Patti L. Ephraim|Felicia Hill-Briggs|Debra Roter|Lee Bone|Jennifer L. Wolff|LaPricia Lewis-Boyér|David M. Levine|Hanan Aboumatar|Lisa A. Cooper|Stephanie J. Fitzpatrick|Kimberly A. Gudzune|Michael Albert|Dwyan Monroe|Michelle Simmons|Debra L. Hickman|Leon Purnell|Annette Fisher|Richard Matens|Gary Noronha|Peter J. Fagan|Hema C. Ramamurthi|Jessica M. Ameling|Jeanne Charlston|Tanyka Suzanne Sam|Kathryn A. Carson|Nae Yuh Wang|Deidra C. Crews|Raquel C. Greer|Valerie Sneed|Sarah Flynn|Nicole DePasquale|L. Ebony Boulware
Improving urban African Americans' blood pressure control through multi-level interventions in the Achieving Blood Pressure Control Together (ACT) study: A randomized clinical trial
Johns Hopkins University|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins University|Johns Hopkins Medicine|Rush University Medical Center|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins University|Johns Hopkins Medicine|Together|American Heart Association|Wake County Human Services|University of Rochester|Johns Hopkins Medicine|Johns Hopkins University
given high rates uncontrolled blood pressure urban african americans comprise particularly vulnerable subgroup persons hypertension substantial evidence demonstrated important role family community support improving patients management variety chronic illnesses however studies multilevel interventions designed specifically improve urban african american patients blood pressure selfmanagement simultaneously leveraging patient family community strengths lacking report protocol achieving blood pressure control together act study randomized controlled trial designed study effectiveness interventions engage patient family communitylevel resources facilitate urban african american hypertensive patients improved hypertension selfmanagement subsequent hypertension control african american patients uncontrolled hypertension receiving health care urban primary care clinic randomly assigned receive 1 educational intervention led community health worker alone 2 community health worker intervention plus patient family communication activation intervention 3 community health worker intervention plus problemsolving intervention participants enrolled study receive trained use digital home blood pressure machine primary outcome randomized controlled trial patients blood pressure control 12 months results act study provide needed evidence effectiveness comprehensive multilevel interventions improve urban african american patients hypertension control