Webuye

Researchers are evaluating a program called PT4A that combines peer delivery of medications with a health information technology (HIT) platform to support patients with uncontrolled hypertension in western Kenya. The goal is to see if this approach improves medication adherence and lowers blood pressure compared to usual care. The study uses a two-arm cluster randomized controlled trial design and is guided by the PRECEDE-PROCEED framework. It also aims to explore how trust in the health system and patient activation may influence outcomes, and to assess cost-effectiveness and adaptability of the program. The intervention includes door-to-door peer delivery of medications within patients' communities, along with an HIT platform that offers tailored counseling, teleconsultations among clinicians, peers, and patients, medication refill tracking to ensure accountability, and analytics to manage the medication supply chain. The comparison group receives usual care. The study tracks changes over one year. Participants will be monitored through measurements of systolic blood pressure changes and medication adherence using pill counts at baseline and after 12 months. Researchers also collect data on fidelity to the program, blood pressure control, self-reported adherence, and various implementation metrics. Additional outcomes include the number of electronic signatures and completed health information technology forms. This comprehensive follow-up allows detailed assessment of the program's impact and sustainability over 12 months.