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Caribbean and South America Team-based Strategy to Control Hypertension
Sponsor: Tulane University
Summary
The CATCH cluster randomized trial will test the implementation and effectiveness outcomes of implementing and scaling up a team-based care strategy for blood pressure control in Colombia and Jamaica.
Official title: Implementing and Scaling Up a Team-based Care Strategy for Hypertension Control in Colombia and Jamaica
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
1280
Start Date
2023-02-01
Completion Date
2026-08-31
Last Updated
2024-11-26
Healthy Volunteers
No
Conditions
Interventions
Team-based Care Strategy for Hypertension Control
The core component of the intervention is a stepped-care protocol, based on the 2017 American College of Cardiology (ACC)/American Heart Association (AHA) Clinical Practice Guideline for High Blood Pressure and the 2021 World Health Organization (WHO) Hypertension Guideline. Using a team-based care model, a physician-nurse-CHW team will work with patients to implement clinical guideline-based treatment in all intervention clinics. Team-based care components will include task sharing and shifting, health care team training, home BP monitoring, BP audit and feedback, and CHW-led health coaching on lifestyle modification and medication adherence.
Enhanced Usual Care
We will train the primary care physicians, nurses, and other clinic staff in performing standardized BP measurements. We will offer physician education on clinical guidelines for hypertension management and issue continuing medical education credits. Patient educational materials will be distributed. We will not conduct any other interventions in the enhanced usual care clinics.
Locations (2)
20 primary care clinics in Colombia
Santander, Colombia
20 primary care clinics in Jamaica
Kingston, Jamaica