Remote Hypertension Tracking, Help, and Management to Reduce Disparities in Black Patients

What this Trial Is About

Researchers are evaluating two different ways to manage hypertension in Black patients who have uncontrolled blood pressure. The study compares home blood pressure telemonitoring supported by a pharmacist and a community health worker with usual clinic-based care that includes a home blood pressure monitor and routine provider care. This pragmatic trial aims to reduce disparities in blood pressure control among Black patients. Participants will be randomly assigned to one of two groups. One group will receive remote blood pressure monitoring with medication management by a centralized team led by a pharmacist, plus social support, lifestyle education, and community resource connections provided by a community health worker. The other group will receive enhanced usual care, including training for providers on guideline-based therapy, a standardized education packet, and a home blood pressure monitor for regular measurements. During the study, patients will have their blood pressure and health outcomes monitored at baseline, 6 months, 12 months, 18 months, and 24 months. Various surveys will assess self-management skills, medication adherence, and patient care experiences. Researchers will measure the percentage of patients achieving blood pressure control, defined as a systolic blood pressure below 130 mmHg at 12 months, along with other health utilization data. The study will continue through September 2028.

Remote Hypertension Management for Black Patients