Launching the Indianapolis Health Equity, Access, outReach & Treatment (iHEART) Collaborative: A Case Study.

Erika R Cheng, Brittany Smart, Sarah E Wiehe, Karen Comer, Lisa K Staten, Aruna Manisekaran, Nichole Wilson, Jay Foster, Shadreck Kamwendo, Rachael Peters, Tatyana Roberts, Shelley Hoffman, Brownsyne Tucker Edmonds
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Abstract

Objective: To describe the creation, deployment, and initial impact of a place-based, multi-level, multi-component initiative designed to prevent cardiovascular health disparities in high-risk neighborhoods in Indianapolis, Indiana. Methods: The Indianapolis Health Equity Access outReach & Treatment (iHEART) Collaborative uses a community-driven, place-based approach and leverages partnerships with local organizations, businesses, and residents to implement health screenings, educational outreach, and support for social determinants of health (SDOH). Results: From September 2022 - September 2024, iHEART conducted 4048 blood pressure screenings; 3135 in community settings. >38% of participants were identified as having Stage 1 hypertension or being at risk. 29% of 1219 individuals with elevated CVD risk were previously undiagnosed. 94.6% of 223 individuals referred for medical care completed follow-up care. Barbershop 2.0 screened 378 patrons, with 126 returning for additional screenings. >50% of these returning participants demonstrated improvements between their initial and follow-up screenings. The Convenient Home Evaluation for Cardiovascular Health and Individual Tracking (CHECK-IT) program enrolled 1105 patients; 63.9% achieved blood pressure control, or their last recorded blood pressure reading below 140/90 mmHg, by the end of the 4-month program. Conclusions: iHEART's approach highlights the potential benefits of combining health and SDOH interventions, offering a promising model for addressing health inequities.

启动印第安纳波利斯健康公平、获取、推广和治疗(iHEART)合作:一个案例研究。
目的:描述印第安纳州印第安纳波利斯市一项基于地点、多层次、多成分的倡议的创建、部署和初步影响,该倡议旨在预防高危社区心血管健康差异。方法:印第安纳波利斯健康公平获取外展和治疗(iHEART)协作使用社区驱动的、基于地点的方法,并利用与当地组织、企业和居民的伙伴关系来实施健康筛查、教育外展和支持健康的社会决定因素(SDOH)。结果:从2022年9月至2024年9月,iHEART进行了4048次血压筛查;在社区环境中有3135人。38%的参与者被确定为1期高血压或有高血压风险。在1219名心血管疾病风险升高的个体中,29%以前未被诊断。223名接受医疗护理的患者中,94.6%完成了后续护理。《理发店2.0》放映了378位顾客,其中126位再次放映。在这些回归的参与者中,有50%的人在最初和后续的筛查中表现出改善。便捷家庭心血管健康评估和个人跟踪(CHECK-IT)项目纳入了1105名患者;在为期4个月的项目结束时,63.9%的人实现了血压控制,或者他们的最后一次记录血压读数低于140/90 mmHg。结论:iHEART的方法突出了卫生和SDOH干预相结合的潜在益处,为解决卫生不公平问题提供了一个有希望的模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
2.70
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