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A practice-based randomized controlled trial to improve medication adherence among Latinos with hypertension: study
Antoinette Schoenthaler1, Franzenith De La Calle2, Miguel Barrios-Barrios3
1Department of Population Health, Center for Healthful Behavior Change, New York University School of Medicine, 227 East 30th Street, 634, New York, NY, 10016, USA. antoinette.schoenthaler@nyumc.org.
Trials
|July 3, 2015
Summary
This study tested a culturally tailored intervention to improve medication adherence in Latino patients with uncontrolled hypertension. Findings will inform practice-based strategies for better blood pressure control in this population.
Area of Science:
- Clinical Research
- Health Disparities
- Cardiovascular Health
Background:
- Latinos exhibit higher rates of uncontrolled hypertension compared to other racial groups.
- Medication non-adherence significantly contributes to hypertension disparities in Latino patients.
- Effective interventions for improving medication adherence in community-based primary care for Latinos are lacking.
Purpose of the Study:
- To evaluate a culturally tailored, practice-based intervention for improving medication adherence in Latino patients with uncontrolled hypertension.
- To assess the intervention's impact on medication adherence and blood pressure control.
- To provide evidence for translating interventions into real-world clinical settings.
Main Methods:
- Randomized controlled trial involving 148 Latino patients with uncontrolled hypertension.
- Intervention group received culturally tailored counseling from bilingual Health Coaches using an EMR-embedded script.
- Usual care group received standard hypertension treatment.
- Primary outcome: medication adherence rate at 6 months. Secondary outcome: blood pressure reduction.
Main Results:
- Primary outcome data on medication adherence at 6 months is pending.
- Secondary outcome data on blood pressure reduction at 6 months is pending.
- This study is registered under NCT01643473.
Conclusions:
- Successful findings will offer crucial insights into implementing culturally tailored interventions for medication adherence and blood pressure management in high-risk Latino populations.
- This research aims to bridge the gap between evidence-based practices and community-based care for hypertension management.
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