Peers and Technology for Adherence, Access, Accountability, and Analytics (PT4A)

Recruiting now · Not applicable

Conditions studied: Cardiovascular Disease, Hypertension

In brief

Peer-based medication delivery decreases the cost of transportation and the opportunity cost of travel while HIT can support peer activities by facilitating targeted adherence counseling, teleconsultation, synchronization of clinical care, and pharmacy activities. The investigators have implemented a pilot program of door-to-door peer-based medication delivery and HIT in western Kenya, and preliminary data indicate improved adherence and blood pressure. However, the effectiveness of this implementation strategy is not fully established. Therefore, the objective of the study is to use the PRECEDE-PROCEED framework to conduct transdisciplinary implementation research to test the hypothesis that integrating peer delivery of medications with HIT (PT4A) improves medication adherence and reduces blood pressure among patients with uncontrolled hypertension in western Kenya.

Key facts

Study ID

NCT06485700

Run by

NYU Langone Health

People needed

1140

Starts

2025-11-18

Expected to finish

2028-04-20

Last updated by the study team

2026-02-27

Who can join

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

You may qualify if…

• Adult participants enrolled in AMPATH's CDM Program with uncontrolled hypertension (SBP ≥ 140 or diastolic BP (DBP) ≥ 90)

You may not qualify if…

• hypertensive emergency requiring immediate medical attention,
• terminal illness, and
• inability to provide informed consent.

Where it is running

• Study Site — Webuye, Bungoma County, Kenya (enrolling)
• Study Site — Kitale, Trans Nzoia County, Kenya (enrolling)
• Study Site — Eldoret, Uasin Gishu County, Kenya (enrolling)

Full record on ClinicalTrials.gov

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