| Course | HCR 230 Culture and Health |
|---|---|
| Module | Module 4 |
| Paper type | Health equity campaign portfolio |
| Length | About 604 words, 5 pages |
| Format | APA 7 student paper |
| School | Arizona State University |
| Program | BS in Health Care Coordination |
| Updated | October 2026 |
Free sample paper for HCR 230 Module 4
Cut and Check: A Barbershop Campaign for Blood Pressure Equity Among Black Men in Metro Phoenix
Student Name
BS in Health Care Coordination, Arizona State University
HCR 230: Culture and Health
Instructor Name
Month Day, Year
Cut and Check: A Barbershop Campaign for Blood Pressure Equity Among Black Men in Metro Phoenix
Campaign Summary
Cut and Check is a six-month campaign in ten Black-owned barbershops in metro Phoenix. Barbers take customers' blood pressure and refer anyone reading high to a partnering pharmacist who sees patrons in the shop on Thursday evenings. Materials for patrons and families support the barbers' conversations.
The Equity Problem
Federal survey data put hypertension among Black adults well above the rate for white adults, more than half against just over four in ten, and higher in men than in women (Ostchega et al., 2020). The gap follows social conditions, including income, neighborhood and access to care, rather than individual choices alone (Marmot, 2005). Many men have limited time for clinic visits and some distrust the health system.
Evidence Base
A cluster-randomized trial in 52 Los Angeles barbershops found that barber outreach combined with pharmacist care in the shop brought systolic pressure down roughly three times as much as barber encouragement alone over six months, and that well over half of the men in the intervention shops, against about one in nine controls, reached the 130/80 target (Victor et al., 2018). Conversations with local barbers and patrons pointed to time, trust, a culture of strength and the influence of family.
SMART Objectives
1. By month 6, barbers in ten shops will complete 1,000 blood pressure checks.
2. By month 6, 150 men with readings of 140 or higher will complete at least one pharmacist visit.
3. By month 6, 50 percent of men seen by the pharmacist will have a reading below 140/90 at follow-up.
Partners
| Partner | Role |
|---|---|
| Ten barbershops | Host, checks, referrals |
| Community pharmacy | Pharmacist visits under agreements with patients' clinicians |
| Federally qualified health center | Primary care for men without a doctor |
| Local church and fraternity chapters | Promotion and volunteers |
Materials, Revised After Pre-Testing
Pre-testing with two barbers and six patrons led to three changes. The poster headline changed from "Strong Men Know Their Numbers" to "Know Your Number. Stay Strong for Yours," since patrons wanted family in the message. The barber script was shortened to fit the end of a cut. Text messages now come from the shop's name rather than a clinic, which patrons trusted more. Final materials are the barber talking guide, the poster, two reminder texts and a family-directed social media post.
Timeline and Budget
| Month | Activity | Estimated cost |
|---|---|---|
| 1 | Recruit shops, train barbers, print materials | $2,500 |
| 2-6 | Weekly checks; Thursday pharmacist visits | $9,000 pharmacist time |
| 2-6 | Text reminders and social media | $600 |
| 6 | Evaluation and community report | $900 |
Evaluation Plan
Process measures: number of checks, referrals and pharmacist visits per shop; barber participation. Outcome measures: share of referred men with a lower reading at follow-up; men newly connected to primary care. Qualitative: short interviews with barbers and patrons at month 6 on what worked.
Ethics and Limits
Barbershops are private businesses and social spaces, so participation must be voluntary, readings private and no one pressured. Blood pressure data will be stored by the pharmacy under health privacy rules, not by the shop. The campaign's effect may be smaller than in the trial, which used specially trained pharmacists with prescribing agreements; results will be reported honestly to the community.
Conclusion
Cut and Check puts care where Black men already gather and trust the people around them. Built on strong evidence and shaped by community voices, it aims to narrow a gap that is avoidable and unjust. Culture shaped every element, from messengers to channels, following Kreuter and McClure's (2004) view that culturally grounded communication matches source, message and channel to the audience.
