Improving Hypertension Control in Safety-Net Settings: The Boston Hypertension Equity Alliance in Treatment

Part of paid clinical trials in Boston, Massachusetts.

Sponsor
Boston Medical Center
Study ID
NCT06948838
Status
Recruiting
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Conditions

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • RBPM — BEHAVIORAL
    Standardized blood pressure measurement and treatment protocols in clinical practice.
  • MII — OTHER
    Team-based interventions including multiple evidence-proven interventions such as clinician decision support, monitoring medication non-adherence, use of combination pills, and formulary modifications.

Study Details

High blood pressure (BP) or hypertension (HTN) affects over 100 million individuals in the US, increasing the risk of adverse outcomes, including stroke, myocardial infarction (MI), and chronic kidney disease (CKD). Effective therapies include non-pharmacologic approaches and multiple medication classes. Successful HTN management requires ongoing patient engagement for BP monitoring and treatment intensification. Reaching this goal is challenging, and many patients with HTN do not have controlled BP. Using a collaborative partnership between patients, clinicians, health system and public health stakeholders, and the research team the investigators plan to overcome barriers to widespread implementation of evidence-based health system strategies to improve BP control in a large, urban, primary care-based safety-net setting for diverse populations experiencing disparities in HTN-related outcomes.

Key Dates

Start date
Sep 8, 2025
Status verified
Oct 2025
Primary completion
Sep 30, 2029
Completion
Sep 30, 2029

Study Design

Enrollment
16,895 participants (estimated)
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: Remote Blood Pressure Monitoring (RBPM)
    Individual level interventions fo monitor blood pressure.
  • Experimental: Multilevel Intensification interventions (MII)
    Team-based interventions to mitigate clinical inertia which is the lack of intensification of treatment despite inadequate disease control such as for HTN.

Primary Outcome Measure

Systolic blood pressure (SBP) improvement [ Time Frame: Baseline, every 3 months up to 54 months ]

Central Contacts

Locations (7)

FacilityCityStateZIPSite coordinators
Boston Healthcare for the Homeless (BHCHP)BostonMassachusetts02118-
Boston Medical Center Family MedicineBostonMassachusetts02118-
Boston Medical Center, General Internal Medicine primary careBostonMassachusetts02118-
Mattapan Community Health CenterBostonMassachusetts02126-
Neighborhood HealthBostonMassachusetts02118-
Manet Community Health CenterQuincyMassachusetts02169-
Greater Roslindale Medical and Dental Center (GRMDC)RoslindaleMassachusetts02131-

Find similar trials in Boston, MA

By condition
Hypertension (high blood pressure)
By specialty
CardiologyHeart disease
By research site
Boston Healthcare for the Homeless (BHCHP)· Boston, MABoston Medical Center Family Medicine· Boston, MABoston Medical Center, General Internal Medicine primary care· Boston, MAMattapan Community Health Center· Boston, MANeighborhood Health· Boston, MAManet Community Health Center· Quincy, MA

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