Improving urban African Americans' blood pressure control through multi-level interventions in the Achieving Blood Pressure Control Together (ACT) study: a randomized clinical trial.

摘要: Abstract Background Given their high rates of uncontrolled blood pressure, urban African Americans comprise a particularly vulnerable subgroup persons with hypertension. Substantial evidence has demonstrated the important role family and community support in improving patients' management variety chronic illnesses. However, studies multi-level interventions designed specifically to improve American pressure self-management by simultaneously leveraging patient, family, strengths are lacking. Methods/design We report protocol Achieving Blood Pressure Control Together (ACT) study, randomized controlled trial study effectiveness that engage community-level resources facilitate hypertensive improved hypertension subsequent control. patients receiving health care an primary clinic will be randomly assigned receive 1) educational intervention led worker alone, 2) plus patient communication activation intervention, or 3) problem-solving intervention. All participants enrolled trained use digital home machine. The outcome control at 12 months. Discussion Results from ACT provide needed on comprehensive