Community Health Worker-led Hypertension Management
Assessing the Efficacy and Safety of Community Health Worker-led Hypertension Management Enabled by a Mobile Clinical Decision Support Application Compared to Physician Care: a Randomized, Controlled, Noninferiority Trial
University of Wisconsin, Madison
460 participants
Sep 9, 2024
INTERVENTIONAL
Conditions
Summary
This study is to determine if hypertension management by community health workers (CHW) supported by a mobile health application and remote physician supervision is non-inferior to management by a physician for the primary outcome of improvement in systolic blood pressure. The target population is patients with hypertension in rural Guatemala. Study duration will be 12-24 months.
Eligibility
Inclusion Criteria2
- Adults age 18 or greater with diagnosis of hypertension AND blood pressure (BP) greater than or equal to 140/90 OR currently taking antihypertensive medication.
- Ability to provide informed consent
Exclusion Criteria2
- Pregnancy
- Severe comorbid condition(s) with life expectancy less than 1 year
Interventions
For those assigned to the CHW arm, management will be assisted by CDS from the CommCare application.
teleconsultation with a supervising physician
The physician will have received training and orientation on the same clinical protocols followed by the CHWs, as well as access to reference materials for these protocols, but the version of the CommCare application used will not provide CDS, but will serve to record and review patient data only.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06444308