Blood Pressure Lowering Strategies to Eliminate Hypertension Disparities (BLESSED)
The burden of hypertension and related cardiovascular diseases, stroke, and end-stage kidney disease is disproportionately high in Black populations, especially in the South. The Blood Pressure Lowering Strategies to Eliminate Hypertension Disparities (BLESSED) cluster randomized trial aims to test the effectiveness, implementation, and sustainability of a community health worker (CHW)-led multifaceted intervention compared to enhanced usual care for hypertension control in Black communities. In the BLESSED trial…
Conditions studied
Hypertension
About this study
The burden of hypertension and related cardiovascular diseases, stroke, and end-stage kidney disease is disproportionately high in Black populations, especially in the South. The Blood Pressure Lowering Strategies to Eliminate Hypertension Disparities (BLESSED) cluster randomized trial aims to test the effectiveness, implementation, and sustainability of a community health worker (CHW)-led multifaceted intervention compared to enhanced usual care for hypertension control in Black communities. In the BLESSED trial, the investigators plan to recruit 1,176 adults with hypertension (approximately 28 per church) from 42 predominantly Black churches in the Greater New Orleans area. The multifaceted intervention will last for 18 months, followed by a post-intervention follow-up visit at 24 months. The BLESSED trial aims to generate evidence regarding the effectiveness, implementation, and sustainability of this CHW-led church-based multifaceted intervention in eliminating hypertension disparities in the United States (US) general population.
Interventions
- Behavioral: Behavioral: Evidence-based interventions recommended by the 2017 ACC/AHA hypertension clinical guideline — The recommended evidence-based interventions include therapeutic lifestyle change and medical treatment of hypertension
Primary outcomes
- Difference in mean change of systolic blood pressure (Measured from baseline to 18 months)
- Implementation fidelity summary score (Measured at 6, 12, and 18 months)
Eligibility information
Study locations
- Tulane University, New Orleans, Louisiana 70112 United States
Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-09-27.