Improving cardiometabolic and blood pressure health in Detroit through early prevention
Addressing Cardiometabolic Health In Populations Through Early Prevention in the Great Lakes Region Project 1 - Epidemiology (ACHIEVE P1-EPI)
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.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 1000 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Wayne State University Academic / other |
| Locations | 1 site (Detroit, Michigan) |
| Trial ID | NCT06593496 on ClinicalTrials.gov |
What this trial studies
ACHIEVE P1-EPI is the prospective observational component of the ACHIEVE GREATER Center focused on patients with above-normal blood pressure seen at Wayne Health Mobile Health Unit events in Detroit. It combines a retrospective analysis of MHU patients beginning in April 2020 with a prospective sub-cohort who consent to ongoing follow-up through electronic health records and, for a subset, home blood pressure monitoring. Enrolled participants must be 18 or older, have elevated blood pressure (≥120 systolic or ≥80 diastolic), and be able to receive text messages; the protocol includes text-message reminders as part of its intervention tools. The study will analyze clinical data, health care utilization, and social determinants of health to identify drivers of poor blood pressure control and inform targeted prevention strategies.
Who should consider this trial
Good fit: Adults (18+) who attended Wayne Health Mobile Unit events in Detroit with systolic ≥120 or diastolic ≥80, who have a phone that can receive text messages, and who consent to ongoing follow-up and EHR review.
Not a fit: People with normal blood pressure (<120/<80), pregnant individuals, children under 18, those without a text-capable phone, those unable to consent, or those enrolled in another mobile-unit interventional trial are unlikely to benefit from this project.
Why it matters
Potential benefit: If successful, the project could support low-cost, targeted interventions like text reminders and home monitoring that help keep blood pressure controlled and reduce future cardiovascular risk.
How similar studies have performed: Prior programs using text-message reminders and home blood pressure monitoring have shown modest improvements in blood pressure control in various populations, though results depend on community context and access to care.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Mobile Health Unit Patients with blood pressure above normal (≥120 systolic and/or ≥80 mmHg) * Has a phone with the ability to receive text messages * 18+ years old * Consent to allow prospective follow-up including through EHR review Exclusion Criteria: * Non-mobile health unit patients * MHU patients with systolic BP \< 120 mmHg AND diastolic BP \< 80 mmHg * Pregnant Women * Children less than 18 years old * Individuals viewed by the investigative team as unable to understand and sign the informed consent form * Currently enrolled in another on-going interventional trial initiated on the mobile health unit
Where this trial is running
Detroit, Michigan
- Wayne Health Mobile Units — Detroit, Michigan, United States (Recruiting)
Study contacts
- Principal investigator: Steven J Korzeniewski, PhD — Wayne State University
- Study coordinator: Phillip Levy, MD, MPH
- Email: plevy@med.wayne.edu
- Phone: 313-577-1214
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.