Actions to Decrease Disparities in Risk and Engage in Shared Support for Blood Pressure Control (ADDRESS-BP) in Blacks

Enrolling by invitation · Not applicable

Conditions studied: Hypertension (HTN)

In brief

To use practice facilitation (PF) + community health worker (CHW) facilitation as a practical and sustainable implementation strategy to support the implementation and evaluation of three multi-level evidence-based interventions \[nurse case management (NCM), remote blood pressure monitoring (RBPM), and social determinants of health (SDOH) support\] delivered as an integrated community-clinic linkage model \[Practice support And Community Engagement (PACE) to address patient-, physician-, health system-, and community-level barriers to hypertension (HTN) control in Blacks across 25 primary practices within NYU Langone Health in New York City (NYC) and, in partnership with an established Community-Clinic-Academic Advisory Board and HealthFirst (NYC's largest Medicaid payer). The goal for the UH3 Implementation Phase (Years 4-7, Intervention) is to evaluate a stepped-wedge cluster RCT of 25 primary care practices in Black patients with uncontrolled hypertension (HTN)

Key facts

Study ID

NCT05208450

Run by

NYU Langone Health

People needed

500

Starts

2025-06-12

Expected to finish

2027-08-31

Last updated by the study team

2026-06-02

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patients are eligible if he/she:
• identifies as Black (through EHR code or self-report)
• is 18+ years of age
• has a diagnosis of HTN (identified by ICD-10 codes for HTN)
• prescribed an antihypertensive medication(s)
• has a clinic BP > 130/80 mmHg

You may not qualify if…

• Patients will be ineligible for the study if they:
• are deemed unable to comply with the study protocol (either self-selected or by indicating during screening that s/he could not complete all requested tasks)
• participate in other hypertension-related clinical trials
• have significant psychiatric comorbidity or reports of substance abuse (as documented in the EHR)
• plan to discontinue care at the site within the next 12 months; or
• are pregnant or planning to become pregnant in the next 12 months
• IMPLEMENTATION EVALUATION
• NYULH Primary care provider (MD/DO, NP), Clinical Director, Site Administrator, Medical Assistant, or administrative staff employed at the participating practices and interacts with at least five patients with a diagnosis of hypertension; or
• NYULH Nurse case manager within centralized service; or
• Staff and leadership of community- and faith-based organizations serving the Black community; or
• NYULH Organizational leadership; or
• NYULH Project Staff: Community Health Workers/CHW Supervisor/Practice Facilitators; and
• Able and willing to provide consent
• Exclusion Criteria:
• Refusal to participate

Where it is running

• NYU Langone Health — New York, New York, United States

Full record on ClinicalTrials.gov

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