NYU Langone Health with eight universities to work on hypertension in Black population in US

The RESTORE Network will use a community-engaged and implementation science framework to guide five hypertension prevention projects in Black communities

As part of a $20 million award from the America Heart Association, NYU Langone Health (NYU Grossman School of Medicine) has been named as the coordinating centre for a new collaboration between eight universities to prevent hypertension and reduce racial inequities in cardiovascular disease outcomes in Black communities. In the US, more than 40 per cent of Black men and women are living with high blood pressure—the highest rate in the country.

The new initiative, called The RESTORE Health Equity Research Network, is comprised of an interdisciplinary team of investigators from eight institutions across the country (NYU Grossman School of Medicine, the University of Alabama at Birmingham, Columbia University, Johns Hopkins University, Beth Israel Deaconess Medical Center, Wayne State University, Tuskeegee University, and the University of California at San Francisco) and led by Gbenga Ogedegbe, MD, MPH, Dr Adolph and Margaret Berger Professor of Population Health and Medicine, and Director of the Institute for Excellence in Health Equity.

“It is an honour to help lead this endeavour and work with some of the most talented scientists in the country who have dedicated their careers to tackling racial inequities in health,” said Dr Ogedegbe. “There is no biological basis for the glaring racial disparities we see in hypertension and cardiovascular disease outcomes, especially the disturbingly high rates in Black populations. By mitigating the impact of social determinants of health on hypertension among Black adults, it is our goal to build a society where every person lives a healthy life free of high blood pressure and heart disease.”

The RESTORE network will partner with Black communities across the US to reduce negative impacts of social determinants of health on blood pressure; Develop and evaluate strategies to implement evidence-based lifestyle interventions in Black communities; Disseminate findings to policymakers and stakeholders to ensure the sustainability of hypertension prevention strategies; Train the next generation of early-career investigators in health equity and hypertension research.

The RESTORE Network will use a community-engaged and implementation science framework to guide five hypertension prevention projects in Black communities—each testing a different implementation strategy to overcome adverse social determinants of health—such as poor access to healthcare and food insecurity. Each of the five projects tests an implementation strategy that engages individuals in community-based settings, as well as healthcare settings such as Federally Qualified Health Centers.

One of the projects will assess a community-clinic linkage programme to prevent hypertension in Black men in New York City. Led by Joseph Ravenell, MD, associate professor of Population Health, this project will use community health workers to screen Black men for hypertension in 30 barbershops, provide lifestyle counselling, and facilitate their linkage to care.

NYU Langone’s Institute for Excellence in Health Equity (IEHE) will serve as the coordinating centre for the RESTORE Network. The coordinating centre will oversee the establishment of five cores that will provide resources to the projects: blood pressure measurement (Columbia University); statistical and cost-effectiveness (UAB, Columbia University and UCSF); intervention (NYU Grossman School of Medicine); community engagement (Johns Hopkins); and training (Columbia University).

According to Ogedegbe, The RESTORE Network will use its findings to forge new partnerships with payors, departments of health and other organisations across the country to advance the science of health equity. It will also serve as a trusted partner for communities and academia to implement community-clinic linkage models for hypertension prevention in Black communities across the country.

David Chubak, Chair, Board of Directors, American Heart Association in New York City mentioned, “The work of Drs Gbenga Ogedegbe and Joseph Ravenell and the team at NYU Grossman School of Medicine to utilise community health workers to screen Black men for hypertension in 30 barbershops, provide lifestyle counselling, and facilitate access to care is remarkable. This programme has the potential to save lives, build trust in the community, foster sustained impact and drive advancements that will ensure health equity for all.”

In addition to Ogedegbe, NYU Langone researchers involved in the RESTORE Network include Tanya Spruill, PhD, associate professor in the Department of Population Heath; Rajesh Vedanthan, associate professor of Population Heath; Jasmin Divers, professor in the NYU Long Island School of Medicine; Mary Sevick, ScD, professor of Population Health; Nadia Islam, PhD, associate professor of Population Health; Antoinette Schoenthaler, EdD, associate professor of Population Health; and Benjamin Spoer, PhD, manager of metrics and analytics for the City Health Dashboard in the Department of Population Health.