NOT_YET_RECRUITING
Multi-ethnic Multi-level Strategies and Behavioral Economics to Eliminate Hypertension Disparities in Los Angeles County
The goal of the study is to promote equitable hypertension (HTN) management across the diverse patient population found in Los Angeles County Department of Health Services (LAC DHS) clinics. To achieve this goal, the study team will conduct provider- and patient-focused outreach strategies to understand how to best support adoption of blood pressure management practices already available within LAC DHS. LAC DHS clinics will be randomly assigned to one of three study conditions: 1) provider-focused outreach, 2) patient-focused outreach, and 3) usual outreach. The study will occur across 3 years with patient- and provider-focused outreach occurring in Year 1 and 2. In Year 3, study initiated patient- and provider-focused outreach will stop, and clinic use of patient- and provider-focused outreach practices will be observed by the study team. Provider-focused outreach includes increasing cultural awareness of factors that hinder and support blood pressure control, increasing access to blood pressure medications, and providing blood pressure management education. Patient-focused outreach includes using culturally sensitive educational materials and reminders to improve patient understanding of blood pressure, education on how to manage the condition, and increasing awareness of available blood pressure management resources. Clinics assigned to the usual outreach condition will operate as per usual in Year 1 but will receive patient- and provider-focused outreach in Year 2.
Conditions:
Hypertension
Study Start (Actual) 2024-07-15
Primary Completion (Estimated) 2027-06
Study Completion (Estimated) 2027-06
Enrollment (Estimated) 540
Study Type INTERVENTIONAL
Phase NA
Locations:
📍 Sylmar, California, United States

Eligibility Criteria

Description

    Inclusion Criteria:

    • * Hypertension code in EHR ((ICD-9 codes: 401, 402, 403, 404, 405, 437.2 and ICD-10 codes: I10, I11.0, I11.9. I12.0, I12.9, I13.0, I13.10, I13.11, I13.2, I15.0, I15.8, I67.4)
    • * Accessing primary care at participating clinic in LAC DHS
    • * 18 years or older.

    Exclusion Criteria:

    • * No hypertension codes in EHR
    • * Primary care outside of participating clinic or LAC DHS
    • * Under 18 years old
Ages Eligible for Study: 18 Years to N/A (ADULT, OLDER_ADULT)
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers: No

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

  • First Submitted2024-04-08
  • First Submitted that Met QC Criteria2024-04-08
  • First Posted2024-04-11

Study Record Updates

  • Last Update Submitted that Met QC Criteria2024-07-03
  • Last Update Posted2024-07-08
  • Last Verified2024-07