Study Details
Design, interventions, and primary outcomes
About This Study
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.
Design
Interventions / Regimen
- Behavioral: RHYTHM (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
- Behavioral: Enhanced 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.
Primary Outcomes
- Blood pressure control - Percent of patients achieving BP control (i.e., Systolic BP<130mmHg) - Month 12 (Month 12)
Phase: NA
Status: Recruiting
Start Date: 2024-12-13
Completion: 2028-09
Sex: ALL
Volunteers: false
Enrollment: 864 (ESTIMATED)
Collaborators: Patient-Centered Outcomes Research Institute
- Yhenneko J. Taylor, PhD (PRINCIPAL_INVESTIGATOR) - Wake Forest University Health Sciences
- Behavioral: RHYTHM (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
- Behavioral: Enhanced 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.