Reported Uptake of the Centers for Disease Control and Prevention's Controlling High Blood Pressure and Controlling High Cholesterol Indicators among State Heart Disease and Stroke Prevention Programs

摘要

Objectives/Research Questions: This descriptive research describes the reported uptake of CDC Controlling High Blood Pressure and Controlling High Cholesterol Indicators among funded state programs for heart disease and stroke prevention. The Indicators serve as evidence-based performance measures which aim to streamline the implementation and evaluation of the National Heart Disease and Stroke Prevention Program.Methods: Participants included 42 state health departments funded by the CDC for heart disease and stroke prevention initiatives. Fourteen states were funded as Basic Implementation programs (to implement and evaluate interventions) and 28 states were funded as Capacity Building programs (to enhance capacity for implementing interventions). Documentation of Indicator uptake was extracted from the 2009-2010 and 2010-2011 Work Plans for all funded programs. Results: In general, all programs reported increased uptake of Indicators over time. On average, from 2009 to 2011, Basic Implementation programs reported more Indicators per Work Plan compared with Capacity Building programs. Conclusions: While this study provides documentation of the uptake of Indicators in Work Plans, a subsequent analysis should research if the appropriate use of Indicators as a performance measure improves documentation of the actual reach and impact for heart disease and stroke interventions.Implications for Public Health:Contributions to the public health field include: (a) providing guidance to state programs, (b) visualizing the trends and patterns in the reported use of Indicators for Controlling High Blood Pressure and Controlling High Cholesterol among state programs, (c) encouraging accountability, and (d) sharing the strengths and/or areas for improvement with state programs to foster better programming and enhance Communities of Practice.