Team Based Equity Conscious Telemedicine Approach to Hypertension

Wake Forest University (WFU)

Status: Withdrawn

Conditions: Hypertension

Treatments: Behavioral: Usual Care; Other: Feasibility Interview; Behavioral: Team Based Equity Conscious Telemedicine Hypertension Intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT06424730

IRB00113617

Details and patient eligibility

About

The purpose of study is to understand the different factors (patient, societal, provider, clinic, health system) relevant in recruitment and participation of patients in Team Based Equity Conscious Telemedicine Approach to Improve Hypertension clinical trial.

Full description

Black patients suffer disproportionate hypertension (HTN) burden with worse control, resulting in HTN-related mortality rates twice those observed in non-Hispanic White patients. Contextually informed care approach is urgently needed in Black patients for HTN management. This study will evaluate multi-level barriers and facilitators for recruitment and participation of Black patients in a Team Based Equity Conscious Telemedicine Approach to Improve Hypertension (TET-HTN) clinical trial. This study will also evaluate the feasibility of TET-HTN intervention in a randomized comparison with usual clinic-based hypertension care approach.

Sex: All

Ages: 18 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• African American or Black
• Patients with last clinic systolic Blood Pressure >140 mmHg or diastolic Blood Pressure >90 mmHg or both

Exclusion criteria

• Unable to read or speak English
• diminished ability to measure home BP (dementia, or psychosis)
• acute health changes in past 3 months increasing chance of BP instability (hospitalization);
• terminal illness.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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0 participants in 3 patient groups

Interview Group

Other group

Description:

Black patients or their family members; Black community faith leaders; primary care providers and research coordinators

Treatment:

Other: Feasibility Interview

Team based Equity conscious Telemedicine Hypertension (TET-HTN) intervention

Experimental group

Description:

Black patients with systolic blood pressure \>140 mmHg on the last two clinic visits plus baseline systolic blood pressure \>130 mmHg - deliver the TET-HTN intervention over six months

Treatment:

Behavioral: Team Based Equity Conscious Telemedicine Hypertension Intervention

Usual Care

Other group

Description:

Black patients with systolic blood pressure \>140 mmHg on the last two clinic visits plus baseline systolic blood pressure \>130 mmHg - usual clinic based hypertension care using routinely available clinic services including community health worker/social worker. Clinicians can offer self-management support (e.g., dietician referral) or recommend a home blood pressure monitor. These activities mirror current primary care practice.

Treatment:

Behavioral: Usual Care