RecruitingNot ApplicableNCT06527794

Remote Hypertension Management for Black Patients

Remote Hypertension Tracking, Help, and Management to Reduce Disparities in Black Patients

Sponsor

Wake Forest University Health Sciences

Enrollment

864 participants

Start Date

Dec 13, 2024

Study Type

INTERVENTIONAL

Conditions

Uncontrolled Hypertension

Summary

This study will compare two approaches for managing hypertension in Black patients with uncontrolled blood pressure (BP). One approach will include home BP telemonitoring supported by a pharmacist and a community health worker. The other approach will include usual clinic-based care along with a home BP monitor and routine care.

Eligibility

Min Age: 21 YearsMax Age: 85 Years

Inclusion Criteria6

Black or African American race
Hypertension diagnosis
aged 21 to 85 years
Uncontrolled blood pressure as defined by \[a\] most recent SBP ≥140 mmHg and an additional SBP≥140 mmHg within the past 12 months in an outpatient setting (excluding urgent care, emergency department or surgery clinic), or \[b\] most recent SBP\>160mmHg in an outpatient setting (excluding urgent care, emergency department or surgery clinic), or \[c\] referral by PCP for uncontrolled hypertension with at least one documented SBP≥140 mmHg (in clinic or at home) in the past 12 months; and (v) primary care provided at a participating clinic.
Able to speak English
Primary care provided at a participating clinic

Exclusion Criteria7

currently pregnant or planning to get pregnant during the study period
residence in a long-term care facility, hospice or with a terminal illness with less than 1 year life expectancy as determined by the Primary Care Physician or study team. Stable chronic illness such as compensated cirrhosis, chronic obstructive pulmonary disease, congestive heart failure etc. will not be excluded.
estimated Glomerular Filtration Rate (eGFR) \<30 ml/min or on dialysis. Patients with a functioning kidney transplant will not be excluded.
inability to provide informed consent or participate in study procedures. For example, conditions that limit ability to participate in phone visits or check BPs in at least one arm.
currently participating in another BP management program.
plan to move out of the area within the next 12 months.
Hispanic ethnicity.

Interventions

BEHAVIORALRHYTHM (Remote Hypertension Tracking Help Management)

Home blood pressure telemonitoring with remote medication management by a centralized multidisciplinary team led by a pharmacist; and social support, lifestyle education and connection to community resources to address social needs, provided by a community health worker who is embedded with the centralized team and is tightly connected to community resources and partners

BEHAVIORALEnhanced usual care (UC)

All participating sites will receive training on appropriate blood pressure measurement and education on guideline-based hypertension therapy. Additionally, participants in usual care will receive a standardized packet with evidence-based hypertension education material and a blood pressure monitor to complete blood pressure measurements at home.