AddREssing Social Determinants TO pRevent hypErtension (The RESTORE Network): Overview of the Health Equity Research Network to Prevent Hypertension

Tanya M Spruill¹, Paul Muntner², Collin J Popp¹, Daichi Shimbo³, Lisa A Cooper^{4

5

6}, Andrew E Moran³, Joanne Penko⁷, Kirsten Bibbins-Domingo⁷, Chidinma Ibe⁴, Ijeoma Nnodim Opara⁸, George Howard⁹, Brandon K Bellows³, Ben R Spoer¹⁰, Joseph Ravenell¹, Andrea L Cherrington¹¹, Phillip Levy¹², Yvonne Commodore-Mensah⁶, Stephen P Juraschek¹³, Nancy Molello⁴, Katherine B Dietz⁴, Deven Brown⁴, Alexis Bartelloni¹, Gbenga Ogedegbe¹

Affiliations

¹ Department of Population Health, NYU Grossman School of Medicine and Institute for Excellence in Health Equity, NYU Langone Health; New York, New York, USA.
² Department of Epidemiology, University of Alabama at Birmingham School of Public Health, Birmingham, Alabama, USA.
³ Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
⁴ Department of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
⁵ Department of Health, Behavior and Society, Johns Hopkins University, Baltimore, Maryland, USA.
⁶ Johns Hopkins School of Nursing, Baltimore, Maryland, USA.
⁷ Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA.
⁸ Department of Internal Medicine, Internal-Medicine-Pediatrics Section, Wayne State University, Detroit, Michigan, USA.
⁹ Department of Biostatistics, University of Alabama at Birmingham School of Public Health, Birmingham, Alabama, USA.
¹⁰ Department of Population Health, NYU Grossman School of Medicine, NYU Langone Health; New York, New York, USA.
¹¹ Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
¹² Departments of Emergency Medicine and Physiology, Wayne State University, Detroit, Michigan, USA.
¹³ Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.

PMID: 37061798
PMCID: PMC10306079
DOI: 10.1093/ajh/hpad010

AddREssing Social Determinants TO pRevent hypErtension (The RESTORE Network): Overview of the Health Equity Research Network to Prevent Hypertension

Tanya M Spruill et al. Am J Hypertens. 2023.

. 2023 Apr 15;36(5):232-239.

doi: 10.1093/ajh/hpad010.

Authors

Affiliations

¹ Department of Population Health, NYU Grossman School of Medicine and Institute for Excellence in Health Equity, NYU Langone Health; New York, New York, USA.
² Department of Epidemiology, University of Alabama at Birmingham School of Public Health, Birmingham, Alabama, USA.
³ Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
⁴ Department of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
⁵ Department of Health, Behavior and Society, Johns Hopkins University, Baltimore, Maryland, USA.
⁶ Johns Hopkins School of Nursing, Baltimore, Maryland, USA.
⁷ Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA.
⁸ Department of Internal Medicine, Internal-Medicine-Pediatrics Section, Wayne State University, Detroit, Michigan, USA.
⁹ Department of Biostatistics, University of Alabama at Birmingham School of Public Health, Birmingham, Alabama, USA.
¹⁰ Department of Population Health, NYU Grossman School of Medicine, NYU Langone Health; New York, New York, USA.
¹¹ Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
¹² Departments of Emergency Medicine and Physiology, Wayne State University, Detroit, Michigan, USA.
¹³ Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.

PMID: 37061798
PMCID: PMC10306079
DOI: 10.1093/ajh/hpad010

Abstract

Background: The American Heart Association funded a Health Equity Research Network on the prevention of hypertension, the RESTORE Network, as part of its commitment to achieving health equity in all communities. This article provides an overview of the RESTORE Network.

Methods: The RESTORE Network includes five independent, randomized trials testing approaches to implement non-pharmacological interventions that have been proven to lower blood pressure (BP). The trials are community-based, taking place in churches in rural Alabama, mobile health units in Michigan, barbershops in New York, community health centers in Maryland, and food deserts in Massachusetts. Each trial employs a hybrid effectiveness-implementation research design to test scalable and sustainable strategies that mitigate social determinants of health (SDOH) that contribute to hypertension in Black communities. The primary outcome in each trial is change in systolic BP. The RESTORE Network Coordinating Center has five cores: BP measurement, statistics, intervention, community engagement, and training that support the trials. Standardized protocols, data elements and analysis plans were adopted in each trial to facilitate cross-trial comparisons of the implementation strategies, and application of a standard costing instrument for health economic evaluations, scale up, and policy analysis. Herein, we discuss future RESTORE Network research plans and policy outreach activities designed to advance health equity by preventing hypertension.

Conclusions: The RESTORE Network was designed to promote health equity in the US by testing effective and sustainable implementation strategies focused on addressing SDOH to prevent hypertension among Black adults.

Keywords: blood pressure; cardiovascular disease; health equity; hypertension; social determinants of health.

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Figures

**Figure 1.**
Social Determinants of Health contributing to the high prevalence of hypertension in Black communities.

**Figure 2.**
Cores and projects that define the RESTORE Network structure.

**Figure 3.**
RESTORE Network trials applied to the National Institute for Minority Health and Health Disparities research framework. HBPTM, home blood pressure telemonitoring; CHW, community health worker; PHA, peer health advocate; PN, patient navigator.

See this image and copyright information in PMC

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AddREssing Social Determinants TO pRevent hypErtension (The RESTORE Network): Overview of the Health Equity Research Network to Prevent Hypertension

Affiliations

AddREssing Social Determinants TO pRevent hypErtension (The RESTORE Network): Overview of the Health Equity Research Network to Prevent Hypertension

Authors

Affiliations

Abstract

Figures

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical