Community Health Worker-led Hypertension Management

Conditions studied

Hypertension

About this study

This study is to determine if hypertension management by community health workers (CHW) supported by a mobile health application and remote physician supervision is non-inferior to management by a physician for the primary outcome of improvement in systolic blood pressure. The target population is patients with hypertension in rural Guatemala. Study duration will be 12-24 months.

Interventions

• Other: CommCare with Mobile Clinical Decision Support (CDS) Application — For those assigned to the CHW arm, management will be assisted by CDS from the CommCare application.
• Other: Remote Supervision by Physicians — teleconsultation with a supervising physician
• Other: CommCare Application without CDS — The physician will have received training and orientation on the same clinical protocols followed by the CHWs, as well as access to reference materials for these protocols, but the version of the CommCare application used will not provide CDS, but will serve to record and review patient data only.

Primary outcomes

• Change in Systolic Blood Pressure (SBP) (Baseline, 6 months, 12 months (all participants assessed to 6 months, but participants on study early may also be assessed at 12, 18 and 24 months))

Eligibility information

Study locations

• Community, San Lucas Tolimán, Guatemala