CROWN: Implementation of a Beauty Salon-Based Strategy for Blood Pressure Management Among Women
Johns Hopkins University
Summary
CROWN is a two-arm, cluster-randomized pilot trial testing the feasibility and preliminary efficacy of a salon-based cardiovascular intervention - training stylists as Heart Health Stylists to conduct in-salon blood pressure screenings, home monitoring with telehealth support, community health-worker coaching, and pharmacist-led medication management - among Black and Hispanic women with hypertension.
Description
CROWN is a six-month, cluster-randomized pilot trial enrolling approximately 12 beauty salons. In intervention salons, trained Heart Health Stylists provide weekly private blood pressure screenings. Participants recruited from the intervention salons will receive a home blood pressure monitor linked to a mobile app, as well as community health worker coaching sessions and pharmacist medication support. Participants in the enhanced usual care salons will receive only printed educational materials and a home blood pressure monitor. Eligibility (age ≥18, self-identified Black or Hispanic, Systoli…
Eligibility
- Age range
- 18–79 years
- Sex
- Female
- Healthy volunteers
- Yes
Inclusion Criteria: Women are eligible if: * At least 18 years old * Self-identify as Black/African American or Hispanic * Have an average seated systolic blood pressure of 130 mmHg or higher on initial salon screening, and * Have visited the participating salons at least twice in the past six months. Exclusion Criteria: Women are excluded if: * Pregnant or planning pregnancy during the study period * Have end-stage renal disease requiring dialysis * Have serious medical conditions limiting life expectancy to less than 12 months * Currently participating in other cardiovascular interventi…
Interventions
- BehavioralCROWN Intervention
CROWN Intervention includes: 1. Private BP screenings in salon "Heart Health Stations" by trained Heart Health Stylists 2. Free Omron home BP monitor paired with a mobile app for twice-daily telemonitoring 3. In-depth coaching sessions + monthly check-ins with a community health worker 4. Bi-weekly medication review and adherence support by a clinical pharmacist 5. Digital social-needs screening (AHC HRSN) with referral to community resources
- BehavioralEnhanced Usual Care
Enhanced Usual Care include: 1. Private BP screenings in salon "Heart Health Stations" by Heart Health Stylists 2. Printed cardiovascular health brochures 3. Free home blood pressure monitor (no app integration) 4. Standard referrals to social and health services
Location
- Johns Hopkins UniversityBaltimore, Maryland