Implementation of a Combination Intervention for Sustainable Blood Pressure Control (IMPACT-BP)
Hypertension
About this trial
This is an interventional treatment trial for Hypertension
Eligibility Criteria
Inclusion Criteria:
- Age greater than 18 years old
- Residing in uMkhanyakude District in northern KwaZulu-Natal in an area that is served by a CHW.
- Elevated blood pressure (blood pressure > 140/90 mmHg) on two measurements.
Exclusion Criteria:
- Pregnant or breast-feeding women.
- Severe, symptomatic hypertension with a measured blood pressure > 180/110 mmHg.
- Known, advanced chronic kidney disease. GFR < 60 ml/min/1.73 m2.
- Current use of at least 3 different anti-hypertensive therapies at full dose.
- Planning to move within the next 24 months.
Sites / Locations
- Africa Health Research Institute (AHRI)Recruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Experimental
Experimental
Standard of Care (SOC)
Community Health Worker Care Model (CHW)
Enhanced Community Health Worker + Mobile Health Monitoring (eCHW+)
Participants will receive clinic-based standard of care
Participants will be given a standard blood pressure cuff (Omron) for at-home BP monitoring, and will be assigned to a CHW for follow-up visits and medication delivery.
Participants will be given a blood pressure cuff with cellular capability (Blipcare) for at-home BP monitoring which automatically transmit BP data to our server for nurse review. These participants will also be assigned to a CHW for follow-up visits and medication delivery.