Table 2.
Clinical trial name | Patient population | Intervention component | Primary outcomes |
---|---|---|---|
Actions to Decrease Disparities in Risk and Engage in Shared Support for Blood Pressure Control (ADDRESS-BP) in Blacks [87] | Black adults receiving primary care at one of 20 primary care practices affiliated with New York University | Practice facilitation to support implementation of three multi-level evidence-based interventions: nurse case management, home BP monitoring, and use of a community health worker |
Rates of BP control; Implementation costs; Incremental cost effectiveness ratio; Practice facilitation |
A Cardiometabolic Health Program Linked with Clinical-Community Support and Mobile Health Telemonitoring to Reduce Health Disparities (LINKED-HEARTS) [107] | Adults identifying as non-Hispanic White, non-Hispanic Black/African American and/or Hispanic | A multi-level project that intervenes at the practice level by linking home blood pressure monitoring (HBPM) with a telemonitoring platform (Sphygmo). The program incorporates team-based care by including community health workers (CHWs) and pharmacists to improve the outcomes of multiple chronic conditions | Blood pressure control |
Home Blood Pressure Telemonitoring LINKED With Community Health Workers to Improve Blood Pressure (LINKED-BP) [108] | Adults identifying as non-Hispanic White, non-Hispanic African-American, or Hispanic | A multi-level intervention that includes a telemonitoring application (Sphygmo), SMBP and community health workers to prevent hypertension | Change in systolic blood pressure |
Blood Pressure Improving Control Among Alaska Native People (BP-ICAN) [109] | Adults identifying as Alaska Native or American Indian who have received care at participating Alaska clinics | Participants receive a home BP monitor to be used twice daily for 12 months; participants will also receive text messages with educational, motivational, and reminder messages |
Change in SBP at 12 months; Frequency of medication adjustment |
OPtimizing Technology to Improve Medication Adherence and BP Control (OPTIMA-BP) [110] | African-American patients > 50 years old with hypertension | A multi-component technology enabled intervention including web-based education sessions, medication management app, home BP monitoring, and nurse counseling |
BP control at 6 months; Health Related Quality of Life at 6 months |
Use of an Innovative Mobile Health Intervention to Improve Hypertension Among African-Americans [111] | Sixteen African-American patients with hypertension receiving primary care at participating Federally Qualified Health Centers | FAITH! HTN app that promotes self-management through education modules; home BP monitor that syncs to the app; CHW |
BP change; Participant engagement with self-monitoring; Hypertension self-care |
Video-based Intervention to Address Disparities in Blood Pressure Control After Stroke (VIRTUAL) [112] | Adult patients with recent stroke and diagnosis of hypertension | Early follow-up after a stroke via telehealth with a multidisciplinary team, remote blood pressure monitoring, and medication adjustment by a pharmacist | 6-month blood pressure control |