Community Health Workers Using Patient Stories to Support Hypertension Management
- Conditions
- Hypertension
- Interventions
- Behavioral: Intervention
- Registration Number
- NCT02874547
- Lead Sponsor
- University of Massachusetts, Worcester
- Brief Summary
Community Health Workers (CHWs) using patient stories to support hypertension management is a randomized controlled trial to evaluate the implementation of a CHW-delivered culturally appropriate storytelling intervention for english and spanish-speaking patients diagnosed with hypertension who receive care at community health center settings.
- Detailed Description
Community Health Workers (CHWs) using patient stories to support hypertension (HTN) management is a CHW-delivered culturally appropriate storytelling intervention for patients diagnosed with HTN. We will develop and test interactive videos presenting stories of patients who have successfully made changes enhancing blood pressure control; and integrate this new tool with a CHW approach to management of hypertension. This two site, two-armed randomized controlled trial aims to recruit 252 english and spanish speaking patients with uncontrolled HTN. All participants are randomized to receive five visits (two in-person and 3 telephone calls) with CHWs either immediately (intervention condition (I)) or 6 months after enrollment (delayed intervention (DI)). Intervention participants receive the intervention immediately and DI participants receive print materials at enrollment and are telephoned 4-6 months after enrollment to schedule an in-person visit at the health enter to begin receiving the intervention protocol.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 171
- English and Spanish speaking patients
- Male or female between the ages of 30 and 80
- Diagnosis of HTN and uncontrolled HTN, defined as (a) having an average systolic BP greater than or equal to 140 and /or diastolic BP greater than or equal to 90 over the past 12 months or (b) most recent BP reading within the previous 6 months as systolic BP greater than or equal to 140 and /or diastolic BP greater than or equal to 90.
- Willingness to be randomized to either intervention or delayed intervention
- Pregnant women
- Patients planning to leave the Community Health Center in the next year
- Adults unable to consent
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Intervention Intervention Patients will receive five visits with a CHW during a 6 month period (two in-person and three by telephone). At the first visit, patients will meet the CHW who is trained in motivational interviewing techniques to deliver coaching to work on behavioral changes and introduce a 60 minute Digital Video Disc of five patient stories of individuals who have managed to control their hypertension. Delayed Intervention Intervention Patients will receive print materials at time of consent and randomization. Four to six months after randomization, DI patients will receive an invitation to schedule an in-person visit at the health center to begin receiving the intervention protocol.
- Primary Outcome Measures
Name Time Method changes in systolic and diastolic BP (SBP and DBP) 6 months Entering SBP and DBP will be the most recent BP values in the 6 months before entry; exit BP values will be the average of two BP values taken at study exit.
- Secondary Outcome Measures
Name Time Method Increased physical activity 6 months Self report of behavior change
Blood Pressure maintenance 12 months SBP and DBP will be the value obtained from the Electronic Health Record visit date 12 months after enrollment
Reduce sodium intake 6 months Self report of behavior change
Greater medication adherence 6 months Self report of behavior change
Trial Locations
- Locations (2)
Lowell Community Health Center
🇺🇸Lowell, Massachusetts, United States
Family Health Center of Worcester
🇺🇸Worcester, Massachusetts, United States