Asian American Partnerships in Research and Empowerment (AsPIRE)

Filipino Americans exhibit high rates of hypertension and are therefore at high risk for cardiovascular disease and stroke. However, few interventions have been developed and implemented for this population to address these concerns. A CHW intervention, developed with community input to ensure its cultural and linguistic appropriateness, has the potential to prevent cardiovascular disease and stroke by helping Filipino Americans control their blood pressure. This study has the overall goal of improving health access and cardiovascular health status, particularly hypertension, in the Filipino American community living in New York City and New Jersey through the use of Community Health Workers (CHW).

Inclusion criteria

• The population of interest is Filipino American men and women residing in New York City. An individual is eligible for the CHW intervention if he/she is

• of Filipino descent,
• an English or Tagalog-speaker
• a resident of New York City.
• identified as hypertensive based on
• The average of the 2nd and 3rd readings from both arms (right arm) with at least 1 high systolic BP (>140mmHg) or 1 high diastolic BP reading (>90mmHg) for nondiabetics, or 1 high systolic BP (>130mmHg) or 1 high diastolic BP reading (>80mmHg) for diabetics at point of screening for this study.
• Or if participant reports to be taking antihypertensive medication. Therefore this study will include individuals with untreated hypertension (not taking antihypertensive medication), uncontrolled hypertension (i.e. elevated blood pressure despite taking antihypertensive medication), and controlled hypertension (i.e. taking antihypertensive medication but BP is under control). Individuals presenting with untreated high blood pressure will be referred to a physician to confirm diagnosis of hypertension.

An individual is ineligible for enrollment in the CHW intervention if he/she

• is on renal dialysis since their treatment is beyond the scope of this CHW intervention
• has an acute or terminal illness or serious mental illness that deems an individual ineligible for study participation
• is participating in another hypertension or CVD study
• has had a history of a heart attack, stroke, or congestive heart failure, since their treatment is beyond the scope of this CHW intervention
• has a blood pressure average below 140/90 for non-diabetics and not taking antihypertensive medication, and an average of 130/80 for diabetics not taking antihypertensive medication.
• is below 25 or over 75 years of age
• lives outside of NYC

Exclusion criteria

• An individual is ineligible for enrollment in the CHW intervention if he/she

• is on renal dialysis since their treatment is beyond the scope of this CHW intervention
• has an acute or terminal illness or serious mental illness that deems an individual ineligible for study participation
• is participating in another hypertension or CVD study
• has had a history of a heart attack, stroke, or congestive heart failure, since their treatment is beyond the scope of this CHW intervention
• has a blood pressure average below 140/90 for non-diabetics and not taking antihypertensive medication, and an average of 130/80 for diabetics not taking antihypertensive medication.
• is below 25 or over 75 years of age
• lives outside of NYC
• An individual is ineligible for enrollment in the CHW intervention if he/she

• is on renal dialysis since their treatment is beyond the scope of this CHW intervention
• has an acute or terminal illness or serious mental illness that deems an individual ineligible for study participation
• is participating in another hypertension or CVD study
• has had a history of a heart attack, stroke, or congestive heart failure, since their treatment is beyond the scope of this CHW intervention
• has a blood pressure average below 140/90 for non-diabetics and not taking antihypertensive medication, and an average of 130/80 for diabetics not taking antihypertensive medication.
• is below 25 or over 75 years of age
• lives outside of NYC
• An individual is ineligible for enrollment in the CHW intervention if he/she

• is on renal dialysis since their treatment is beyond the scope of this CHW intervention
• has an acute or terminal illness or serious mental illness that deems an individual ineligible for study participation
• is participating in another hypertension or CVD study
• has had a history of a heart attack, stroke, or congestive heart failure, since their treatment is beyond the scope of this CHW intervention
• has a blood pressure average below 140/90 for non-diabetics and not taking antihypertensive medication, and an average of 130/80 for diabetics not taking antihypertensive medication.
• is below 25 or over 75 years of age
• lives outside of NYC