{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:26:51Z","timestamp":1777930011014,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Population Health Management"],"published-print":{"date-parts":[[2010,4]]},"abstract":"<jats:p>\n                    The impact of a hypertension awareness and educational program, BP DownShift, was evaluated among school bus drivers in a southern US state. At baseline (August 2007), blood pressure (BP) measurements, self-reported demographics, and hypertension awareness and management practices were collected from drivers who consented to participate in the study. Interventions included 4 educational mailings, installation of BP machines at all bus terminals, and access to free dietitian consultations and gym memberships. BP was evaluated using Department of Transportation guidelines. BP was remeasured and a survey was administered at follow-up (May 2008). At baseline, 208 drivers consented to the BP screening; 120 (58%) returned for a follow-up assessment. Most participants completing the study were female (73%) and African American (72%). Mean age was 50 years and mean body mass index was 32\u2009kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    ; 52% of participants were obese. In all, 58% of participants reported a prior diagnosis of hypertension by a physician, and 63% reported taking antihypertensive medication. Both systolic and diastolic BP (SBP and DBP) were lower at follow-up (135\/82\u2009mmHg vs. 145\/87\u2009mmHg at baseline;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u20090.001, both comparisons); 42% had a reduction in SBP &gt; 10\u2009mmHg, and 44% had a reduction in DBP &gt; 5\u2009mmHg. At follow-up, 58% were controlled to BP &lt; 140\/90, compared to 38% at baseline (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u20090.001). At follow-up, an increased proportion of previously diagnosed drivers reported home BP monitoring, healthy diet, and regular exercise as components of hypertension self-management. The implementation of our hypertension education, self-management, and awareness program was associated with an improvement in BP control, which may positively impact commercial driver's license recertification as well as improve employee health. (\n                    <jats:italic toggle=\"yes\">Population Health Management<\/jats:italic>\n                    2010;13:97\u2013103)\n                  <\/jats:p>","DOI":"10.1089\/pop.2009.0011","type":"journal-article","created":{"date-parts":[[2010,4,25]],"date-time":"2010-04-25T13:12:49Z","timestamp":1272201169000},"page":"97-103","source":"Crossref","is-referenced-by-count":6,"title":["Improved Blood Pressure Control Among School Bus Drivers with Hypertension"],"prefix":"10.1177","volume":"13","author":[{"given":"Joseph","family":"Doyle","sequence":"first","affiliation":[{"name":"Novartis Pharmaceuticals Corporation"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tina","family":"Severance-Fonte","sequence":"additional","affiliation":[{"name":"Broward County Public School District"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Morandi-Matricaria","sequence":"additional","affiliation":[{"name":"Broward County Public School District"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenifer","family":"Wogen","sequence":"additional","affiliation":[{"name":"MedMentis Consulting LLC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feride","family":"Frech-Tamas","sequence":"additional","affiliation":[{"name":"Novartis Pharmaceuticals Corporation"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2010,4]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"e25","article-title":"Heart disease and stroke statistics 2008 update: A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee","volume":"117","author":"Rosamond W","year":"2008","unstructured":"Rosamond W, , Flegal K, , Furie K et al. Heart disease and stroke statistics 2008 update: A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation, 2008; 117:e25\u2013e146.","journal-title":"Circulation"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.0000252676.46043.18"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.19.2560"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.jom.0000121151.40413.bd"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/216507998903700204"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/16.2.208"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3506(01)00456-5"},{"key":"e_1_3_3_9_2","unstructured":"US Department of Transportation. Cardiovascular Advisory Panel guidelines for the medical examination of commercial motor vehicle drivers 2002. http:\/\/www.fmcsa.dot.gov\/documents\/cardio.pdf. 2009 January 15."},{"key":"e_1_3_3_10_2","unstructured":"US Department of Transportation. Qualifications of drivers and longer combination vehicle (LCV) driver instructors. http:\/\/www.fmcsa.dot.gov\/rules-regulations\/administration\/fmcsr\/fmcsrruletext.asp?section=391.43. 2009 January 15."},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0b013e3181638657"},{"key":"e_1_3_3_12_2","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1161\/01.HYP.0000150859.47929.8e","article-title":"Recommendations for blood pressure measurement in humans and experimental animals: Part 1: Blood pressure measurement in humans","volume":"45","author":"Pickering TG","year":"2005","unstructured":"Pickering TG, , Hall JE, , Appel LJ et al. Recommendations for blood pressure measurement in humans and experimental animals: Part 1: Blood pressure measurement in humans. Hypertension, 2005; 45:142\u2013161.","journal-title":"Hypertension"},{"key":"e_1_3_3_13_2","unstructured":"LifeClinic LC300. http:\/\/www.lifeclinic.com\/lc300.aspx. 2009 April 23."},{"key":"e_1_3_3_14_2","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1111\/j.1524-6175.2007.06432.x","article-title":"Ethnic\/racial variations in blood pressure awareness, treatment, and control","volume":"9","author":"Giles T","year":"2007","unstructured":"Giles T, , Aranda JM, , Suh DC, , Choi IS et al. Ethnic\/racial variations in blood pressure awareness, treatment, and control. J Clin Hypertens, 2007; 9:345\u2013354.","journal-title":"J Clin Hypertens"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/140349489702500410"},{"key":"e_1_3_3_16_2","volume-title":"Health, United States, 2007 with Chartbook on Trends in the Health of Americans","author":"National Center for Health Statistics","year":"2007","unstructured":"National Center for Health Statistics. Health, United States, 2007 with Chartbook on Trends in the Health of Americans. Hyattsville, MD: National Center for Health Statistics, 2007."},{"key":"e_1_3_3_17_2","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.amjmed.2004.03.018","article-title":"Does disease management improve clinical and economic outcomes in patients with chronic diseases? A systematic review","volume":"117","author":"Offman JJ","year":"2004","unstructured":"Offman JJ, , Badamgarav E, , Henning JM et al. Does disease management improve clinical and economic outcomes in patients with chronic diseases? A systematic review. Am J Med, 2004; 117:182\u2013192.","journal-title":"Am J Med"}],"container-title":["Population Health Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/pop.2009.0011","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/pop.2009.0011","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/pop.2009.0011","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:00:39Z","timestamp":1777680039000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.1089\/pop.2009.0011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,4]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2010,4]]}},"alternative-id":["10.1089\/pop.2009.0011"],"URL":"https:\/\/doi.org\/10.1089\/pop.2009.0011","relation":{},"ISSN":["1942-7891","1942-7905"],"issn-type":[{"value":"1942-7891","type":"print"},{"value":"1942-7905","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,4]]}}}