Team Based Equity Conscious Telemedicine Approach to Hypertension

Team Based Equity Conscious Telemedicine Approach to Improve Hypertension Among Black Patients

The purpose of study is to understand the different factors (patient, societal, provider, clinic, health system) relevant in recruitment and participation of patients in Team Based Equity Conscious Telemedicine Approach to Improve Hypertension clinical trial.

Black patients suffer disproportionate hypertension (HTN) burden with worse control, resulting in HTN-related mortality rates twice those observed in non-Hispanic White patients. Contextually informed care approach is urgently needed in Black patients for HTN management. This study will evaluate multi-level barriers and facilitators for recruitment and participation of Black patients in a Team Based Equity Conscious Telemedicine Approach to Improve Hypertension (TET-HTN) clinical trial. This study will also evaluate the feasibility of TET-HTN intervention in a randomized comparison with usual clinic-based hypertension care approach.

Inclusion Criteria:

• African American or Black
• Patients with last clinic systolic Blood Pressure >140 mmHg or diastolic Blood Pressure >90 mmHg or both

Exclusion Criteria:

• Unable to read or speak English
• diminished ability to measure home BP (dementia, or psychosis)
• acute health changes in past 3 months increasing chance of BP instability (hospitalization);
• terminal illness.