Community Health Worker Engagement for High Blood Pressure
(aHTN-Manage Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine if community health workers (CHWs) can assist people with high blood pressure by connecting them with local resources addressing social needs, such as food or housing assistance. It focuses on patients visiting the emergency department with uncontrolled hypertension. Participants will collaborate with CHWs to find community support and assess whether this reduces their need for emergency visits or hospital stays. Suitable candidates for this trial include those living in New York City, who speak English or Spanish, and have been diagnosed with uncontrolled high blood pressure. As an unphased trial, this study offers a unique opportunity to contribute to innovative research that could enhance community health support systems.
Do I have to stop taking my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications. It seems focused on addressing social needs rather than changing medical treatments.
What prior data suggests that this community health worker engagement is safe for patients with hypertension?
Research has shown that community health worker (CHW) programs are generally safe and well-received. In studies, CHWs have successfully helped patients manage high blood pressure. For instance, one study found that patients' top blood pressure number dropped by 14.5 points over 18 months. Another study showed that working with CHWs increased the likelihood of better blood pressure control.
While these studies mainly focus on program effectiveness, they also suggest that involving CHWs does not cause significant side effects. The approach involves counseling and support, which are generally safe. Therefore, based on current research, involving CHWs in managing high blood pressure is considered a safe option.12345Why are researchers excited about this trial?
Researchers are excited about the Community Health Worker engagement approach for high blood pressure because it offers a personalized and community-focused intervention, unlike traditional medications and lifestyle changes that are typically used. This method involves trained community members who connect with patients, providing support, education, and resources directly in their everyday environments. By focusing on high-risk populations in emergency departments, this approach aims to improve access to care and tailor interventions to individual needs, which could lead to more effective management of hypertension. This could potentially reduce the need for emergency care and improve overall health outcomes.
What evidence suggests that Community Health Worker engagement is effective for high blood pressure?
Research has shown that community health workers (CHWs) can effectively help manage high blood pressure. One study found that people with CHW support had better blood pressure control—68.2% compared to 41.6% without CHWs. Another study reported a small drop in blood pressure among people with low literacy when CHWs were involved. Additional research indicates that CHWs assist by reminding people to take their medication and attend doctor appointments. Overall, CHW programs have significantly improved blood pressure control in several cases. Participants in this trial will engage with CHWs to assess the impact on hypertension management in high-risk Emergency Department populations.678910
Who Is on the Research Team?
Marcee Wilder, MD MPH
Principal Investigator
ISMMS
Are You a Good Fit for This Trial?
This trial is for adults (18+) living in NYC who speak English or Spanish, have a known diagnosis of high blood pressure, and currently have uncontrolled hypertension based on two high readings during an emergency room visit.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Enrollment and Baseline Assessment
Participants complete standardized SDOH surveys and CHWs facilitate referrals to community-based organizations
Intervention
Community health worker-led intervention to address social determinants of health
Follow-up
Participants are monitored for healthcare utilization and retention
What Are the Treatments Tested in This Trial?
Interventions
- Community Health Worker engagement
Trial Overview
The study tests whether having a community health worker help connect patients with local resources to address social needs can improve care for people with high blood pressure seen in the emergency department. All participants receive this support.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
Participants with hypertension in high-risk Emergency Department populations
Find a Clinic Near You
Who Is Running the Clinical Trial?
Icahn School of Medicine at Mount Sinai
Lead Sponsor
National Institute on Minority Health and Health Disparities (NIMHD)
Collaborator
Citations
Approaches and outcomes of community health worker's ...
Summarised outcomes of individual studies showed CHW enhanced the control and management of hypertension. Further studies are needed to indicate the impact and ...
Community Health Workers as Key Allies in the Global ...
After 6 months at trial completion, BP control was superior in the CHW intervention (68.2%, n=154) compared with control (41.6%, n=137) group (P ...
Impact of a community health worker led intervention for ...
Our trial of a comprehensive intervention showed a modest decrease in blood pressure among hypertension patients with relatively low literacy ...
Effectiveness of a Community Health Worker Delivered ...
The investigators aim to determine the effectiveness of a CHW-led intervention in blood pressure control among confirmed hypertensive patients and patient- ...
Integrating Community Health Workers into ...
CHW-based interventions have demonstrated effectiveness in improving hypertension outcomes through medication adherence, appointment keeping, and implementation ...
Task-sharing with community health workers to treat ... - PMC
One of these studies showed a statistically significant, net mean reduction in SBP of 14.5 mmHg at 18 months [34], suggesting that drug treatment by CHWs has a ...
Approaches and outcomes of community health worker's ...
Summarised outcomes of individual studies showed CHW enhanced the control and management of hypertension. Further studies are needed to indicate the impact and ...
Community Health Workers Using Patient Stories to ...
The CHW explores the patient's motivation to change associated with hypertension and counsels on risk factor control (tobacco, diet, physical activity).
9.
ama-assn.org
ama-assn.org/public-health/health-equity/rush-study-finds-familiar-faces-can-help-lower-congregations-bpRush study finds familiar faces can help lower ...
Working with community health workers recruited from Black churches results in average 10% drop in systolic blood pressure.
A Community Health Worker–Led Intervention to Improve ...
We analyzed the outcome of blood pressure (BP) control using pooled data from two community health worker interventions in New York City ...
Unbiased Results
We believe in providing patients with all the options.
Your Data Stays Your Data
We only share your information with the clinical trials you're trying to access.
Verified Trials Only
All of our trials are run by licensed doctors, researchers, and healthcare companies.