HypertensionRandomised controlled trial
Equitable Care for Hypertension: Blood Pressure and Patient-Reported Outcomes of the RICH LIFE Cluster Randomized Trial
- Cluster randomised controlled trial
- 2-arm
- cluster randomized
Authors' conclusion
Adding a collaborative care team to enhanced standard of care did not improve BP control but did improve patient ratings of chronic illness care.
Study context
- Population
- Adults with uncontrolled blood pressure (BP) and ≥1 other risk factors
- Participants
- 1,820 adults
- Comparison
- CC/SC vs standard of care plus (SCP)
- Primary endpoint
- BP control (SBP ≤140 mm Hg, DBP ≤90 mm Hg) and patient activation
- Follow-up
- 12 months
Primary result
As reported in the abstract
BP control
Further findings
Mean change, mm Hg
| Outcome | CC/SC | SCP | difference (mm Hg) (95% CI) | P value | |
|---|---|---|---|---|---|
| Change in mean DBP · statistically significant | −6.9 (95% CI −7.8–-6.1) | −5.5 (95% CI −6.4–-4.6) | −1.4 (−2.6 to −0.2) | ||
| −4−202Difference, mm Hg (linear scale) |
| Outcome | CC/SC | SCP | Estimate | P value |
|---|---|---|---|---|
| BP control in patients with CHD (subgroup) · 12 months | 64.0% (95% CI 54.1%–73.9%) | 50.8% (95% CI 42.6%–59.0%) | P = 0.04 | |
| BP control in rural areas (subgroup) · 12 months | 67.3% (95% CI 49.8%–84.8%) | 47.8% (95% CI 32.4%–63.2%) | P = 0.01 | |
| Change in mean SBP | mean change −13.8 (95% CI −15.2–-12.5) mm Hg | mean change −14.6 (95% CI −15.9–-13.2) mm Hg | ||
| Patient Assessment of Chronic Illness Care score · 12 months · greater improvement with CC/SC | 0.12 (95% CI 0.02–0.22) |
BP control by race and ethnicity (subgroup) · 12 months
- No significant differences in BP control between racial and ethnic groups overall
Original publication
Equitable Care for Hypertension: Blood Pressure and Patient-Reported Outcomes of the RICH LIFE Cluster Randomized Trial. Circulation. Published 15 July 2024. doi:10.1161/circulationaha.124.069622
Summarised from the published abstract; every number is checked against it