The "Check, Monitor, Control Hypertension" Study is a 24-month Randomized Trial in Houston Targeting African Americans Aged 55+. It Combines Pharmacist Counseling and CHW Support to Improve Blood Pressure Control in Hypertension Management.
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Pharmacists Only (Control Group), Combined Intervention (Pharmacists + CHW Interventions).
- Who it may be relevant to
- Registry conditions: Hypertension. Basic parameters: from 55 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Check, Monitor, Control Hypertension in Older African American Adults (#Check, Monitor, Control)
Overview
The proposed study, "Check, Monitor, Control Hypertension in Older African American Adults," is a randomized clinical trial designed to improve blood pressure control among African American adults aged 55 years and older in the Greater Houston area. Hypertension disproportionately affects African Americans, contributing to higher rates of cardiovascular disease and stroke. This project aims to improve clinical and behavioral outcomes through a 24-month intervention combining pharmacist-led counseling and Community Health Worker (CHW) support.
Detailed description
Hypertension (high blood pressure) is a major health concern in the United States, especially among African Americans, who experience higher rates of uncontrolled blood pressure and related complications like heart disease and stroke. This study aims to improve blood pressure control in older African American adults through a community-based approach that combines pharmacist-led counseling and Community Health Worker (CHW) support.
The study will enroll 480 African American adults aged 55 and older living in the Greater Houston area who have a history of hypertension. Participants will be randomly assigned to one of two groups: Pharmacist-only intervention - Participants receive medication therapy management and education on blood pressure monitoring and lifestyle changes; Pharmacist + CHW intervention - In addition to pharmacist counseling, participants receive personalized support from a CHW to overcome barriers like transportation and food insecurity, plus eight group health workshops each year. Both groups will receive a digital blood pressure monitor and guidance on checking blood pressure at home.
This matters because African Americans face unique challenges in managing hypertension, including contextual factors and limited access to care. By combining medical expertise with community-based support, this study hopes to empower participants to take control of their health and improve hypertension outcomes.
Timeline \& Safety
Recruitment begins: January 2026 Intervention duration: 24 months Primary completion date: May 2030 The study poses minimal risk, mainly mild discomfort from blood pressure checks. Privacy will be protected using HIPAA-compliant systems, and participation is voluntary.
Interventions
- Other Pharmacists Only (Control Group)
Medication management and disease state counseling provided by a clinical pharmacist. - Other Combined Intervention (Pharmacists + CHW Interventions)
Participants receive CHW Individual patient assistance and group health workshops in addition to pharmacist interventions
Primary outcome measures
- Change in Systolic Blood Pressure [Time frame: Baseline, 6 months, 12 months, 18 months, 24 months]
Secondary outcome measures (3)
- Change in Diastolic Blood Pressure [Time frame: Baseline, 6 months, 12 months, 18 months, 24 months]
- Medication Adherence [Time frame: Baseline, 6 months, 12 months, 18 months, 24 months]
- Lifestyle Behavior Changes [Time frame: Baseline, 6 months, 12 months]
Eligibility criteria
Inclusion criteria
Individuals are eligible to the study if they are:
- 55 years or older
- Have at least 2 high blood pressure readings ≥ 130/80 mmHg within one month
- Past Medical History of hypertension > 1 year
- Taking at least 1 antihypertensive medication
- Independent Activities of Daily Livings (ADL) and instrumental Activities of Daily Livings (iADL)
- Have a SmartPhone
- Live within the Greater Houston Metropolitan Areas
- Able to speak English
Exclusion criteria
- Unable to verbalize comprehension of study or impaired cognitive function (e.g. dementia)
- Not able to monitor blood pressure at home
- Plans to relocate outside Houston within the next year
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
United States · 1 center
- 3100 Cleburne Street, Nabrit Science Building, — Houston
Identifiers
NCT: NCT07413159 · 6310 · 2U54MD007605-32