About this trial
The proposed study, "Check, Monitor, Control Hypertension in Older African American Adults," is a randomized clinical trial designed to improve blood pressure control among African American adults aged 55 years and older in the Greater Houston area. Hypertension disproportionately affects African Americans, contributing to higher rates of cardiovascular disease and stroke. This project aims to improve clinical and behavioral outcomes through a 24-month intervention combining pharmacist-led counseling and Community Health Worker (CHW) support.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
55 years or older
Have at least 2 high blood pressure readings ≥ 130/80 mmHg within one month
Past Medical History of hypertension > 1 year
Taking at least 1 antihypertensive medication
Disqualifiers
Unable to verbalize comprehension of study or impaired cognitive function (e.g. dementia)
Not able to monitor blood pressure at home
Plans to relocate outside Houston within the next year
Trial design
Parallel
Treatments tested in this trial
Pharmacists Only (Control Group)
Other interventionMedication management and disease state counseling provided by a clinical pharmacist.
Combined Intervention (Pharmacists + CHW Interventions)
Other interventionParticipants receive CHW Individual patient assistance and group health workshops in addition to pharmacist interventions
Treatment groups
Trial outcomes
Primary outcomes
Change in Systolic Blood Pressure
Mean change in systolic blood pressure (mmHg) from baseline to 24 months, measured using standardized BP readings.
Secondary outcomes
Change in Diastolic Blood Pressure
Mean change in diastolic BP from baseline to 24 months.
Medication Adherence
Proportion of participants adhering to prescribed antihypertensive medications, assessed via self-report.
Lifestyle Behavior Changes
Changes in diet, physical activity, and assessed via validated questionnaires.
Sponsors and contacts
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Texas Southern University
Lead sponsor
National Institute on Minority Health and Health Disparities (NIMHD)
Collaborator