Evidence map›Paper›PMID 31705466›Full record

Trial reportJournal of general internal medicine2020

Hypertension Self-management in Socially Disadvantaged African Americans: the Achieving Blood Pressure Control Together (ACT) Randomized Comparative Effectiveness Trial.

L Ebony Boulware, Patti L Ephraim, Felicia Hill-Briggs, Debra L Roter, Lee R Bone, Jennifer L Wolff, LaPricia Lewis-Boyer, David M Levine, Raquel C Greer, Deidra C Crews and 22 more

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 8% of its field
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.

NCT01902719 nacompletednot on this map

Family and Community Intervention to Address Hypertension Disparities

TypeinterventionalSponsorJohns Hopkins UniversityRan2013 to 2015Enrolled159ConditionsHypertensionArmsCommunity Health Worker (CHW) Intervention, Communication Skills Training, Problem Solving Skills Training
NCT07606027 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Postpartum Remote Monitoring and Integration of Mobile Health With Engagement From Community Health Workers for Regulating Elevated Blood Pressure

TypeinterventionalSponsorUniversity of NebraskaRan2026 to 2031Enrolled404ConditionsHypertensive Disorders of Pregnancy (HDP), Hypertension, Pregnancy Induced, Severe Maternal Morbidity, Postpartum HypertensionArmsCollaborative care, Standard of Care (SOC)
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
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  13. Use of the Hypertension Self-Care Profile: A Scoping Review.International journal of environmental research and public health · 2025
    Article
  14. Review
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  20. Heart 2 Heart: Pilot Study of a Church-Based Community Health Worker Intervention for African Americans with Hypertension.Prevention science : the official journal of the Society for Prevention Research · 2024
    Article
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 at 7 institutions in 1 country.

L Ebony BoulwareDivision of General Internal Medicine, Department of Medicine,  Duke University School of Medicine, 200 Morris Street, 3rd Floor, Durham, NC, 27701, USA. ebony.boulware@duke.edu.
Patti L EphraimDepartment of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Felicia Hill-BriggsWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, USA.
Debra L RoterDepartment of Health, Behavior and Society, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Lee R BoneJohns Hopkins Center for Health Equity, Johns Hopkins University, MD, USA.
Jennifer L WolffDepartment of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
LaPricia Lewis-BoyerWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, USA.
David M LevineDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Raquel C GreerWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, USA.
Deidra C CrewsWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, USA.
Kimberly A GudzuneWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, USA.
Michael C AlbertDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Hema C RamamurthiWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, USA.
Jessica M AmelingWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, USA.
Clemontina A DavenportDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
Hui-Jie LeeDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
Jane F PendergastDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
Nae-Yuh WangDepartment of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Kathryn A CarsonDepartment of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Valerie SneedWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, USA.
Debra J GaylesWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, USA.
Sarah J FlynnWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, USA.
Dwyan MonroeCommunity Advisory Board, Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, MD, USA.
Debra HickmanCommunity Advisory Board, Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, MD, USA.
Leon PurnellCommunity Advisory Board, Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, MD, USA.
Michelle SimmonsCommunity Advisory Board, Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, MD, USA.
Annette FisherCommunity Advisory Board, Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, MD, USA.
Nicole DePasqualeDivision of General Internal Medicine, Department of Medicine,  Duke University School of Medicine, 200 Morris Street, 3rd Floor, Durham, NC, 27701, USA.
Jeanne CharlestonDepartment of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Hanan J AboutamarWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, USA.
Ashley N CabacunganDivision of General Internal Medicine, Department of Medicine,  Duke University School of Medicine, 200 Morris Street, 3rd Floor, Durham, NC, 27701, USA.
Lisa A CooperDepartment of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Johns Hopkins University · USJohns Hopkins Medicine · USDuke University · USAmerican Heart Association · USFamilies USA · USJohns Hopkins Hospital · USRealistic Education in Action Coalition to Foster Health · US

