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Improving Hypertension Control in Safety-Net Settings: The Boston Hypertension Equity Alliance in Treatment

Comparative Effectiveness of Interventions to Improve Hypertension Control in Safety-Net Settings: The Boston Hypertension Equity Alliance in Treatment

Who can join

Ages 18 and older · All sexes

Inclusion Criteria:

* Adult (age\>18) patients receiving primary care at one of the 9 participating sites, with primary care provider (PCP) visit in the preceding year
* Presence of HTN defined by one or more of: 1) diagnosis included on active problem list, 2) active HTN medications in prior year, 3) 3 separate elevated BP measurements
* Uncontrolled HTN defined as systolic blood pressure (SBP)\>140

Exclusion Criteria:

* Not meeting the inclusion criteria

About the study

High blood pressure (BP) or hypertension (HTN) affects over 100 million individuals in the US, increasing the risk of adverse outcomes, including stroke, myocardial infarction (MI), and chronic kidney disease (CKD). Effective therapies include non-pharmacologic approaches and multiple medication classes. Successful HTN management requires ongoing patient engagement for BP monitoring and treatment intensification. Reaching this goal is challenging, and many patients with HTN do not have controlled BP.

Using a collaborative partnership between patients, clinicians, health system and public health stakeholders, and the research team the investigators plan to overcome barriers to widespread implementation of evidence-based health system strategies to improve BP control in a large, urban, primary care-based safety-net setting for diverse populations experiencing disparities in HTN-related outcomes.

What is being tested

• RBPM (behavioral)
• MII (other)

Sponsor: Boston Medical Center · Participants: 16,895 · Started: Sep 8, 2025

Contact the study team

• Michael Fischer, MD MS · Phone: (617) 414-7288
• Justine Scott, MPH · Phone: (617) 414-7288

Official record on ClinicalTrials.gov — NCT06948838

Locations in the U.S.

Conditions

• High Blood Pressure

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.