Eatonton

Researchers are conducting a two-arm parallel randomized clinical trial to compare technology-enabled management with usual care for blood pressure control in adults aged 30 to 90 years with hypertension. The study involves three cohorts using various recruitment strategies aimed at improving participant diversity and engagement, especially among African-American, Hispanic/Latinx individuals, and women. Recruitment approaches include digital outreach, patient registry queries, honest broker outreach, and a Spanish-speaking ambassador program. Cohort 3 at Morehouse School of Medicine uses different patient screening methods including manual screening by residents, AI-assisted screening, and coordinator-led screening to assess screening accuracy, efficiency, and demographic representativeness. The interventions being evaluated are a Digital Hypertension Management System—a mobile health technology that provides physician-directed, semi-automated hypertension management—and usual care. Participants are randomly assigned to one of these two groups. Recruitment and screening methods differ across cohorts and phases, with targeted strategies to enhance enrollment diversity. The study measures various endpoints including consent rates following different outreach methods, enrollment percentages among demographic subgroups, screening accuracy, workload satisfaction, and screening efficiency. Participants will be involved through recruitment and screening procedures and will be monitored for medication use measured as Defined Daily Dose at baseline and six months. Data collection includes demographic information, enrollment and consent rates, screening accuracy metrics, and participant feedback on workload and satisfaction. The study aims to assess the effectiveness of technology-enabled management compared to usual care for blood pressure control and to evaluate recruitment and screening strategies that improve diversity and engagement over a total participation period that includes follow-up assessments at six months.