Integrating Free-choice Marketplace, dieTitian coacHing, cultuRally Tailored messagIng to improVE Blood Pressure

Recruiting now · Not applicable

Conditions studied: Hypertension, Hypertension Complicated With Type 2 Diabetes

In brief

iTHRIVE intervention is a 2-arm randomized controlled trial testing the effects of digital FARMacy, personalized dietitian coaching with produce prescriptions, and home blood pressure measurement in 100 hypertensive adults living in high food priority areas in counties in Maryland.

Key facts

Study ID

NCT07075588

Run by

Johns Hopkins University

People needed

100

Starts

2026-06-25

Expected to finish

2028-03-20

Last updated by the study team

2026-06-30

Who can join

Age: 21 and older, up to 70. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• 21-70 years
• Self-identify as Black/African American or Hispanic/Latino
• Have Stage 2 CKM defined as:
• Systolic BP ≥130mmHg (measured at screening) AND at least one of:
• Hypertension (ICD-10: I10-I16)
• Prediabetes (HbA1c 5.7-6.4%) or Type 2 Diabetes (HbA1c ≥6.5%)
• Stage 3 chronic kidney disease (CKD) (eGFR 30-59 mL/min/1.73m²)
• Live in census tracts identified by the Montgomery/ Prince George's/Baltimore City County Departments of Planning as HFPA:
• Healthy Food Availability Index score is low (0-9.5),
• Median household income ≤185% of Federal Poverty Level
• 30% of households have no vehicle,
• Distance to supermarket >1/4 mile. 5. Have refrigeration, food preparation appliances (microwave, stove), and cell phones for the App

You may not qualify if…

• Age <21 years
• Diagnosis of end-stage renal disease (ESRD), dialysis
• Serious medical condition that either limits life expectancy or requires active management (e.g., cancer)
• Significant food allergies, preferences, intolerances, or dietary requirements that would interfere with diet adherence
• Active alcohol or substance use disorder (i.e., not sober/abstinent for ≥ 30 days)
• Patients with cognitive impairment or other condition preventing their participation in the intervention
• Pregnant, breastfeeding, or planning pregnancy
• Current participation in a care management program related to health conditions (e.g., weight reduction, smoking cessation) or another clinical trial that could interfere with the study protocol
• Planning to move out of the geographic area in 12 months

Where it is running

• Johns Hopkins Community Physicians — Baltimore, Maryland, United States (enrolling)
• Johns Hopkins School of Nursing — Baltimore, Maryland, United States
• Holy Cross Hospital — Gaithersburg, Maryland, United States

Full record on ClinicalTrials.gov

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