A-CHAMP (Airdrie Community Hypertension Awareness and Management Program )

Categories

Categories associated with best practice:

  • Individual
  • Organization
  • Seniors (ages 65+) icon
  • Canada
  • Cardiovascular Disease
  • Diabetes icon 3
  • Education and literacy
  • English
  • Health Care Setting
  • Pharmacies

Determinants of Health: Education, literacy and life-long learning

Overview

The Airdrie Community Hypertension Awareness and Management Program (A-CHAMP) is a community-based BP program for seniors designed to improve public and health care provider awareness and management of hypertension. This pragmatic pilot trial of an innovative community based program involves using volunteer peer health educators (VPHE) from the community to manage blood pressure screening sessions in local pharmacies.

The study also looked at the feasibility of using A-CHAMP in improving awareness, detection, and management of hypertension amongst seniors in order to reduce their risk for morbidity and mortality from cardiovascular diseases. A repeated measures model was used to evaluate the change in systolic blood pressure for subjects with multiple visits during the program sessions.

The qualitative and quantitative results obtained are promising and worthy of further study as this type of program has the potential to shift the distribution of risk at the population level and improve hypertension treatment to the extent that a reduction in the incidence of stroke and other cardiovascular diseases may be realized.

Primary Source Document

C Jones, SH Simpson, D Mitchell, S Haggarty, N Campbell, K Then, RZ Lewanczuk, RJ Sebaldt, B Farrell, L Dolovich, J Kaczorowski, and LW Chambers, Enhancing hypertension awareness and management in the elderly: Lessons learned from the Airdrie Community Hypertension Awareness and Management Program (A-CHAMP) Canadian Journal of Cardiology

Contact information of developer(s) and/or implementer(s)

Dr. Charlotte Jones
UBC-Okanagan Health Sciences Centre
321 – 3333 University Way
Kelowna, BC V1V 1V7

Sasha Wiens
Provincial Coordinator for CHAMP Programs
sasha.wiens@albertahealthservices.ca

Intervention Focus

Intervention Goal / ObjectiveLevel(s) TargetedEquity Focus
To improve public and health care provider awareness of hypertension.
  • Community level
  • Organizational level
People living in conditions of disadvantage are not explicitly stated to be a target population of the intervention.
Determine the feasibility of implementing a peer health educator program of hypertension awareness and blood pressure monitoring.
  • Community level
  • Interpersonal level
People living in conditions of disadvantage are not explicitly stated to be a target population of the intervention.
Determine the feasibility of developing and implementing a community based system to support improved management of hypertension.
  • Community level
People living in conditions of disadvantage are not explicitly stated to be a target population of the intervention.

Health Issue(s) that is/are addressed by the Intervention

Health Promotion

    • N/A

    Risk Reduction

      • N/A

      Specific Activities of the Intervention

      • Counselling sessions to those who are at high risk for a chronic disease
      • Educational health information offered
      • Information sessions offered about a risk factor or condition
      • Training offered to deliver the intervention
      • Partnership development

      Priority/Target Population for Intervention Delivery

      Life Stage

      • Seniors (age 65+ years)

      Settings

      Educational Settings

        • N/A

        Community Setting

        • Health care setting
        • Pharmacies

        Outcomes

        Outcomes and Impact Chart
        Level of ImpactDescription of OutcomeEquity Focus
        Individual LevelFeasibility of A-CHAMP program defined as a minimum of 30% of Airdrie seniors attending at least one of the sessions was established and, for subjects identified with elevated blood pressure at these sessions, a minimum of 30% assessed by a pharmacist and/or physician.Reported outcomes do not distinguish findings specific to people living in conditions of disadvantage.
        Individual LevelSecondary outcomes included the change in systolic blood pressure between the first session and the final follow-up session, as well as pharmacy database-documented change in antihypertensive therapy between initial and final assessments.Reported outcomes do not distinguish findings specific to people living in conditions of disadvantage.

        Adaptability

        Implementation History

        • Multiple implementations - Different settings/populations/providers - The intervention showed significant adaptability as it has been implemented in different settings or with different populations or by different provider(s). This can include multiple implementations during the same time period. Each implementation of the intervention must have been substantially the same and must have demonstrated positive results for the primary objectives of the intervention.

        Expertise Required for Implementation within the Context of the Intervention

        • Specialized skills training provided as part of the Intervention - The intervention does not require individuals or groups with highly specialized training, but requires that individuals or groups be trained as part of the implementation of the intervention.

        Are there supports available for implementation

        Yes. Program run through a provincial co-ordinator; 2 hour training session for VPHEs; and workshop for physicians and pharmacists.

        Are there resources and/or products associated with the interventions

        Yes. Established program resources