References
Kreuter, M. W., & McClure, S. M. (2004). The role of culture in health communication. Annual Review of Public Health, 25, 439-455. https://doi.org/10.1146/annurev.publhealth.25.101802.123000
Marmot, M. (2005). Social determinants of health inequalities. The Lancet, 365(9464), 1099-1104. https://doi.org/10.1016/S0140-6736(05)71146-6
Ostchega, Y., Fryar, C. D., Nwankwo, T., & Nguyen, D. T. (2020). Hypertension prevalence among adults aged 18 and over: United States, 2017-2018 (NCHS Data Brief No. 364). National Center for Health Statistics. https://www.cdc.gov/nchs/products/databriefs/db364.htm
Victor, R. G., Lynch, K., Li, N., Blyler, C., Muhammad, E., Handler, J., Brettler, J., Rashid, M., Hsu, B., Foxx-Drew, D., Moy, N., Reid, A. E., & Elashoff, R. M. (2018). A cluster-randomized trial of blood-pressure reduction in Black barbershops. New England Journal of Medicine, 378(14), 1291-1301. https://doi.org/10.1056/NEJMoa1717250
Reading the HCR 230 Module 4 assignment instructions
The Final Health Equity Campaign is HCR 230's largest assignment, worth 40 of the course's 239 points, and it is submitted as Section 4 in finals week. The syllabus describes the project as scaffolded submissions leading to a final campaign portfolio in which each student builds an equity-focused communication campaign for one population or community, drawing on scholarship, public health data and course readings to produce audience-specific materials supported by qualitative and quantitative evidence. The final project does not qualify for the late policy, so plan to finish early. Revise earlier sections using instructor feedback rather than pasting them in. Build in time for a final proofread of names, numbers and dates across sections, because inconsistencies are easy to miss in a long portfolio.
How this HCR 230 Module 4 example is built
Assembled as a portfolio, the sample opens with a one-paragraph campaign summary, then presents the equity problem and evidence base in condensed form. Three SMART objectives, a partner table and the final materials follow, with a paragraph describing what changed after pre-testing. A timeline and budget table, an evaluation plan with process, outcome and qualitative measures and a section on ethics and limits complete the campaign. The conclusion ties the design back to culture and equity, the two ideas the course is built around. Tables keep partners, timeline and budget readable at a glance. Every section is shortened from its draft.
Where the marks sit in the HCR 230 Module 4 rubric
The final campaign carries 40 points on its Canvas rubric. Final campaigns are generally credited for a coherent design from problem to evaluation, accurate and current evidence, measurable objectives, audience-specific materials that reflect cultural strengths, evidence of revision after feedback or pre-testing, a realistic evaluation plan, attention to ethics and polished APA formatting. Campaigns lose credit when sections read as separate assignments, when objectives cannot be measured, when evaluation is missing and when the campaign speaks about a community without involving it. An evaluation plan that names who will collect each measure and when is a strong signal of a realistic campaign.
HCR 230 Module 4 help from the desk
Open with a single summary paragraph that tells a partner exactly what the campaign does. Make every objective measurable with a number and a date. Point out each revision since the earlier sections and the reason for it. Keep the budget simple but realistic. Address ethics directly, especially privacy and voluntary participation. Read the whole portfolio once for consistency in names, numbers and tone. The desk can read the finished portfolio before you submit. Include the materials themselves in an appendix or embedded pages so the portfolio is complete on its own. Ask a classmate to read only the summary and objectives and tell you what the campaign will do; if they cannot, revise those parts first.
Write yours, or have the desk draft it
This paper is an original model document written by our desk, not a submitted student paper and not an official Arizona State University document. Read it for the moves, then write your own to the instructions in your classroom. If you want one built to your exact prompt and rubric, the first custom sample is free and arrives in 24 to 48 hours.
More HCR 230 and BS in Health Care Coordination sample papers
- HCR 230 Module 1: Health Equity Campaign, Section 1: Population and Problem
- HCR 230 Module 2: Health Equity Campaign, Section 2: Evidence and Cultural Considerations
- HCR 230 Module 3: Health Equity Campaign, Section 3: Audience-Specific Materials
- HCR 321 Module 3: Module 3 Evolving Case, Part 1
- HCR 400 Module 3: Critical Appraisal: Prognosis Study
- HCR 422 Module 2: Affordable Care Act Paper
- HCR 406 Module 3: Campaign Material
HCR 230 Module 4 questions, answered
Where can I find a free HCR 230 Module 4 sample paper?
This page carries a full HCR 230 Module 4 sample: a complete health equity campaign portfolio for a barbershop blood pressure program.
What should the HCR 230 final campaign include?
A complete campaign: the equity problem and evidence, objectives, audience-specific materials, partners, timeline and an evaluation plan.
How much is the HCR 230 final campaign worth?
It is worth 40 of the course's 239 points and is submitted in finals week.
What are SMART objectives?
Each objective names a number and a deadline and is realistic and relevant: specific, measurable, achievable, relevant and time-bound.
Can the HCR 230 final project be submitted late?
No. The syllabus says the final project does not qualify for the late assignment policy.