Mission:

High blood pressure (hypertension) is extremely common. Uncontrolled blood pressure puts people at increased risk of developing heart disease, brain disease, and kidney disease. Yet only 1 in 4 people have their blood pressure under good control (blood pressure under 130/80 mmHg). Blood pressure control is worse in populations who traditionally face inequities, including the African American and Latinx communities.

Blood pressure control could be improved if we change the way we deliver care. There are increasing calls for home blood pressure monitoring (in addition to office measurements), and remote (virtual) blood pressure teams with nurses and pharmacists to support primary care providers in achieving blood pressure control.  There is also more attention to how social determinants of health impact individuals’ ability to participate in their healthcare journey and gain maximal benefit from therapy. Community health workers can be the needed glue, helping patients access services and reinforcing plans of care.

 The Pressure Check study is designed to address health inequities in hypertension (high blood pressure), providing much needed evidence about how best to control high blood pressure in our communities. This evidence will support policies and infrastructure for how we deliver care. The study is taking place in 4 cities, wherein a partnered health system in each city (Yale New Haven Health, Sentara Health, Houston Methodist, and Massachusetts General/Brigham) is collaborating with 10 community partners to screen for high blood pressure. Our community partners include churches, barbershops, community centers, and other businesses/organizations that have been historically minded around health and wellbeing.

 

Meet the Yale University Team

  • Dr. Erica Spatz (Co-Principal Investigator)

    Dr. Spatz is the Director of the Yale Medicine Preventive Cardiovascular Health Program and Associate Director of Yale Medicine Population Health. She also is an Associate Professor of Cardiology and Associate Professor of Epidemiology (Chronic Diseases) at Yale School of Public Health. Her clinical and research interests include the development of individualized approaches to preventing and managing cardiovascular disease, along with tools to help patients become more active in their healthcare decisions.

  • Dr. Rafael Pérez Escamilla (Co-Principal Investigator)

    Dr. Perez- Escamilla is a Professor of Public Health (Social and Behavioral Sciences). He also serves as the Director of the Office of Public Health Practice; Director of Maternal and Child Health Promotion (MCHP) Program; and Director of YSPH Global Health Concentration. He has co-led innovative mixed-methods implementation studies assessing the impact of community health worker person centered interventions on breastfeeding, type-2 diabetes, post-partum hypertension and mental health outcomes among in vulnerable communities.

  • Natasha Ray (Community Principal Investigator)

    Natasha Ray, Director, New Haven Healthy Start (The COMMUNITY Foundation for Greater New Haven) is a longtime collaborator with Yale researchers. She is a co-chair of the Center for Research Engagement at Equity Research and Innovation Center. She is also a Community PI on another PCORI award for which Dr Rafael Perez Escamilla is also a dual PI. Ms Ray is expert in the New Haven community, in developing and running community Boards, and in community-academic research partnerships. She serves a similar role of Community PI on the PCORI EMPOWER grant, creating efficiencies related to understanding the work, meeting with PIs, and developing materials to support the community advisory boards.

  • Katherine Tucker (Community Outreach and Engagement Director)

    Katherine Tucker (DNP, RN, APRN-BC, NE-BC) is an Advanced Practice Registered Nurse, she is a Clinical Program Director in the YNHH Heart and Vascular Center and is a Board Member of the National Black Nurses Association. Katherine is an Assistant Professor in the School of Nursing at Southern Connecticut State University and has a focuses on mitigating factors that lead to poor health outcomes, health and healthcare disparities. She has studied transitional care and is deeply involved in community health.

  • Dr. Daniel Sarpong

    Dr. Daniel F. Sarpong, trained biostatistician, is a Senior Research Scientist in the Department of General Internal Medicine and Executive Director of the Office of Health Equity Research (OHER). Dr. Sarpong’s research focuses on translational research exploring innovative approaches to mitigating biological and social determinants of health disparities in primarily chronic diseases.

  • Bonnie Garmisa (Study Director)

    Bonnie Garmisa (MAT) Prior to joining the study team, Ms. Garmisa was on staff at the YNHH Center for Outcomes and Evaluation (CORE), where she managed Dr. James Freeman's R01 grant, Safety and Effectiveness of Left Atrial Appendage Closure in Atrial Fibrillation (SAFELY-AF) and administered the analytic center contract with the American College of Cardiology (ACC) National Cardiovascular Data Registry (NCDR).

  • Jocelyn Dorney (Project Coordinator)

    Jocelyn (MPH) earned her undergraduate degree from Yale University in the History of Science, Medicine, and Public Health. She received her masters degree in public health from Yale School of Public Health in 2021. She has worked on clinical studies with Dr. Spatz including INSPIRE (The Innovative Support for patients with SARS-CoV-2 infections Registry) and Cuffless BP, a study designed to clinically test a newly developed cuffless blood pressure monitoring device.

  • Sherry Aiudi (Data Manager)

    Sherry Aiudi (MS, MBA) is a Data Manager with the Yale Center for Analytical Sciences in the Yale University School of Public Health. Sherry’s experience has largely centered on research in the departments of Cardiology and Internal Medicine, with emphasis on congenital cardiac diseases, environmental risk factors for cardiovascular disease, and blood pressure control.

  • Stephen Parziale (Biostatistician)

    Stephen Parziale (MS) currently serve as a Biostatistician on the Pressure Check study. He has been a part of the Yale Center for Analytical Sciences since 2021 and has worked on a number of clinical trials under the Yale School of Public Health and the West Haven VA. He received his B.S. in Biostatistics from Emmanuel College and my M.S. in Statistics from The University of Northern Colorado.

  • Maria Cantito (RN Coordinator)

    Maria Cantito (BSN, RN, CV-BC) is RN coordinator for Yale's Cardiovascular Prevention program. She helped pilot this project in local churches, pharmacies, and barbershops. She believes in human connection, engagement and education as a means to empower persons to manage their health.

  • Dr. Shriya Rajashekar (Research Assistant)

    Dr. Shriya Rajashekar (MBBS, MPH) is a trained physician and current Master of Public Health student at Yale School of Public Health. With a research focus on Cardiovascular Epidemiology and Global Health.

  • Siham Busera (Communications Intern)

    Siham Busera is a sophomore at Yale College. She is currently pursuing a degree in Molecular, Cellular, and Developmental Biology. She assists by maintaining Pressure Check social media accounts and coordinating communications to key stakeholders.

Partner Organizations