Using Lay Health Advisors to Improve Hypertension Management

Using Lay Health Advisors to Help African Americans Address the Social Context of Hypertension Management

Status

Terminated

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT03515005

Enrollment

Registered

2018-05-03

Start date

2018-12-03

Completion date

2019-09-01

Last updated

2021-04-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hypertension

Keywords

Hypertension, Community Health Workers, Community-Based Participatory Research, Health Equity

Brief summary

Hypertension disproportionately affects and is inadequately controlled among African American and poor populations. The investigators propose to determine the impact of using trained lay health advisors to help patients address social contextual factors that influence the management of hypertension.

Detailed description

Hypertension disproportionately affects and is inadequately controlled among African American and poor populations. Health providers generally lack the skills and resources to address social contextual factors (i.e. health and community services, social networks, social stressors, physical environment, and economic resources) that influence management of hypertension. Instead, providers tend to focus on adjusting antihypertensive medication prescriptions and exhorting patients to exercise and eat better. The investigators propose to determine the impact of using trained lay health advisors to help patients address social contextual factors that influence the management of hypertension. Helping patients address these barriers may lead not only to improved blood pressure but also to increased survival, reduced organ damage, and decreased health care costs. This project may also serve as a model of healthcare delivery innovation that could be used to address other health disparity conditions.

Interventions

BEHAVIORALLay Health Advisor

Patients will meet regularly Lay Health Advisors who will address the social context of their hypertension.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to 64 Years

Healthy volunteers

Inclusion criteria

* At least 2 outpatient blood pressures with systolic \>140 or diastolic \>90 mm Hg in last 6 months. Separate occurrences at least 1 day apart * Age 18-59 years * Non-diabetic * Preserved kidney function (glomerular filtration rate \>60 ml/min) * English speaking

Exclusion criteria

* Mentally incompetent * Pregnant * Terminal illness * Active substance abuse * Documented coronary, peripheral arterial, or cerebrovascular disease

Design outcomes

Primary

Measure	Time frame	Description
Change in systolic and diastolic blood pressure	1 year	Difference between final and initial systolic and diastolic blood pressure readings

Secondary

Measure	Time frame	Description
Change in quality of life.	1 year	Differences in quality of life between final and initial measurements using the 12 item short form survey (SF-12). The SF-12 provides physical and mental health composite scores ranging from 0 (lowest level of health) to 100 (highest level of health)

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026