BPCARE: Community health worker support to improve blood pressure and medication use

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

BPCARE is a randomized, controlled program embedded in a federally qualified health center that compares a multi-component behavioral intervention delivered by community health workers to enhanced usual care (hypertension information plus a home blood pressure monitor). About 250 adult patients with diagnosed hypertension receiving care at Family Health Centers of San Diego will be randomized 1:1 and followed for six months. Study activities include baseline screening and orientation, CHW-led contact and support sessions, and in-person or remote follow-up visits to measure medication adherence and blood pressure control and persistence over time. The intervention is designed to integrate into routine clinical care and address language, access, and resource barriers common among refugee patients.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Have a clinical diagnosis of hypertension determined at screening,
* Be at least 21 years of age,
* English as a second language,
* Be able to provide written informed consent and participate in study procedures,
* Have a last least one recorded automated clinic systolic BP reading of at least 130 mmHg within the past year OR at least one home SBP reading of ≥140 mmHg in the last year. AND/OR answer is in range of less than two months to "when was the last time you missed a dose of your hypertension medication?"
* Will not move out of San Diego in the next 6 months, and
* Have access to a mobile phone or computer with video telecommunication capacity (e.g. Zoom)

Exclusion Criteria:

* A cardiovascular event or hospitalization for unstable angina within last 3 months,
* Symptomatic heart failure within the past 6 months or left ventricular ejection fraction \< 35%,
* Individuals who are pregnant, planning on becoming pregnant within the next 7 months
* Current participation in another clinical trial that includes taking medications that may change blood pressure, or
* Major factors judged to be likely to significantly limit comprehension of or adherence to interventions including dementia, psychotic disorders, or affect ability to conduct pill counts
* Any immediate family members participating in the trial.

Where it's running

• Family Health Centers of San Diego
  San Diego, California, United States Recruiting
• University of California, San Diego
  San Diego, California, United States Active not recruiting

Study contacts

• Study coordinator: Tala Al-Rousan, MD, MPH
• Email: talrousan@health.ucsd.edu
• Phone: 619 356 3227

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Fast control of resistant high blood pressure in Brazil's public health system

  This will see if a single-pill triple combination (perindopril, indapamide, amlodipine) controls blood pressure better than usual separate-pill regimens in adults with apparent resistant hypertension.

  Recruiting Instituto Dante Pazzanese de Cardiologia · São Paulo, São Paulo · NCT07259733

• Improving hypertension care in Ghana and Baltimore

  This program tests whether a package of patient-, provider-, and health-system interventions can improve blood pressure control for adults ages 18–70 with hypertension who receive care at participating clinics and own a smartphone.

  Recruiting at 4 sites Johns Hopkins University · Baltimore, Maryland and 16 other locations · NCT06986590

• Improving cardiometabolic and blood pressure health in Detroit through early prevention

  This project will follow adults seen at Wayne Health mobile units who have elevated blood pressure to see if tracking their care, sending text reminders, and offering home monitoring helps improve blood pressure control.

  Recruiting Wayne State University · Detroit, Michigan · NCT06593496

• Using low-dose aspirin after preeclampsia to improve recovery

  This study is testing if taking low-dose aspirin for six months after having preeclampsia can help new moms recover better by improving their blood pressure and blood vessel function.

  Recruiting Phase 4 University of Pittsburgh · Pittsburgh, Pennsylvania · NCT06281665

• IMB-guided health education to boost medication taking and blood pressure control in adults with hypertension

  This study tests a health-literacy program based on Information-Motivation-Behavioral Skills to help adults with hypertension who don’t take their medicines regularly to take them more consistently and better control their blood pressure.

  Recruiting at 8 sites Bahir Dar University · Ādēt and 7 other locations · NCT07894068

• Renal Nerve Stimulation to Help Blood Pressure in AF and HFpEF

  This study tests whether stimulating the kidneys with a catheter can safely lower blood pressure in adults with atrial fibrillation and HFpEF who also have hypertension.

  Recruiting London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's · London, Ontario · NCT07893821

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.