Effect of nurse practitioner interventions on hospitalizations in the community transitions intervention trial
By: Osakwe, Zainab Toteh [author]
Contributor(s): Barrón, Yolanda [author] | McDonald, Margaret V [author] | Feldman, Penny H [author]
Language: English Copyright date: 2021Subject(s): Blood pressure | clinical medicine | Community Health Nursing | Family medicine | Hispanic people | Home care | Hospitalization | Hypertension | Medicine | nursing | Post-hoc analysis | Psychological intervention In: Nursing Research July/August 2021 - Volume 70 - Number 4, pages 266 - 272Abstract: Background Despite improvements in hypertension treatment in the United States, Black and Hispanic individuals experience poor blood pressure control and have worse hypertension-related outcomes compared to Whites. Objective The aim of the study was to determine the effect on hospitalization of supplementing usual home care (UHC) with two hypertension-focused transitional care interventions—one deploying nurse practitioners (NPs) and the other NPs plus health coaches. Methods We examined post hoc the effect of two hypertension-focused NP interventions on hospitalizations in the Community Transitions Intervention trial—a three-arm, randomized controlled trial comparing the effectiveness of (a) UHC with (b) UHC plus a 30-day NP transitional care intervention or (c) UHC plus NP plus 60-day health coach intervention. Results The study comprised 495 participants: mean age = 66 years; 57% female; 70% Black, non-Hispanic; 30% Hispanic. At the 3- and 12-month follow-up, all three groups showed a significant decrease in the average number of hospitalizations compared to baseline. The interventions were not significantly different from UHC. Conclusion The results of this post hoc analysis show that, during the study period, decreases in hospitalizations in the intervention groups were comparable to those in UHC, and deploying NPs provided no detectable value added. Future research should focus on testing ways to optimize UHC services.| Item type | Current location | Home library | Call number | Status | Date due | Barcode | Item holds |
|---|---|---|---|---|---|---|---|
JOURNAL ARTICLE
|
COLLEGE LIBRARY | COLLEGE LIBRARY PERIODICALS | Not for loan |
Background
Despite improvements in hypertension treatment in the United States, Black and Hispanic individuals experience poor blood pressure control and have worse hypertension-related outcomes compared to Whites.
Objective
The aim of the study was to determine the effect on hospitalization of supplementing usual home care (UHC) with two hypertension-focused transitional care interventions—one deploying nurse practitioners (NPs) and the other NPs plus health coaches.
Methods
We examined post hoc the effect of two hypertension-focused NP interventions on hospitalizations in the Community Transitions Intervention trial—a three-arm, randomized controlled trial comparing the effectiveness of (a) UHC with (b) UHC plus a 30-day NP transitional care intervention or (c) UHC plus NP plus 60-day health coach intervention.
Results
The study comprised 495 participants: mean age = 66 years; 57% female; 70% Black, non-Hispanic; 30% Hispanic. At the 3- and 12-month follow-up, all three groups showed a significant decrease in the average number of hospitalizations compared to baseline. The interventions were not significantly different from UHC.
Conclusion
The results of this post hoc analysis show that, during the study period, decreases in hospitalizations in the intervention groups were comparable to those in UHC, and deploying NPs provided no detectable value added. Future research should focus on testing ways to optimize UHC services.
Click on an image to view it in the image viewer
There are no comments for this item.