Blood Pressure-Improving Control Among Alaska Native People" (BP-ICAN) (CHAR2)
Hypertension
About this trial
This is an interventional treatment trial for Hypertension focused on measuring High Blood Pressure, Alaska Native and American Indian, Home Blood Pressure Monitoring, Self-efficacy, Primary Care
Eligibility Criteria
Inclusion Criteria:
- At least one visit to SCF providers or Community Health Aides within the previous year
- Alaska Native or American Indian
- At least 18 years old
Meet one of the following two conditions:
I. Hypertension diagnosis and 1 SBP >= 140 mmHg in past 24 months in EHR, AND
- SBP >= 140 mmHg at research visit or from the mean of BP measures during the home screening period, OR
- SBP 130-139 mmHg at research visit or from the mean of BP measures during the home screening period plus at least one comorbid condition as stated in AHA guidelines (cardiovascular disease, heart failure, stroke, atrial fibrillation, chronic kidney disease, kidney transplant, or diabetes) II. No hypertension diagnosis but 1 SBP >= 140 mmHg in past 18 months in EHR, AND
- SBP >=140mmHg at research visit or from the mean of BP measures during the home screening period, OR
- SBP 130-139 mmHg at research visit or from the mean of BP measures during the home screening period plus at least one comorbid condition as stated in AHA guidelines (cardiovascular disease, heart failure, stroke, atrial fibrillation, chronic kidney disease, kidney transplant, or diabetes)
- Ability to provide informed consent
- Willingness and ability to use a HBPM
- Willingness to complete the necessary data collection procedures, including transmission of BP measurements and permission for study staff to access EHR and/or PHR data.
Sites / Locations
- Anchorage Native Primary Care CenterRecruiting
- Benteh Nuutah Valley Native Primary Care CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
No Intervention
BP-ICAN
Control
Participants in the BP-ICAN arm will receive a home blood pressure monitor to be used twice daily for 12 months. Participants' home blood pressure measurements will be shared with their provider and participants will receive a series of text messages including topics on the importance of managing hypertension, reminders to measure blood pressure with their device, and motivational messages on diet and exercise.
Participants in the control arm will receive care as usual for the treatment of hypertension