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Peers and Technology for Adherence, Access, Accountability, and Analytics (PT4A)
Sponsor: NYU Langone Health
Summary
Peer-based medication delivery decreases the cost of transportation and the opportunity cost of travel while HIT can support peer activities by facilitating targeted adherence counseling, teleconsultation, synchronization of clinical care, and pharmacy activities. The investigators have implemented a pilot program of door-to-door peer-based medication delivery and HIT in western Kenya, and preliminary data indicate improved adherence and blood pressure. However, the effectiveness of this implementation strategy is not fully established. Therefore, the objective of the study is to use the PRECEDE-PROCEED framework to conduct transdisciplinary implementation research to test the hypothesis that integrating peer delivery of medications with HIT (PT4A) improves medication adherence and reduces blood pressure among patients with uncontrolled hypertension in western Kenya.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
1140
Start Date
2025-11-18
Completion Date
2028-04-20
Last Updated
2026-02-27
Healthy Volunteers
No
Conditions
Interventions
Peer Delivery of Medications
Door-to-door peer delivery of medications within patients' communities will be implemented.
Health Information Technology (HIT) Platform
The HIT platform provides: 1) tailored counseling strategies through decision support; 2) teleconsultation support for clinician-peer-patient interactions; 3) medication refill tracking to enhance accountability of the peer delivery process; and 4) analytics to improve medication supply chain by generating patient-level drug consumption data.
Locations (3)
Study Site
Webuye, Bungoma County, Kenya
Study Site
Kitale, Trans Nzoia County, Kenya
Study Site
Eldoret, Uasin Gishu County, Kenya