Project Summary

What is this research about?
High blood pressure is a serious disease that affects almost half of adults in the United States. People that have high blood pressure usually need treatment to keep their blood pressure controlled and prevent heart disease and stroke. However, more than half of people with high blood pressure do not have their blood pressure under control. Non-Hispanic Black people have lower rates of blood pressure control than other groups, and patients and other stakeholders need information on how to provide care in a way to reduce these differences. 

This study is comparing two ways to improve care for non-Hispanic Black patients with high blood pressure. The first way provides care to patients electronically through phone and video visits. A care team, including a pharmacist and community health worker, will help give advice, reminders and education to patients. The second way is in person, at a doctor’s office the way someone might normally seek care. 

Who can this research help? 
This research will help patients, families, doctors and health systems make better decisions about how to manage high blood pressure in Black patients. This study will provide information on which intervention is more effective for controlling blood pressure and the best way to implement the intervention in primary care practices. 

What is the research team doing? 
The research team is working with 18 doctor’s offices that are part of a healthcare systems in North Carolina, South Carolina, and Kansas, to enroll 780 non-Hispanic Black patients who have high blood pressure that is not under control. The research team will assign half of the patients by chance to home blood pressure telemonitoring supported by a care team and a community health worker providing central self-management support for high blood pressure. The research team will assign the other half of patients by chance to receive a home blood pressure monitor and usual clinic-based care from providers trained on the current guidelines for managing high blood pressure. All patients will receive training on how to measure their blood pressure at home using a home blood pressure monitor provided by the research team. 

In addition, patients receiving self-management support will have their home blood pressure readings sent to their care team for review. They will also receive regular calls from a pharmacist to adjust their medication and address any treatment concerns as well as regular calls and outreach from a community health worker who will provide education on how to manage their life with high blood pressure and address any barriers to managing their blood pressure or other social needs. Patients receiving usual care will visit their doctor as they normally would. The clinics joining the study will receive training on the best way to manage high blood pressure in the clinic setting. 

Patients will remain in the study for two years. After 12 months the research team will compare blood pressure control between the two groups to see if one way of managing blood pressure is better than the other. After two years, the research team will compare visits to the hospital and how patients are able to manage their high blood pressure. 

The research team will also interview patients, caregivers, doctors and pharmacists to find out about their experience with the self-management support and the best way to conduct it in other settings. The research team is working with patients, doctors, pharmacists, community health workers, healthcare administrators and community members to develop and implement the plans for the self-management support intervention and share the study’s findings.

Project Information

Yhenneko Taylor, Ph.D., Mstat
William Applegate, M.D.
Wake Forest University Health Sciences

Key Dates

60 months
November 2023


Award Type
State State The state where the project originates, or where the primary institution or organization is located. View Glossary
Last updated: April 23, 2024