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Coaching and Navigation by Community Health Workers (CHWs) Through Telehealth for High-risk Hypertension
Sponsor: Weill Medical College of Cornell University
Summary
The investigators propose an intervention that leverages the success of Community Healthcare Workers (CHWs) and telehealth to connect patients with severe hypertension from Emergency Department (ED) to primary care resources and to coach them to adopt evidence-based, practical lifestyle solutions relevant to urban living. The investigators have proposed this intervention as "Coaching and Navigation by Community Health Workers (CHWs) through Telehealth for High-risk Hypertension: CONNECT-HTN intervention. The investigators hypothesize that participants receiving the CONNECT-HTN intervention will have a lower likelihood of experiencing a major cardiac event compared with those referred to clinic-based care.
Official title: CONNECT-HTN Trial - Coaching and Navigation by CHWs Through Telehealth for High-risk Hypertension
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
3620
Start Date
2026-03-16
Completion Date
2029-08
Last Updated
2026-03-18
Healthy Volunteers
No
Conditions
Interventions
CONNECT-HTN
We propose a multimodal intervention that leverages the success of CHWs and telehealth to connect patients with severe hypertension to primary care resources and coach them to adopt evidence-based, practical lifestyle solutions relevant to urban living. We call the intervention Coaching and Navigation by CHW through Telehealth for High-risk Hypertension or CONNECT-HTN. CONNECT HTN will add to the evidential basis for implementing many of the WHO Best Buys for Non-Communicable Disease (NCD) prevention and control, and will be the first study powered to measure substantive mortality and mortality outcomes in LMICs.
Standard ED management
During the Emergency Department (ED) admission, the participants in the control group will be provided a blood pressure measurement device and training to calculate their blood pressure at home. Standard ED management will be provided to these patients, followed by either discharge or admission for the management of hypertension.
Locations (4)
Aga Khan University Hospital (AKUH)
Karachi, Sindh, Pakistan
Dow University of Health Sciences, Ojha Campus (DUHS)
Karachi, Pakistan
Jinnah Postgraduate Medical Center (JPMC)
Karachi, Pakistan
Sindh Institute of Emergency and Health Sciences (SIEHS)
Karachi, Pakistan