E3 Hypertension - A Team-based, Multidisciplinary Model in Addressing Barriers to Hypertension Control
Rush University Medical Center
Summary
This study aims to compare a multidisciplinary clinical hypertension and social needs intervention to enhanced standard of care for hypertension management in primary care clinics with regards to hypertension control outcomes.
Description
Cardiovascular disease (CVD) is the leading cause of death in the US as well as in Chicago. Risk factors for CVD include hypertension, diabetes, and lifestyle factors such as smoking, diet, and obesity. Among the critical social and structural determinants of cardiovascular health are food access, neighborhood safety, education, poverty, and chronic stress. Chicago and its surrounding region suffer from longstanding racial disparities in both social conditions and chronic disease burden, contributing to stark racial gaps in cardiometabolic disease mortality. Life expectancy is as high as 84 ye…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Adults 18 years or older * African American and/or Latinx * Uncontrolled stage 2 hypertension, BP \>/= 140/90 * Patient is following with Rush primary care provider in eligible Rush primary care clinics * Patient has a smart phone (Android or iOS) * Patient has an email Exclusion Criteria: * Organ transplant recipient * On dialysis * Patient is already participating in another remote hypertension monitoring program * Patient is not interested in participating in the program * Patient has already participated in the E3 Hypertension program or the E3 Diabetes program
Interventions
- BehavioralE3 Multidisciplinary Team
The E3 Multidisciplinary team is composed of a remote pharmacist, social worker, and nurse working together with patients via a remote monitoring, educational hypertension phone app to overcome barriers to hypertension control via behavioral change, medication adherence and titration, diet and lifestyle education and resource referrals for social needs.
- BehavioralE3 Self-Guided Hypertension Education Program
Patients will receive timed, mailed educational materials on hypertension self-monitoring, diet and lifestyle modifications to supplement usual clinic-based hypertension care with their primary care doctor. A research assistant will ensure patients have home blood pressure monitors on enrollment, and will remind patients to check their blood pressures and follow-up with their primary care doctors at 3 months and 6 months.
Location
- Rush University Medical CenterChicago, Illinois