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Improving Hypertension Control in the Inner City

This study has been completed.
Information provided by (Responsible Party):
Medical College of Wisconsin Identifier:
First received: May 25, 2000
Last updated: February 10, 2016
Last verified: February 2016
To conduct a community based education program using existing resources to improve hypertension control in the inner city through multiple interventions.

Cardiovascular Diseases
Heart Diseases

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Improving Hypertension Control in the Inner City

Further study details as provided by Medical College of Wisconsin:

Enrollment: 2000
Study Start Date: September 1993
Study Completion Date: February 2005
Primary Completion Date: February 2005 (Final data collection date for primary outcome measure)
described as hypertensive according to AHA guidelines at time of trial
described as non-hypertensive according to AHA guidelines at time of trial

Detailed Description:


The study was in response to a demonstration and education initiative, "Improving Hypertensive Care for Inner City Minorities", which was reviewed and approved by the Clinical Applications and Prevention Advisory Committee in April 1992 and by the National Heart, Lung, and Blood Advisory Council in May 1992. The Request for Applications was released in October 1992.


The program consisted of a community wide education program, an intensive intervention directed toward individuals with hypertension, and an intervention for health care providers. The program was developed by a coalition of community organizations. In the community wide educational intervention, a baseline household survey was used to identify barriers to hypertension control in the community. This information was used in planning the intervention strategies, targeting the educational efforts, and developing the educational messages. Existing community organizations (churches, local media, neighborhood organizations, etc) were used to implement educational efforts over a three year period. Program success was evaluated by comparing findings on a follow-up household survey with those at baseline. Level of blood pressure control was the primary outcome measure. For the intensive educational program for hypertensives, the investigators developed a hypertension registry of individuals with high blood pressure who were identified from a number of community sources. All individuals on the registry receive educational material through the mail. Individuals with uncontrolled hypertension were randomized to receive the usual mailed educational materials or a more intensive personalized 12 month intervention using lay health advisors.

In the evaluation, the investigators compared blood pressure control morbidity and mortality between these two intervention arms of the registry. The innovative educational approach to health care providers utilized the existing community-based Area Health Education Center (AHEC) network to communicate community-determined hypertension control needs and community-determined hypertension control strategies to health care providers and students. The research was designed to elucidate community factors in the inner city that dictated strategies necessary for success in a variety inner city environments. Specifically, the investigators examined the effect of community size and level of community stress (as indicated by poverty, crime, etc.) on program development and outcome. To do this, they implemented the program in one city-wide community (Milwaukee) and in three well defined, homogeneous inner city neighborhoods of Chicago which had differing levels of community stress indicators. They evaluated the effect of size and community stress levels on the program strategies and successes.


Ages Eligible for Study:   18 Years to 100 Years   (Adult, Senior)
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
African-Americans with or without hypertension
No eligibility criteria
  Contacts and Locations
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Please refer to this study by its identifier: NCT00005699

Sponsors and Collaborators
Medical College of Wisconsin
Principal Investigator: Jane Kotchen Medical College of Wisconsin
  More Information

Responsible Party: Medical College of Wisconsin Identifier: NCT00005699     History of Changes
Other Study ID Numbers: 4278 
Study First Received: May 25, 2000
Last Updated: February 10, 2016
Health Authority: United States: Federal Government
Individual Participant Data  
Plan to Share IPD: Undecided
Plan Description: to be published

Additional relevant MeSH terms:
Cardiovascular Diseases
Heart Diseases
Vascular Diseases processed this record on October 21, 2016