Achieving Blood Pressure Control Together Study

African Americans represent a particularly vulnerable subgroup of persons with hypertension,
as they are more likely than Whites to have hypertension, equally as likely to be aware of
it and to be treated for it, but less likely to achieve blood pressure control while
receiving treatment. African Americans are also more likely than Whites to suffer end organ
damage as a result of hypertension. Patients' hypertension self-management behaviors
(including adherence to prescribed care, self-blood pressure monitoring, lifestyle changes,
and shared medical decision-making) represent a cornerstone of hypertension therapy.
Evidence suggests some African Americans with hypertension may experience difficulties
carrying out positive self-management behaviors, in part due to cultural beliefs and
practices, knowledge and perceptions regarding the nature and consequences hypertension, and
lack of systems to support ongoing engagement in prescribed care within their communities.
Substantial evidence has demonstrated the important role of family and community support in
improving patients' management of a variety of chronic illnesses.

The goal of this study is to rigorously test the effectiveness of hypertension
self-management interventions that engage African American patients, their families, and
their community-level resources to improve African American patients' blood pressure.

We hypothesize patients' hypertension control rates may be improved when combining community
health worker self-management support with other types of hypertension self-management
skills training.