Evidence map›Paper›PMID 39008556›Full record

Trial reportCirculation2024

Equitable Care for Hypertension: Blood Pressure and Patient-Reported Outcomes of the RICH LIFE Cluster Randomized Trial.

Lisa A Cooper, Jill A Marsteller, Kathryn A Carson, Katherine B Dietz, Romsai T Boonyasai, Carmen Alvarez, Deidra C Crews, Cheryl R Dennison Himmelfarb, Chidinma A Ibe, Lisa Lubomski and 9 more

Abstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Circulation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Lisa A Cooper *Departments of Medicine (L.A.C., J.A.M., K.A.C., K.B.D., R.T.B., D.C.C., C.R.D.H., C.A.I., E.R.M., N.-Y.W., D.B., A.A.S., H.-C.Y.), Johns Hopkins University School of Medicine, Baltimore, MD.ORCID 0000-0001-6707-6390
Jill A Marsteller *Departments of Medicine (L.A.C., J.A.M., K.A.C., K.B.D., R.T.B., D.C.C., C.R.D.H., C.A.I., E.R.M., N.-Y.W., D.B., A.A.S., H.-C.Y.), Johns Hopkins University School of Medicine, Baltimore, MD.ORCID 0000-0002-8458-954X
Kathryn A CarsonDepartments of Medicine (L.A.C., J.A.M., K.A.C., K.B.D., R.T.B., D.C.C., C.R.D.H., C.A.I., E.R.M., N.-Y.W., D.B., A.A.S., H.-C.Y.), Johns Hopkins University School of Medicine, Baltimore, MD.ORCID 0000-0002-1548-6918
Katherine B DietzDepartments of Medicine (L.A.C., J.A.M., K.A.C., K.B.D., R.T.B., D.C.C., C.R.D.H., C.A.I., E.R.M., N.-Y.W., D.B., A.A.S., H.-C.Y.), Johns Hopkins University School of Medicine, Baltimore, MD.
Romsai T BoonyasaiAgency for Healthcare Research and Quality, Rockville, MD (R.T.B.).ORCID 0000-0003-0650-9548
Carmen AlvarezUniversity of Pennsylvania School of Nursing, Philadelphia (C.A.).ORCID 0000-0002-6417-4494
Deidra C CrewsDepartments of Medicine (L.A.C., J.A.M., K.A.C., K.B.D., R.T.B., D.C.C., C.R.D.H., C.A.I., E.R.M., N.-Y.W., D.B., A.A.S., H.-C.Y.), Johns Hopkins University School of Medicine, Baltimore, MD.ORCID 0000-0003-3425-5776
Cheryl R Dennison HimmelfarbDepartments of Medicine (L.A.C., J.A.M., K.A.C., K.B.D., R.T.B., D.C.C., C.R.D.H., C.A.I., E.R.M., N.-Y.W., D.B., A.A.S., H.-C.Y.), Johns Hopkins University School of Medicine, Baltimore, MD.ORCID 0000-0003-1918-4316
Chidinma A IbeDepartments of Medicine (L.A.C., J.A.M., K.A.C., K.B.D., R.T.B., D.C.C., C.R.D.H., C.A.I., E.R.M., N.-Y.W., D.B., A.A.S., H.-C.Y.), Johns Hopkins University School of Medicine, Baltimore, MD.
Lisa LubomskiJohns Hopkins Center for Health Equity, Johns Hopkins University, Baltimore, MD (L.A.C., J.A.M., K.A.C., K.B.D., C.A., D.C.C., C.R.D.H., C.A.I., L.L., E.R.M., D.B., D.H., M.S., A.A.S., H.-C.Y.).
Edgar R MillerDepartments of Medicine (L.A.C., J.A.M., K.A.C., K.B.D., R.T.B., D.C.C., C.R.D.H., C.A.I., E.R.M., N.-Y.W., D.B., A.A.S., H.-C.Y.), Johns Hopkins University School of Medicine, Baltimore, MD.ORCID 0000-0003-0157-6258
Nae-Yuh WangDepartments of Medicine (L.A.C., J.A.M., K.A.C., K.B.D., R.T.B., D.C.C., C.R.D.H., C.A.I., E.R.M., N.-Y.W., D.B., A.A.S., H.-C.Y.), Johns Hopkins University School of Medicine, Baltimore, MD.ORCID 0000-0001-6513-9730
Gideon D AvornuEmergency Medicine (G.D.A.), Johns Hopkins University School of Medicine, Baltimore, MD.
Deven BrownDepartments of Medicine (L.A.C., J.A.M., K.A.C., K.B.D., R.T.B., D.C.C., C.R.D.H., C.A.I., E.R.M., N.-Y.W., D.B., A.A.S., H.-C.Y.), Johns Hopkins University School of Medicine, Baltimore, MD.ORCID 0009-0005-9161-2014
Debra HickmanJohns Hopkins Center for Health Equity, Johns Hopkins University, Baltimore, MD (L.A.C., J.A.M., K.A.C., K.B.D., C.A., D.C.C., C.R.D.H., C.A.I., L.L., E.R.M., D.B., D.H., M.S., A.A.S., H.-C.Y.).ORCID 0009-0000-4384-9272
Michelle SimmonsJohns Hopkins Center for Health Equity, Johns Hopkins University, Baltimore, MD (L.A.C., J.A.M., K.A.C., K.B.D., C.A., D.C.C., C.R.D.H., C.A.I., L.L., E.R.M., D.B., D.H., M.S., A.A.S., H.-C.Y.).ORCID 0009-0009-3423-5936
Ariella Apfel SteinDepartments of Medicine (L.A.C., J.A.M., K.A.C., K.B.D., R.T.B., D.C.C., C.R.D.H., C.A.I., E.R.M., N.-Y.W., D.B., A.A.S., H.-C.Y.), Johns Hopkins University School of Medicine, Baltimore, MD.ORCID 0000-0001-9568-4510
Hsin-Chieh YehDepartments of Medicine (L.A.C., J.A.M., K.A.C., K.B.D., R.T.B., D.C.C., C.R.D.H., C.A.I., E.R.M., N.-Y.W., D.B., A.A.S., H.-C.Y.), Johns Hopkins University School of Medicine, Baltimore, MD.ORCID 0000-0002-5738-0652
RICH LIFE Project Investigators

