles, Los Angeles, CA.
Savanna L CarsonDivision of General Internal Medicine and Health Services Research, University of California-Los Angeles, Los Angeles, CA.
Alex DoppDepartment of Behavioral and Policy Sciences, RAND Corporation, Santa Monica, CA.
Lilian G PerezDepartment of Behavioral and Policy Sciences, RAND Corporation, Santa Monica, CA.
Atkia SadiaDivision of General Internal Medicine and Health Services Research, University of California-Los Angeles, Los Angeles, CA.
Soma WaliDepartment of Medicine, Olive View-UCLA Medical Center, Sylmar, CA.
Nina J ParkDepartment of Population Health Management, Los Angeles County Department of Health Services, Los Angeles, CA.
Alejandra CasillasDivision of General Internal Medicine and Health Services Research, University of California-Los Angeles, Los Angeles, CA.
Gloria KimDivision of General Internal Medicine and Health Services Research, University of California-Los Angeles, Los Angeles, CA.
Maria G MoralesDivision of General Internal Medicine and Health Services Research, University of California-Los Angeles, Los Angeles, CA.
Ejiro NtekumeDivision of General Internal Medicine and Health Services Research, University of California-Los Angeles, Los Angeles, CA.
Sarah SongDepartment of Neurological Sciences, Rush University Medical Center, Chicago, IL.
Priya GandhiRAND Corporation, Santa Monica, CA.
Tony WaffordI Choose Life Health and Wellness Center, Inglewood, CA.
Arleen F BrownDivision of General Internal Medicine and Health Services Research, University of California-Los Angeles, Los Angeles, CA.

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
UCLA-UCI Center for Eliminating Cardio-Metabolic Disparities in Multi-Ethnic Populations (UC END-DISPARITIES)P50MD017366 · NIMHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BODEN-ALBALA, BERNADETTE MARIE, BROWN, ARLEEN F. · 2021 to 2025
$17.3M
The Development and Implementation of a Culturally-Congruent Educational Film designed for PLWHIV to Address Patients' Trauma Histories, Barriers to Care, and CVD Risk ReductionU01HL142109 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BROWN, ARLEEN F., HAMILTON, ALISON B. · 2018 to 2021
$3.8M
Financial incentive strategies for smoking cessation in high-risk, hospitalized patients.R01DA045688 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LADAPO, JOSEPH ABIODUN, SHERMAN, SCOTT E · 2019 to 2023
$3.8M
Multi-ethnic Multi-level Strategies and Behavioral Economics to Eliminate Hypertension Disparities in LA County.UG3HL154302 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BROWN, ARLEEN F. · 2020 to 2022
$2.7M
NCATS NIH HHS UL1 TR001881NHLBI NIH HHS U01 HL142109NHLBI NIH HHS UG3 HL154302NIDA NIH HHS R01 DA045688NIMHD NIH HHS P50 MD017366
6 · The paper itself

Abstract

Objective: To synthesize community and healthcare informants' perspectives on contextual considerations and tailoring recommendations for high-quality, sustainable implementation of evidence-based practices (EBPs) for managing hypertension (HTN) in a multiethnic safety-net population. Design: Structured focus-group discussions and semistructured qualitative interviews. Background: High-quality, sustainable implementation of HTN-related EBPs can promote equitable care. Implementation challenges extend beyond individual patients to span multiple levels of context. Few studies have systematically engaged community and healthcare perspectives to inform the design of HTN intervention trials. Setting: A large safety-net healthcare system. Participants/Methods: We conducted four structured discussions with each of five race- or ethnicity-specific community action boards (CABs) to understand community members' HTN-related norms, assets, needs, and experiences across local healthcare systems. We interviewed 41 personnel with diverse roles in our partnered healthcare system to understand the system's HTN-related strengths and needs. We solicited EBP tailoring recommendations from both groups. We summarized the findings using rapid content analysis. Results: Participants identified contextual considerations spanning seven themes: social determinants, healthcare engagement, clinical interaction, system operations, standardization, patient education, and partnerships and funding. They offered tailoring recommendations spanning nine themes: addressing complex contexts, addressing social needs, system operations, healthcare system training and resources, linguistic and cultural tailoring, behavioral engagement, relational engagement, illness-course engagement, and community partnerships. Conclusions: Engaging community and healthcare informants can ground implementation in the policy, community, healthcare system, clinical, and interpersonal contexts surrounding diverse patients at risk for disparities. Such grounding can reframe inequitable implementation as a multilevel social problem facing communities and healthcare systems, rather than individuals.

Indexed as

Focus GroupsHypertensionSafety-net ProvidersAdultEthnicityEvidence-Based PracticeFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchRacial GroupsCommunity-Based Participatory ResearchHypertensionImplementation ScienceQualitative ResearchSocioeconomic Disparities in Health

Identifiers

PMID38846736
PMCPMC11895540

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.