Funding

Support for QA/QC for Prior Approval ProcessUL1TR002553 · NCATS · DUKE UNIVERSITY · PI LI, JENNIFER S, MCNAMARA, JAMES O. · 2018 to 2023
$58.5M
TRAINING COREP50HL105187 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GOLDEN, SHERITA HILL · 2010 to 2014
$9.8M
Reducing obesity among public housing residents: an ecological approachK23HL116601 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GUDZUNE, KIMBERLY ANNE · 2013 to 2017
$778k
Optimizing Family Involvement in Late-Life Depression CareK01MH082885 · NIMH · JOHNS HOPKINS UNIVERSITY · PI WOLFF, JENNIFER L. · 2009 to 2013
$755k
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
NCATS NIH HHS UL1 TR002553NHLBI NIH HHS K23 HL116601NHLBI NIH HHS P50 HL105187NIDDK NIH HHS K23 DK094975NIDDK NIH HHS K23 DK097184NIMH NIH HHS K01 MH082885
6 · The paper itself

Abstract

backgroundEffective hypertension self-management interventions are needed for socially disadvantaged African Americans, who have poorer blood pressure (BP) control compared to others.

objectiveWe studied the incremental effectiveness of contextually adapted hypertension self-management interventions among socially disadvantaged African Americans.

designRandomized comparative effectiveness trial.

participantsOne hundred fifty-nine African Americans at an urban primary care clinic.

interventionsParticipants were randomly assigned to receive (1) a community health worker ("CHW") intervention, including the provision of a home BP monitor; (2) the CHW plus additional training in shared decision-making skills ("DoMyPART"); or (3) the CHW plus additional training in self-management problem-solving ("Problem Solving"). MAIN MEASURES: We assessed group differences in BP control (systolic BP (SBP) < 140 mm Hg and diastolic BP (DBP) < 90 mmHg), over 12 months using generalized linear mixed models. We also assessed changes in SBP and DBP and participants' BP self-monitoring frequency, clinic visit patient-centeredness (i.e., extent of patient-physician discussions focused on patient emotional and psychosocial concerns), hypertension self-management behaviors, and self-efficacy. KEY

resultsBP control improved in all groups from baseline (36%) to 12 months (52%) with significant declines in SBP (estimated mean [95% CI] - 9.1 [- 15.1, - 3.1], - 7.4 [- 13.4, - 1.4], and - 11.3 [- 17.2, - 5.3] mmHg) and DBP (- 4.8 [- 8.3, - 1.3], - 4.0 [- 7.5, - 0.5], and - 5.4 [- 8.8, - 1.9] mmHg) for CHW, DoMyPART, and Problem Solving, respectively). There were no group differences in BP outcomes, BP self-monitor use, or clinic visit patient-centeredness. The Problem Solving group had higher odds of high hypertension self-care behaviors (OR [95% CI] 18.7 [4.0, 87.3]) and self-efficacy scores (OR [95% CI] 4.7 [1.5, 14.9]) at 12 months compared to baseline, while other groups did not. Compared to DoMyPART, the Problem Solving group had higher odds of high hypertension self-care behaviors (OR [95% CI] 5.7 [1.3, 25.5]) at 12 months.

conclusionA context-adapted CHW intervention was correlated with improvements in BP control among socially disadvantaged African Americans. However, it is not clear whether improvements were the result of this intervention. Neither the addition of shared decision-making nor problem-solving self-management training to the CHW intervention further improved BP control. TRIAL REGISTRY: ClinicalTrials.gov Identifier: NCT01902719.

Indexed as

HypertensionSelf-ManagementAntihypertensive AgentsBlack or African AmericanBlood PressureHumansVulnerable PopulationsAntihypertensive Agentscommunity health workerhypertensionself-managementsocial disadvantage

Identifiers

PMID31705466
PMCPMC6957583
OpenAlexW2985975387

What OpenQuestion holds

Textmetadata
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Registered trials

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.