Evidence map›Paper›PMID 24956323›Full record

Trial reportContemporary clinical trials2014

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

Patti L Ephraim, Felicia Hill-Briggs, Debra L Roter, Lee R Bone, Jennifer L Wolff, LaPricia Lewis-Boyer, David M Levine, Hanan J Aboumatar, Lisa A Cooper, Stephanie J Fitzpatrick and 22 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Contemporary clinical trials, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
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  6. Article
  7. Use of the Hypertension Self-Care Profile: A Scoping Review.International journal of environmental research and public health · 2025
    Article
  8. Article
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  10. Review
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  12. Article
  13. Repeated warm water baths decrease sympathetic activity in humans.Journal of applied physiology (Bethesda, Md. : 1985) · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

32 authors.

Patti L EphraimWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: pephraim@jhsph.edu.
Felicia Hill-BriggsWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Johns Hopkins University School of Nursing, Baltimore, MD, USA. Electronic address: fbriggs3@jhmi.edu.
Debra L RoterDepartment of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: droter@jhsph.edu.
Lee R BoneDepartment of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: lbone@jhsph.edu.
Jennifer L WolffDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: jwolff@jhsph.edu.
LaPricia Lewis-BoyerWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: llewis3@jhmi.edu.
David M LevineDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: dlevine@jhmi.edu.
Hanan J AboumatarDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Armstrong Institute for Safety and Quality, Johns Hopkins Medicine, Baltimore, MD, USA. Electronic address: habouma1@jhmi.edu.
Lisa A CooperWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: lisa.cooper@jhmi.edu.
Stephanie J FitzpatrickRush University Medical Center, Chicago, IL, USA. Electronic address: stephanie_fitzpatrick@rush.edu.
Kimberly A GudzuneDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: kgudzun1@jhu.edu.
Michael C AlbertDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Johns Hopkins Community Physicians, Johns Hopkins University, Baltimore, MD, USA. Electronic address: malber11@jhmi.edu.
Dwyan MonroeCommunity Advisory Board, Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, MD, USA; Institute for Public Health Innovation, Washington, DC, USA. Electronic address: dymonroe@gmail.com.
Michelle SimmonsCommunity Advisory Board, Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, MD, USA. Electronic address: msimmons090349@gmail.com.
Debra HickmanCommunity Advisory Board, Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, MD, USA; Sisters Together and Reaching, Baltimore, MD, USA. Electronic address: dhickman@sisterstogetherandreaching.org.
Leon PurnellCommunity Advisory Board, Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, MD, USA; The Men's Center, Baltimore, MD, USA. Electronic address: lpurnell2003@yahoo.com.
Annette FisherCommunity Advisory Board, Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, MD, USA; American Heart Association, Baltimore, MD, USA. Electronic address: Annette.Fisher@heart.org.
Richard MatensUnion County Human Services, Monroe, NC, USA. Electronic address: Richard.Matens@co.union.nc.us.
Gary J NoronhaDepartment of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA. Electronic address: Gary_Noronha@URMC.Rochester.edu.
Peter J FaganDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: pfagan1@jhmi.edu.
Hema C RamamurthiWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: hramamu1@jhmi.edu.
Jessica M AmelingWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: jamelin1@jhmi.edu.
Jeanne CharlstonWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: jeannec@jhmi.edu.
Tanyka S SamThe Brooklyn Hospital, Brooklyn, NY, USA. Electronic address: tssam1@yahoo.com.
Kathryn A CarsonWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: kcarson@jhmi.edu.
Nae-Yuh WangWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: naeyuh@jhmi.edu.
Deidra C CrewsWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Division of Nephrology, Johns Hopkins Medical Institutions, Baltimore, MD, USA. Electronic address: dcrews1@jhmi.edu.
Raquel C GreerWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: rfcharle@jhmi.edu.
Valerie SneedWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: vlee2@jhmi.edu.
Sarah J FlynnUniversity of Maryland School of Medicine, Baltimore, MD, USA. Electronic address: sjflynn9@gmail.com.
Nicole DePasqualeWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: ndepasqu@jhsph.edu.
L Ebony BoulwareWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Johns Hopkins University School of Nursing, Baltimore, MD, USA; Division of General Internal Medicine, Duke University School of Medicine, Durham, NC, USA. Electronic address: ebony.boulware@duke.edu.

Funding

TRAINING COREP50HL105187 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GOLDEN, SHERITA HILL · 2010 to 2014
$9.8M
Improving Primary Care to Narrow Racial Disparities in Chronic Kidney DiseaseK23DK094975 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI GREER, RAQUEL CHARLES · 2012 to 2015
$722k
Race, Socioeconomic Status, Diet and Chronic Kidney DiseaseK23DK097184 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI CREWS, DEIDRA CANDICE · 2013 to 2016
$684k
NHLBI NIH HHS P50 HL105187NIDDK NIH HHS K23 DK094975NIDDK NIH HHS K23 DK097184
6 · The paper itself

Abstract

backgroundGiven their high rates of uncontrolled blood pressure, urban African Americans comprise a particularly vulnerable subgroup of persons with hypertension. Substantial evidence has demonstrated the important role of family and community support in improving patients' management of a variety of chronic illnesses. However, studies of multi-level interventions designed specifically to improve urban African American patients' blood pressure self-management by simultaneously leveraging patient, family, and community strengths are lacking. METHODS/

designWe report the protocol of the Achieving Blood Pressure Control Together (ACT) study, a randomized controlled trial designed to study the effectiveness of interventions that engage patient, family, and community-level resources to facilitate urban African American hypertensive patients' improved hypertension self-management and subsequent hypertension control. African American patients with uncontrolled hypertension receiving health care in an urban primary care clinic will be randomly assigned to receive 1) an educational intervention led by a community health worker alone, 2) the community health worker intervention plus a patient and family communication activation intervention, or 3) the community health worker intervention plus a problem-solving intervention. All participants enrolled in the study will receive and be trained to use a digital home blood pressure machine. The primary outcome of the randomized controlled trial will be patients' blood pressure control at 12months. DISCUSSION: Results from the ACT study will provide needed evidence on the effectiveness of comprehensive multi-level interventions to improve urban African American patients' hypertension control.

Indexed as

Black or African AmericanResearch DesignBlood PressureBlood Pressure DeterminationCommunicationCommunity Health WorkersFemaleHealth Knowledge, Attitudes, PracticeHumansHypertensionMaleMotivationPatient Education as TopicPrimary Health CareProblem SolvingSelf CareCommunity health workerHypertensionSelf-management

Identifiers

PMID24956323
PMCPMC4169070

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.