Funding

University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Stuart J Frank · 2013 to 2026
$19.5M
Comparative Effectiveness of Health System vs. Multilevel Interventions to Reduce Hypertension DisparitiesUH3HL130688 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COOPER, LISA A, MARSTELLER, JILL ANNE · 2016 to 2019
$11.2M
Comparative Effectiveness of Health System vs. Multilevel Interventions to Reduce Hypertension DisparitiesUH2HL130688 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COOPER, LISA A, MARSTELLER, JILL ANNE · 2015 to 2015
$1.0M
Community Health Worker Integration into Healthcare Teams: Advancing a Theory-driven Implementation Science ModelK01HL153204 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI IBE, CHIDINMA ADANNA · 2020 to 2024
$696k
NHLBI NIH HHS K01 HL153204NHLBI NIH HHS UH2 HL130688NHLBI NIH HHS UH3 HL130688NIDDK NIH HHS P30 DK079626
6 · The paper itself

Abstract

backgroundDisparities in hypertension control are well documented but underaddressed.

methodsRICH LIFE (Reducing Inequities in Care of Hypertension: Lifestyle Improvement for Everyone) was a 2-arm, cluster randomized trial comparing the effect on blood pressure (BP) control (systolic BP ≤140 mm Hg, diastolic BP ≤90 mm Hg), patient activation, and disparities in BP control of 2 multilevel interventions, standard of care plus (SCP) and collaborative care/stepped care (CC/SC). SCP included BP measurement standardization, audit and feedback, and equity-leadership training. CC/SC added roles to address social or medical needs. Primary outcomes were BP control and patient activation at 12 months. Generalized estimating equations and mixed-effects regression models with fixed effects of time, intervention, and their interaction compared change in outcomes at 12 months from baseline.

resultsA total of 1820 adults with uncontrolled BP and ≥1 other risk factors enrolled in the study. Their mean age was 60.3 years, and baseline BP was 152.3/85.5 mm Hg; 59.4% were women; 57.4% were Black, 33.2% were White, and 9.4% were Hispanic; 74% had hyperlipidemia; and 45.1% had type 2 diabetes. CC/SC did not improve BP control rates more than SCP. Both groups achieved statistically and clinically significant BP control rates at 12 months (CC/SC: 57.3% [95% CI, 52.7%-62.0%]; SCP: 56.7% [95% CI, 51.9%-61.5%]). Pairwise comparisons between racial and ethnic groups showed overall no significant differences in BP control at 12 months. Patients with coronary heart disease showed greater achievement of BP control in CC/SC than in SCP (64.0% [95% CI, 54.1%-73.9%] versus 50.8% [95% CI, 42.6%-59.0%];

conclusionsAdding a collaborative care team to enhanced standard of care did not improve BP control but did improve patient ratings of chronic illness care.

Indexed as

Blood PressureHypertensionPatient Reported Outcome MeasuresAgedAntihypertensive AgentsFemaleHealthcare DisparitiesHumansMaleMiddle AgedTreatment OutcomeAntihypertensive Agentsblood pressurecommunity health workersdisease managementhealthcare disparitieshypertensionpatient care managementprimary health care

Identifiers

PMID39008556
PMCPMC11254328

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.