A COmmunity and Tech-Based ApproaCh for Hypertension Self-MANagement (COACHMAN)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hypertension
- Sponsor
- Case Western Reserve University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Change in Systolic and Diastolic Blood Pressure
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The prevalence of hypertension among U.S. adults increased from 32% to 46% and African Americans are disproportionately impacted. Self-managing hypertension presents challenges such as dealing with complex treatment regimen, including critical components of recommended hypertension treatment such as self-blood pressure monitoring, and lifestyle modifications involving diet, exercise, and tobacco cessation. African Americans with hypertension have lower adherence to self-management behavior due to multifactorial reasons. Substantial evidence has demonstrated the important role of community support in improving patients' self-management of a variety of chronic illnesses, though integrating technology in such programs are rarely offered.
The purpose of this study is to investigate the effectiveness of a community outreach program using a technology-based intervention (TBI) to support self-managing hypertension (called COACHMAN) to improve BP control.
Detailed Description
COACHMAN targets barriers to hypertension knowledge, medication adherence, problem solving skills, patient-provider communication, and social support in an effort to improve blood pressure control. The investigators will conduct a two-arm randomized control trial (RCT) using a community participatory research approach and mixed methods to evaluate the efficacy of TBI intervention with community support (Coachman) compared to enhance usual care (ECU) among 60 African Americans with uncontrolled hypertension. The investigators aim to: 1. Identify key content, design, and resources from a community of stakeholders, including determining facilitators and barriers of hypertension self-management among African Americans that will inform the development of COACHMAN using a mixed methods approach methods. 2. Evaluate the feasibility and acceptability of COACHMAN to improve BP control. 3. Compare the difference in BP control between Technology-based intervention (TBI) and Enhanced usual care (EUC).
Investigators
Carolyn Still
Assistant Professor, Frances Payne Bolton School of Nursing
Case Western Reserve University
Eligibility Criteria
Inclusion Criteria
- •self-identifying as African American
- •age 30 years or older
- •diagnosed with hypertension, with a blood pressure \>140/80 mmHg
- •prescribed at least one antihypertensive medication
- •able to read and understand English
- •own a smartphone
Exclusion Criteria
- •history of cognitive impairment
- •currently using a medication management app
Outcomes
Primary Outcomes
Change in Systolic and Diastolic Blood Pressure
Time Frame: baseline and 12 weeks
The primary outcome was a change (reduction) in both the systolic and diastolic blood pressure from baseline to 12 weeks, in which the 12 weeks mean systolic minus the baseline systolic were calculated. The same for 12 week diastolic BP minus the baseline diastolic BP were calculated for a mean change score. The change score (number) can range from no change (0) to a 10 point reduction in blood pressure.
Change in PROMIS Global Health-10 [Health-related Quality of Life]
Time Frame: Baseline and 12-weeks
Change in PROMIS Global Health-10 score (two subscales- Mental and Physical Health) from baseline to 12 weeks. Raw scores range from 4-20, higher scores represent better health. The change score is calculated as a mean difference between the two scores: at baseline and at 12 weeks. Scores are reported as a change value number, on a continuous number scale, that can be negative or positive (0 to 1, higher number better health).
Secondary Outcomes
- Achieved Blood Pressure Target of < 130/80 mm Hg at 12 Weeks(12 weeks)