{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T18:02:12Z","timestamp":1789236132547,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,7,20]],"date-time":"2025-07-20T00:00:00Z","timestamp":1752969600000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009931","name":"Michigan Department of Health and Human Services","doi-asserted-by":"publisher","award":["#NU58DP006614\u201005"],"award-info":[{"award-number":["#NU58DP006614\u201005"]}],"id":[{"id":"10.13039\/100009931","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000968","name":"American Heart Association","doi-asserted-by":"publisher","award":["#878605"],"award-info":[{"award-number":["#878605"]}],"id":[{"id":"10.13039\/100000968","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["NIMH\u2010PMD017351A"],"award-info":[{"award-number":["NIMH\u2010PMD017351A"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Hypertension is the most important contributor to the development of cardiovascular disease. The objective of the Bring it Down program was to examine the reach and effectiveness of linkage to primary care via community health workers (CHWs) to improve blood pressure control among people with undiagnosed or uncontrolled hypertension. Adults with systolic blood pressures \u2265130\u00a0mmHg were initially recruited from four urban emergency departments that serve high\u2010risk, socially vulnerable populations. Due to the COVID\u201019 pandemic, we also enrolled participants in the community who presented to mobile health units. CHWs facilitated follow\u2010up blood pressure assessment within 1 year. Of 153\u00a0630 ED patient encounters during the evaluation period, 61% were eligible to participate in the BID program; of these, 3% were approached, and 16% (395\/2476) agreed to participate. Compared to ED encounters, fewer patients presenting to MHUs were eligible to participate (42%, 1780\/4211), all of whom were approached, and 7% (124\/1780) agreed to participate in the BID program. Among participants with at least one follow\u2010up encounter (<jats:italic>n<\/jats:italic> = 158), there was a statistically significant reduction in mean systolic BP (mean difference: \u221216\u00a0mmHg, 99% confidence intervals (CI): \u221221, \u221212\u00a0mmHg) with a median time between SBP measurements of 20 days (interquartile range [IQR]: 8, 53 days). Clinical and community recruitment paired with CHW connections to primary care may be a viable quality improvement strategy for improving blood pressure control in high\u2010risk, socially vulnerable populations. However, additional research is needed to understand and improve participation and follow\u2010up rates to establish program effectiveness.<\/jats:p>","DOI":"10.1111\/jch.70082","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T06:30:06Z","timestamp":1753079406000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Bring It Down: A Formative Evaluation of Reach and Effectiveness of a Blood Pressure Reduction Program in Detroit, Michigan USA"],"prefix":"10.1111","volume":"27","author":[{"given":"Bethany","family":"Foster","sequence":"first","affiliation":[{"name":"Integrative Biosciences Center Wayne State University  Detroit Michigan USA"},{"name":"Department of Emergency Medicine Wayne State University  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9267-267X","authenticated-orcid":false,"given":"Michael J.","family":"Twiner","sequence":"additional","affiliation":[{"name":"Integrative Biosciences Center Wayne State University  Detroit Michigan USA"},{"name":"Department of Emergency Medicine Wayne State University  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha J.","family":"Bauer","sequence":"additional","affiliation":[{"name":"Integrative Biosciences Center Wayne State University  Detroit Michigan USA"},{"name":"Department of Family Medicine and Public Health Sciences Wayne State University  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven J.","family":"Korzeniewski","sequence":"additional","affiliation":[{"name":"Integrative Biosciences Center Wayne State University  Detroit Michigan USA"},{"name":"Department of Emergency Medicine Wayne State University  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mallory A.","family":"Lund","sequence":"additional","affiliation":[{"name":"Integrative Biosciences Center Wayne State University  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan","family":"Gould","sequence":"additional","affiliation":[{"name":"Integrative Biosciences Center Wayne State University  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katee","family":"Dawood","sequence":"additional","affiliation":[{"name":"Integrative Biosciences Center Wayne State University  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahil","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Department of Health and Human Services Heart Disease and Stroke Prevention Unit, Cardiovascular Health, Nutrition &amp; Physical Activity Section  Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Dawkins","sequence":"additional","affiliation":[{"name":"Department of Health and Human Services Heart Disease and Stroke Prevention Unit, Cardiovascular Health, Nutrition &amp; Physical Activity Section  Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Byrd","sequence":"additional","affiliation":[{"name":"Department of Health and Human Services Heart Disease and Stroke Prevention Unit, Cardiovascular Health, Nutrition &amp; Physical Activity Section  Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert D.","family":"Brook","sequence":"additional","affiliation":[{"name":"Integrative Biosciences Center Wayne State University  Detroit Michigan USA"},{"name":"Division of Cardiovascular Disease Department of Internal Medicine Wayne State University  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7306-5620","authenticated-orcid":false,"given":"Phillip","family":"Levy","sequence":"additional","affiliation":[{"name":"Integrative Biosciences Center Wayne State University  Detroit Michigan USA"},{"name":"Department of Emergency Medicine Wayne State University  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001123"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy339"},{"key":"e_1_2_11_4_1","unstructured":"American Heart Association.Age\u2010Adjusted Total CVD Mortality Rates by Race\/Ethnicity. 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