Abstract

In Madera, California, in the heart of the Central Valley, Camarena Health’s patient population consists of mostly Hispanic/Latino individuals and migrant farmworkers. The current literature on self-measured blood pressure  (SMBP) programs for this type of population is limited. In order to address the needs of Camarena’s more than 1,000 patients with uncontrolled hypertension and to address this knowledge gap, we have developed this SMBP program to be implemented by Camarena as a quality-improvement measure. For this project, we have made sure to include several forms of carefully selected and reviewed educational materials. The patients will be provided with in-person education upon enrollment by a health educator including receipt of a Drive BP3400 BP monitor and education on how to use it. They will also practice goal-setting and discuss motivation and lifestyle modifications. Patients will continue in the program for three months, meeting once a month with a health educator for check-ins, meeting with a provider once a month to review their BP log and make treatment plan adjustments, and will meet with the on-site clinical pharmacists as needed. By utilizing these methods, and through continuous evaluation of the program’s obstacles and successes, we hope to develop a protocol that can serve as a foundation for those seeking to implement their own SMBP program for similar patient populations in the future.