Team Based Equity Conscious Telemedicine Approach to Hypertension
- Conditions
- Hypertension
- Interventions
- Other: Feasibility InterviewBehavioral: Team Based Equity Conscious Telemedicine Hypertension InterventionBehavioral: Usual Care
- Registration Number
- NCT06424730
- Lead Sponsor
- Wake Forest University Health Sciences
- Brief Summary
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.
- Detailed 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.
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- 84
- African American or Black
- Patients with last clinic systolic Blood Pressure >140 mmHg or diastolic Blood Pressure >90 mmHg or both
- 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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Interview Group Feasibility Interview Black patients or their family members; Black community faith leaders; primary care providers and research coordinators Team based Equity conscious Telemedicine Hypertension (TET-HTN) intervention Team Based Equity Conscious Telemedicine Hypertension Intervention 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 Usual Care Usual Care 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.
- Primary Outcome Measures
Name Time Method Barriers / Facilitators for Recruitment Day 1 Evaluate multi-level barriers and facilitators for recruitment and participation of Black patients in a Team based Equity conscious Telemedicine (TET-HTN) clinical trial - will be reported as themes from thematic analysis of qualitative data
Feasibility of Telemedicine Approach - Proportion of Subjects Month 6 Evaluate the feasibility of Team Based Equity Conscious Telemedicine Hypertension intervention in a randomized comparison with usual clinic-based hypertension care. Feasibility will be measured using the proportion of patients screened, eligible, agree to participate and decline.
- Secondary Outcome Measures
Name Time Method Change in Blood Pressure Month 6 Changes in Systolic and Diastolic Blood Pressure
Percentage of Medication adherence Month 6 Medication adherence using the Proportion of Days Covered
Trial Locations
- Locations (1)
Wake Forest University Health Sciences
🇺🇸Winston-Salem, North Carolina, United States