title: The Baltimore Partnership to Educate and Achieve Control of Hypertension (The BPTEACH Trial): a randomized trial of the effect of education on improving blood pressure control in a largely African American population.
abstract: Hypertension is a major risk factor for developing cardiovascular disease and is more prevalent in African Americans compared with Caucasians. African Americans are often underrepresented in clinical trials. This study was composed of a largely urban African American cohort of hypertensive patients. This was a prospective, 4-arm, randomized controlled trial designed to evaluate the comparative effectiveness of both physician and patient education (PPE), patient education only (PAE), and physician education only (PHE) vs usual care (UC). Hypertension specialists gave a series of didactic lectures to the physicians, while a nurse educator performed the patient education. The mean adjusted difference in systolic blood pressure (SBP) from baseline in the PPE group was an average reduction of 12 mm Hg (95% confidence interval [CI], -4.5 to -19.4) at 6-months, followed by average reductions of 4.6 mm Hg (6.9 to -16.12) in the PAE group, 4.1 mm Hg (3.4 to -11.7) in the PHE group, and 2.6 mm Hg (3 to -8.2) in the UC group. The PPE group achieved a significantly better reduction in SBP compared with the UC group. Additional research should be conducted to evaluate whether the use of certified hypertension educators in collaboration with physicians will result in a similar blood pressure reduction.
authors.affiliation: School of Medicine, University of Maryland, Baltimore, MD, USA.
authors.forename: Wallace
authors.initials: W
authors.lastname: Johnson
authors.forename: Fadia T
authors.initials: FT
authors.lastname: Shaya
authors.forename: Niharika
authors.initials: N
authors.lastname: Khanna
authors.forename: Verlyn O
authors.initials: VO
authors.lastname: Warrington
authors.forename: Vivienne A
authors.initials: VA
authors.lastname: Rose
authors.forename: Xia
authors.initials: X
authors.lastname: Yan
authors.forename: Bessie
authors.initials: B
authors.lastname: Bailey-Weaver
authors.forename: C Daniel
authors.initials: CD
authors.lastname: Mullins
authors.forename: Elijah
authors.initials: E
authors.lastname: Saunders
mesh_terms: D000328:Adult; D001741:Black or African American / Q000208:ethnology*; D015142:Baltimore; D001794:Blood Pressure / Q000502:physiology*; D002986:Clinical Trials as Topic; D004501:Education, Medical; D005260:Female; D006801:Humans; D006973:Hypertension / Q000208:ethnology* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic; D010358:Patient Participation; D010817:Physician-Patient Relations; D011446:Prospective Studies; D044465:White People / Q000208:ethnology