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Improving Hypertension Control in Safety-Net Settings: The Boston Hypertension Equity Alliance in Treatment
Sponsor: Boston Medical Center
Summary
High blood pressure (BP) or hypertension (HTN) affects over 100 million individuals in the US, increasing the risk of adverse outcomes, including stroke, myocardial infarction (MI), and chronic kidney disease (CKD). Effective therapies include non-pharmacologic approaches and multiple medication classes. Successful HTN management requires ongoing patient engagement for BP monitoring and treatment intensification. Reaching this goal is challenging, and many patients with HTN do not have controlled BP. Using a collaborative partnership between patients, clinicians, health system and public health stakeholders, and the research team the investigators plan to overcome barriers to widespread implementation of evidence-based health system strategies to improve BP control in a large, urban, primary care-based safety-net setting for diverse populations experiencing disparities in HTN-related outcomes.
Official title: Comparative Effectiveness of Interventions to Improve Hypertension Control in Safety-Net Settings: The Boston Hypertension Equity Alliance in Treatment
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
16895
Start Date
2025-09-08
Completion Date
2029-09
Last Updated
2025-10-14
Healthy Volunteers
No
Conditions
Interventions
RBPM
Standardized blood pressure measurement and treatment protocols in clinical practice.
MII
Team-based interventions including multiple evidence-proven interventions such as clinician decision support, monitoring medication non-adherence, use of combination pills, and formulary modifications.
Locations (7)
Boston Healthcare for the Homeless (BHCHP)
Boston, Massachusetts, United States
Boston Medical Center Family Medicine
Boston, Massachusetts, United States
Boston Medical Center, General Internal Medicine primary care
Boston, Massachusetts, United States
Neighborhood Health
Boston, Massachusetts, United States
Mattapan Community Health Center
Boston, Massachusetts, United States
Manet Community Health Center
Quincy, Massachusetts, United States
Greater Roslindale Medical and Dental Center (GRMDC)
Roslindale, Massachusetts, United States