Southeastern Collaboration to Improve Blood Pressure Control



Status:Recruiting
Conditions:High Blood Pressure (Hypertension)
Therapuetic Areas:Cardiology / Vascular Diseases
Healthy:No
Age Range:18 - 85
Updated:3/22/2019
Start Date:May 3, 2017
End Date:August 2020
Contact:Andrea Cherrington, MD
Email:Cherrington@uab.edu
Phone:2059962885

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Collaboration to Improve Blood Pressure in the US Black Belt-addressing the Triple Threat

The central objective of this proposal is to rigorously compare two strategies designed to
improve BP control in primary care practices serving rural Southeastern African Americans
with low socioeconomic status (SES) living in the "Black Belt".

The Agency for Healthcare Research and Quality (AHRQ) Disparities Report identifies
individuals with rural residence, minority ethnicity, and low SES as being at high risk for
poor health outcomes. The "Black Belt" region stretches from eastern Texas in an arc to
Maryland and includes residents with all 3 of these characteristics - the proverbial triple
threat. This traditionally agricultural region is characterized by steep poverty, low
educational attainment, scarce resources, and mostly African American residents. The Black
Belt is in the heart of the Stroke Belt, a geographic area long recognized to have the
highest cardiovascular disease (CVD) mortality in the US. The AHRQ Disparities Report also
cites that the Southeast has lower quality of care than the rest of the US, thus effective
strategies to optimize CVD prevention in general and hypertension (HTN) control specifically
are urgently needed here.

In year 1 (AIM 1) we're engaging community members (community members who have experience
being community peer advisors or have high blood pressure) to develop the study interventions
and protocols. In years 2-5, the investigators will test these interventions.


Inclusion Criteria:

- African American adults aged 19-85 years

- Uncontrolled HTN, defined as BP >140/90 mm Hg at the time of study enrollment

- Black Belt resident

- English speaking

- Willing to work with a peer coach

- Willing to sign informed consent

Exclusion Criteria:

- Plans to move out of the area within the next two years

- Advanced illness with limited life expectancy

- Pregnant or plans to get pregnant in the next year

- Advanced chronic kidney disease (estimated glomerular filtration rate <45 ml/min/1.73
m2)

- Unwillingness to work with a peer coach or to sign informed consent
We found this trial at
3
sites
CHapel Hill, North Carolina 27599
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1720 2nd Ave S
Birmingham, Alabama 35233
(205) 934-4011 
Phone: 205-996-2885
University of Alabama at Birmingham The University of Alabama at Birmingham (UAB) traces its roots...
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1001 E 5th St
Greenville, North Carolina 27858
(252) 328-6131
Phone: 252-744-2607
East Carolina University Whether it's meeting the demand for more teachers and healthcare professionals or...
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Greenville, NC
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