Improving outcomes for people at risk of hypertension

Healthwatch Brighton and Hove undertook an evaluation of a project run by the Trust for Developing Communities, Bridging Change, Brighton Unemployed Families Centre Project and Switchboard to deliver a community outreach programme to improve outcomes for those most at risk of hypertension inequalities. The intervention involved blood pressure checks and knowledge-sharing about heart health and hypertension in community spaces such as food banks and Black and Racially Minoritised (BRM) community groups. Healthwatch undertook a survey of 91 people, from which they interviewed 21 people.

Overall, the project had a clear positive impact on communities that are at higher risk for hypertension inequalities. •People interviewed were overwhelmingly positive and receptive to blood pressure testing in the community. •

Those who had a known history of high blood pressure had received varying levels of support and engagement. A lack of previous lifestyle advice for GPs was a common theme, believed to be because of time constraints. 

Event outcomes 

Of the 91 survey respondents, 74% stated that they found the session extremely helpful or very helpful. This was reflected in the interview feedback, where all participants took some action following the event. 

Of the 21 interviewees, 16 took new action (e.g. sought GP appointments; started monitoring blood pressure; made lifestyle changes) and the remaining 5 said they would continue monitoring and/or engaging with their GP. 

Hypertension literacy 

Most of the survey respondents (64%) believed they knew more about what can cause high blood pressure after the session. Similarly, most interviewees (62%) said they learned something new. There was significant variation in how much information was shared and how much was learned depending on the type of event.

The key barriers to regular checks identified were forgetfulness; cost and confidence around using at-home monitors; difficulties getting GP appointment; loss of faith in GPs and the healthcare system; comorbidities and willingness to engage with healthcare; and lack of awareness. 

The key enabling factors for regular checks identified were convenience; peer support; familiarity of outreach workers and building trust; more relaxed and comfortable in a community space compared to a medical setting; and more accurate readings in community spaces. 

The key barriers to improving blood pressure identified were difficulties accessing their GP; not enough time with the GP to talk about lifestyle; difficulties accessing or knowing what community lifestyle support is available; cost of food/exercise; difficulties with behaviour change; and comorbidities that make regular exercise/eating well more challenging. 

The key enabling factors for improving blood pressure identified were access to inperson knowledge sharing and peer support; and access to communal exercising.