Using Lay Health Advisors to Improve Hypertension Management
| Status: | Enrolling by invitation |
|---|---|
| Conditions: | High Blood Pressure (Hypertension) |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 18 - 64 |
| Updated: | 3/3/2019 |
| Start Date: | December 3, 2018 |
| End Date: | December 2023 |
Using Lay Health Advisors to Help African Americans Address the Social Context of Hypertension Management
Hypertension disproportionately affects and is inadequately controlled among African American
and poor populations. The investigators propose to determine the impact of using trained lay
health advisors to help patients address social contextual factors that influence the
management of hypertension.
and poor populations. The investigators propose to determine the impact of using trained lay
health advisors to help patients address social contextual factors that influence the
management of hypertension.
Hypertension disproportionately affects and is inadequately controlled among African American
and poor populations. Health providers generally lack the skills and resources to address
social contextual factors (i.e. health and community services, social networks, social
stressors, physical environment, and economic resources) that influence management of
hypertension. Instead, providers tend to focus on adjusting antihypertensive medication
prescriptions and exhorting patients to exercise and eat better. The investigators propose to
determine the impact of using trained lay health advisors to help patients address social
contextual factors that influence the management of hypertension. Helping patients address
these barriers may lead not only to improved blood pressure but also to increased survival,
reduced organ damage, and decreased health care costs. This project may also serve as a model
of healthcare delivery innovation that could be used to address other health disparity
conditions.
and poor populations. Health providers generally lack the skills and resources to address
social contextual factors (i.e. health and community services, social networks, social
stressors, physical environment, and economic resources) that influence management of
hypertension. Instead, providers tend to focus on adjusting antihypertensive medication
prescriptions and exhorting patients to exercise and eat better. The investigators propose to
determine the impact of using trained lay health advisors to help patients address social
contextual factors that influence the management of hypertension. Helping patients address
these barriers may lead not only to improved blood pressure but also to increased survival,
reduced organ damage, and decreased health care costs. This project may also serve as a model
of healthcare delivery innovation that could be used to address other health disparity
conditions.
Inclusion Criteria:
- At least 2 outpatient blood pressures with systolic >140 or diastolic >90 mm Hg in
last 6 months. Separate occurrences at least 1 day apart
- Age 18-59 years
- Non-diabetic
- Preserved kidney function (glomerular filtration rate >60 ml/min)
- English speaking
Exclusion Criteria:
- Mentally incompetent
- Pregnant
- Terminal illness
- Active substance abuse
- Documented coronary, peripheral arterial, or cerebrovascular disease
We found this trial at
1
site
Click here to add this to my saved trials
