BPCARE Intervention for High Blood Pressure
(BPCARE Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
The goal of this randomized clinical trial is to determine whether a community health worker-delivered, multi-component behavioral intervention can improve antihypertensive medication adherence and blood pressure control among adult refugees with hypertension who are prescribed antihypertensive medications.
The main questions it aims to answer are:
1. Does participation in the BPCARE intervention improve antihypertensive medication adherence compared to enhanced usual care?
2. Does participation in the BPCARE intervention improve blood pressure control and persistence over time compared to enhanced usual care?
Researchers will compare participants randomized to the BPCARE intervention to those receiving enhanced usual care (hypertension information and a home blood pressure monitor) to determine the effects on medication adherence, blood pressure control, and persistence.
Participants will:
* Be randomly assigned to either the BPCARE intervention or enhanced usual care
* Receive hypertension education and a home blood pressure monitor
* Participate in community health worker-delivered sessions that include hypertension and medication education, motivational interviewing, problem-solving, and action planning (intervention arm only)
* Complete questionnaires assessing medication adherence and related psychosocial factors
* Have blood pressure monitored using connected home blood pressure devices
* Complete pill counts to assess medication adherence over a nine-month follow-up period
Are You a Good Fit for This Trial?
The BPCARE trial is for adult refugees with hypertension who take blood pressure medication, can use video calls like Zoom, and speak English as a second language. They must have had high blood pressure readings in the past year and be likely to stay in San Diego for at least 6 months.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Baseline/Orientation
Participants complete baseline assessments, provide informed consent, and receive training on study procedures
Treatment
Participants receive the BPCARE intervention or standard care, including monthly pill counts and blood pressure monitoring
Follow-up
Participants are monitored for medication adherence and blood pressure control
What Are the Treatments Tested in This Trial?
Interventions
- BPCARE Intervention
Trial Overview
This study tests if a community health worker-led program (BPCARE) helps people stick to their blood pressure meds better than just getting extra info and a home monitor. It includes education, motivational talks, problem-solving sessions, and action planning over nine months.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Participants in the BPCARE intervention arm will receive a translated educational booklet, a pill box for pill organization, and two intervention sessions focused on medication adherence within month 1 and 2 after randomization.
Participants in the control arm will not receive any additional support, but will still be conducting monthly pill counts, at home BP measurements, and in-person follow-up visits.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of California, San Diego
Lead Sponsor
Family Health Centers of San Diego
Collaborator
National Heart, Lung, and Blood Institute (NHLBI)
Collaborator
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