PT4A (Peers and Technology for Adherence, Access, Accountability, and Analytics) - A Qualitative Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- NYU Langone Health
- Enrollment
- 101
- Locations
- 1
- Primary Endpoint
- Absolute Mean Change in Systolic Blood Pressure (SBP)
Study Overview
Brief Summary
The overall objective of this project is to utilize the PRECEDE-PROCEED framework to conduct transdisciplinary, translational implementation research focused on improving medication adherence for hypertension control. The central hypothesis is that peer delivery of medications integrated with HIT (PT4A) will be effective in improving hypertension medication adherence, contributing to improved blood pressure among patients with uncontrolled hypertension in western Kenya. This study record will focus on Sub-Aim 2.2: a pilot of the intervention and a survey questionnaire with patients, peers, and clinical staff to evaluate feasibility. The investigators will evaluate impact on systolic blood pressure, medication adherence, and fidelity of implementation. The investigators will also create a retrospective comparator (control) group of CDM patients, through querying AMRS, matched by sex, age, location and initial blood pressure level. The investigators will then use their recorded blood pressure over a comparable period of up to 1 year and to allow for comparison to the blood pressure changes observed in the patients enrolled in the PT4A program to help understand the magnitude and variance of the intervention effects.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Adult patients ≥ 18 years old
- •Enrolled in the AMPATH CDM PRogram
- •Have uncontrolled hypertension (defined as systolic blood pressures ≥ 140 or diastolic blood pressure ≥ 90)
Exclusion Criteria
- •Acute illness requiring immediate medical attention
- •Terminal illness
- •Inability to provide informed consent
Arms & Interventions
Patients Enrolled in the AMPATH CDM Program
Intervention: Peer Delivery of Medications (Behavioral)
Patients Enrolled in the AMPATH CDM Program
Intervention: Health Information Technology (HIT) Platform (Behavioral)
Outcomes
Primary Outcomes
Absolute Mean Change in Systolic Blood Pressure (SBP)
Time Frame: Baseline, Month 12
Pill Count Adherence Ratio
Time Frame: Month 12
Proportion of prescribed doses taken over a 1-month time period.
Number of Peer Completions of HIT Form
Time Frame: Month 12
Number of Confirmed Medication Deliveries
Time Frame: Month 12
Confirmed medication delivery will be documented by patient e-signature.
Secondary Outcomes
No secondary outcomes reported