BPCARE Intervention for High Blood Pressure

(BPCARE Trial)

This trial tests a new method to help refugees with high blood pressure adhere to their medication and better control their condition. The researchers aim to determine if sessions led by community health workers can improve outcomes compared to receiving only information and a blood pressure monitor. Participants will be divided into two groups: one will receive additional support through the BPCARE program (a structured intervention for blood pressure management), while the other will receive standard care. Ideal candidates for this trial are individuals diagnosed with high blood pressure, who speak English as a second language, and reside in San Diego with access to video calls.

As an unphased trial, this study provides a unique opportunity to contribute to innovative healthcare solutions for the refugee community.

The trial does not specify that you need to stop taking your current medications. In fact, it focuses on improving adherence to your current antihypertensive medications.

Research has shown that working with community health workers (CHWs) is generally safe and can effectively lower blood pressure. In studies, CHWs helped reduce the systolic blood pressure by 4.7 to 13.2 points. This indicates that CHWs play an important role in managing blood pressure outside regular clinics.

Additionally, a review of several studies found that programs supporting adherence to high blood pressure treatment plans significantly improve blood pressure control compared to usual care. This suggests that educational and motivational support, like the BPCARE program, can safely help individuals adhere to their medication plans.

Researchers are excited about the BPCARE intervention for high blood pressure because it emphasizes medication adherence through practical tools and educational support. Unlike traditional treatments that solely focus on medication, BPCARE provides participants with a translated educational booklet and a pill box to organize their medication, alongside two personalized intervention sessions. This approach targets the common issue of inconsistent medication use by making it easier for participants to manage their treatment, potentially leading to better health outcomes.

Research has shown that involving community health workers (CHWs) in managing high blood pressure can reduce the systolic blood pressure by 4.7 to 13.2 points. This indicates that CHWs' involvement can lead to a noticeable drop in blood pressure. Studies also suggest that using digital tools, such as home blood pressure monitoring, results in a greater decrease in blood pressure compared to usual care. In this trial, participants in the BPCARE intervention arm will receive support from CHWs and digital devices, which may help individuals take their medication more regularly and better control their blood pressure.¹³⁶⁷⁸