At a glance
ClinicalIndex Comparison Record- ✓Self-identify as Latino
- ✓Age 18 years or older
- ✓Receiving care in a safety-net primary care practice
- ✓Uncontrolled hypertension documented in EHR on at least two visits in past year (average BP ≥140/90 mmHg)
- ✕Unable to comply with study protocol
- ✕Participation in other hypertension-related clinical trials
- ✕Significant psychiatric comorbidity or substance abuse documented in EHR
- ✕Plan to discontinue care at their practice within next 12 months
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Bridging the Evidence-to-practice Gap: Evaluating Practice Facilitation as a Strategy to Accelerate Translation of a Systems-level Adherence Intervention Into Safety Net Practices
In Brief
A Phase 4 clinical trial evaluating ALTA for Hypertension. Completed, enrolled 652 participants across 1 site.
Detailed Summary
The proposed project will address this evidence-to-practice gap by evaluating the effect of practice facilitation (PF) of the intervention implementation fidelity (primary outcome) and clinical measures at 12 months (secondary outcomes).
Study Details
Timeline
Arms & Interventions
Will be supported by a practice facilitator
Using a stepped wedge design, all practice sites begin as part of the Usual Care (UC) control condition and will receive standard hypertension management that is part of the current clinic procedure. No practice facilitation will occur at this time.
Interventions
The study will involve each site starting with the usual care phase, followed by a period of 6 months during which practice facilitators will conduct the pre-implementation evaluation (e.g., workflow analysis, environmental scan), refine the practice facilitation strategies that will be used in the implementation phase, and train staff in the Advancing Medication Adherence for Latinos with Hypertension through a Team-based Care Approach (ALTA) intervention model. ALTA is an efficacious systems-level intervention designed to help patients improve their ability to take their high blood pressure medications and control their blood pressure. Practices and the Project ALTA team will work together to implement the ALTA model into routine care to improve blood pressure control and medication adherence in Latinx patients.