CommunityRx
Community Intervention to Reduce Cardiovascular Disease in Chicago (CIRCL-Chicago)
Funding Period: 2023-2024
Principal Investigators: Abel Kho, MD; Paris Davis, PhD, MBA; Justin Smith, PhD
University of Chicago Site Principle Investigator: Stacy Tessler Lindau, MD, MAPP
Public Health Relevance
In Chicago, health status indicators show worsening disparities between black and white residents, with the highest rates of hypertension, heart disease, and stroke clustering in the predominantly black South and West Sides. CIRCL-Chicago will focus on the strategies used to support adoption, implementation with fidelity, and sustainability of the Kaiser bundle within a Chicago community with a high burden of hypertension. The Kaiser bundle demonstrated that a bundle of evidence-based interventions implemented within a large, integrated health system significantly increased blood pressure control.
Aims
1. Convene community stakeholders in order to adapt implementation strategies using the Dynamic Adaptation Process model.
2. Design, implement, and evaluate pilot projects in order to optimize implementation strategies within our community
3. Implement, test and evaluate an adapted implementation strategy to control hypertension through faith-based organizations in the South Side of Chicago. Our overall implementation is a hybrid Type 2 effectiveness–implementation design based within one primary community area (South Side Chicago) and in two settings (church and clinic). The overall study outcome is the Public Health Impact metric (reach * effect size of the intervention).
4. Disseminate findings internally to community stakeholders and externally through creation of community implementation toolkits
