Practice Facilitation and Peer Coaching for Uncontrolled Hypertension Among Black Individuals: A Randomized Clinical Trial
Authors' conclusion
The results of this cluster randomized clinical trial demonstrated that neither PC nor PF demonstrated a superior improvement in overall BP control compared with EUC. However, PC led to a significant reduction in systolic BP among younger adults.
Study context
- Population
- Black rural adults with persistently uncontrolled hypertension attending primary care clinics1,209 analysed
- Comparison
- Peer coaching (PC), practice facilitation (PF) or PCPF vs enhanced usual care (EUC) alone
- Primary endpoint
- Proportion of participants with BP <140/90 mm Hg
- Follow-up
- 6 months and 12 months
Methodological detailscluster, 69 rural primary care practices, Alabama and North Carolina, Trial stopped on February 28, 2021, after final data collection
- Cluster
- 69 rural primary care practices, Alabama and North Carolina
- Trial stopped on February 28, 2021, after final data collection
Primary result
As reported in the abstract
BP control (<140/90 mm Hg) · 12 months
Each group vs EUCOdds ratio (95% CI)
PF
0.94(0.58–1.52)
PC
1.30(0.83–2.04)
PCPF
1.02(0.64–1.64)
Secondary outcomes
SBP change, participants <60 years (preplanned subgroup) · 12 months
- PC and PCPF: significant greater SBP reduction vs EUC
- 5 mm Hg
Practicewide blood pressure (BP) control in PF practices
- BP control improved from 54% to 61%; not observed in trial participants
Original publication
Practice Facilitation and Peer Coaching for Uncontrolled Hypertension Among Black Individuals: A Randomized Clinical Trial. JAMA Intern Med. Published 1 May 2024. doi:10.
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