Community Health Workers Using Patient Stories to Support Hypertension Management



Status:Completed
Conditions:High Blood Pressure (Hypertension)
Therapuetic Areas:Cardiology / Vascular Diseases
Healthy:No
Age Range:30 - 80
Updated:10/27/2017
Start Date:April 14, 2014
End Date:December 29, 2016

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Community Health Workers Using Patient Stories to Support Hypertension

Community Health Workers (CHWs) using patient stories to support hypertension management is a
randomized controlled trial to evaluate the implementation of a CHW-delivered culturally
appropriate storytelling intervention for english and spanish-speaking patients diagnosed
with hypertension who receive care at community health center settings.

Community Health Workers (CHWs) using patient stories to support hypertension (HTN)
management is a CHW-delivered culturally appropriate storytelling intervention for patients
diagnosed with HTN. We will develop and test interactive videos presenting stories of
patients who have successfully made changes enhancing blood pressure control; and integrate
this new tool with a CHW approach to management of hypertension. This two site, two-armed
randomized controlled trial aims to recruit 252 english and spanish speaking patients with
uncontrolled HTN. All participants are randomized to receive five visits (two in-person and 3
telephone calls) with CHWs either immediately (intervention condition (I)) or 6 months after
enrollment (delayed intervention (DI)). Intervention participants receive the intervention
immediately and DI participants receive print materials at enrollment and are telephoned 4-6
months after enrollment to schedule an in-person visit at the health enter to begin receiving
the intervention protocol.

Inclusion Criteria:

- English and Spanish speaking patients

- Male or female between the ages of 30 and 80

- Diagnosis of HTN and uncontrolled HTN, defined as (a) having an average systolic BP
greater than or equal to 140 and /or diastolic BP greater than or equal to 90 over the
past 12 months or (b) most recent BP reading within the previous 6 months as systolic
BP greater than or equal to 140 and /or diastolic BP greater than or equal to 90.

- Willingness to be randomized to either intervention or delayed intervention

Exclusion Criteria:

- Pregnant women

- Patients planning to leave the Community Health Center in the next year

- Adults unable to consent
We found this trial at
2
sites
Worcester, Massachusetts 01610
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Worcester, MA
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Lowell, Massachusetts 01854
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Lowell, MA
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