RecruitingNot ApplicableNCT07461415

Coaching and Navigation by Community Health Workers (CHWs) Through Telehealth for High-risk Hypertension

CONNECT-HTN Trial - Coaching and Navigation by CHWs Through Telehealth for High-risk Hypertension

Sponsor

Weill Medical College of Cornell University

Enrollment

3,620 participants

Start Date

Mar 16, 2026

Study Type

INTERVENTIONAL

Conditions

Hypertension

Summary

The investigators propose an intervention that leverages the success of Community Healthcare Workers (CHWs) and telehealth to connect patients with severe hypertension from Emergency Department (ED) to primary care resources and to coach them to adopt evidence-based, practical lifestyle solutions relevant to urban living. The investigators have proposed this intervention as "Coaching and Navigation by Community Health Workers (CHWs) through Telehealth for High-risk Hypertension: CONNECT-HTN intervention. The investigators hypothesize that participants receiving the CONNECT-HTN intervention will have a lower likelihood of experiencing a major cardiac event compared with those referred to clinic-based care.

Eligibility

Min Age: 18 Years

Inclusion Criteria8

Eligible patients
Must be over the age of 18 years
Have an ED triage SBP \> 180 and/or DBP \> 110, with a repeat similar reading ≥30 minutes after triage
May have received treatment for elevated BP, but must have no evidence of end-organ damage (acute stroke, acute coronary syndrome, acute kidney injury, or papilledema)
May be admitted for deranged BP only with no complications, or may be stable for discharge per treating emergency physician
Include referrals from the clinic to the ED with SBP/DBP values in the inclusion range
Can provide informed consent. Intervention is accessible to individuals of all literacy levels
Can receive phone calls and in-person visits. Smartphone ownership not required (intervention compatible with analog phones)

Exclusion Criteria4

Given that hypertension is defined and treated differently, we will exclude
pregnant patients
terminally ill patients, as well as
those requiring admission to the hospital due to severe complications (other than deranged BP).

Interventions

BEHAVIORALCONNECT-HTN

We propose a multimodal intervention that leverages the success of CHWs and telehealth to connect patients with severe hypertension to primary care resources and coach them to adopt evidence-based, practical lifestyle solutions relevant to urban living. We call the intervention Coaching and Navigation by CHW through Telehealth for High-risk Hypertension or CONNECT-HTN. CONNECT HTN will add to the evidential basis for implementing many of the WHO Best Buys for Non-Communicable Disease (NCD) prevention and control, and will be the first study powered to measure substantive mortality and mortality outcomes in LMICs.

OTHERStandard ED management

During the Emergency Department (ED) admission, the participants in the control group will be provided a blood pressure measurement device and training to calculate their blood pressure at home. Standard ED management will be provided to these patients, followed by either discharge or admission for the management of hypertension.