# Actions to Decrease Disparities in Risk and Engage in Shared Support for Blood Pressure Control (ADDRESS-BP) in Blacks

> **NIH NIH UG3** · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · 2021 · $151,113

## Abstract

PROJECT SUMMARY / ABSTRACT
This application is a request for a diversity supplement for Dr. Joyce Gyamfi. The supplement aims to
provide mentorship, training, and advance research experience via the recently funded Actions to
Decrease Disparities in Risk and Engage in Shared Support for BP Control (ADDRESS-BP) grant (#
HL151310), with a focus on scalability, a desired outcome in implementation science. Identifying factors
(barriers and facilitators) that impact scalability of multi-level evidence-based interventions (MEBI) is
critical to closing the evidence to practice gap in implementation science. Moreover, it is essential to
understand the complex interaction between the intervention, environment (context), the facilitation
strategy, and continuous stakeholder engagement to promote scalability in various contexts. Currently,
there is no comprehensive operational process, roadmap, or logic model for scaling up MEBI; however,
it is essential to bring interventions to scale at the population level to ensure significant public health
impact. The research proposed as part of this diversity supplement aims to assess the potential
scalability of the PACE intervention in the parent grant through active stakeholder engagement, in order
to identify barriers and facilitators to the scalability of this MEBI. The Practice support And Community
Engagement (PACE) uses practice facilitation (PF) as a sustainable implementation strategy to
evaluate three MEBI which include nurse case management (NCM), home blood pressure monitoring
(HBPM), and community health workers (CHW), delivered as an integrated community-clinic linkage
model in New York City (NYC). Although this MEBI has the core components to be successfully
executed in clinical settings, how PACE will be scaled in other urban and/or rural settings needs further
research. Scalability, which is an essential implementation outcome must be assessed to ensure the
translation of PACE to other clinical and community service systems. The implementation science
framework - Promoting Action on Research in Health Services (PARiHS) - and the WHO/ExpandNet
Scale -up recommendations- will guide the assessment. The use of the two frameworks via mixed-
methodology (semi-structured surveys and focus groups with key stakeholders) and practice capacity
data from Aim 2 of the parent grant will allow assessment of the interrelationship between evidence,
context, and facilitation; and inform development of a logic model and an operational process for
sustaining scale-up of PACE, which is a rational next step for the parent grant to improve population
health in other high-burden communities beyond the initial study.
Specifically in this diversity supplement, Dr. Gyamfi aims to accomplish the following research and
training aims: SPECIFIC AIM 1: RESEARCH: SubAim 1A: Evaluate the context, barriers, and
facilitators to implementation of the PACE blood pressure control intervention using the PARIHS
framework (Environmental sca...

## Key facts

- **NIH application ID:** 10273581
- **Project number:** 3UG3HL151310-01A1S1
- **Recipient organization:** NEW YORK UNIVERSITY SCHOOL OF MEDICINE
- **Principal Investigator:** NADIA S ISLAM
- **Activity code:** UG3 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $151,113
- **Award type:** 3
- **Project period:** 2020-09-10 → 2023-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10273581

## Citation

> US National Institutes of Health, RePORTER application 10273581, Actions to Decrease Disparities in Risk and Engage in Shared Support for Blood Pressure Control (ADDRESS-BP) in Blacks (3UG3HL151310-01A1S1). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10273581. Licensed CC0.

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