protocolSection identificationModule nctId: NCT06359691, orgStudyIdInfo id: 4UH3HL154302, type: NIH, link: https://reporter.nih.gov/quickSearch/4UH3HL154302, secondaryIdInfos id: 4UH3HL154302, type: NIH, link: https://reporter.nih.gov/quickSearch/4UH3HL154302, briefTitle: Multi-ethnic Multi-level Strategies and Behavioral Economics to Eliminate Hypertension Disparities in Los Angeles County, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-06, primaryCompletionDateStruct date: 2027-06, completionDateStruct date: 2027-06, studyFirstPostDateStruct date: 2024-04-11, lastUpdatePostDateStruct date: 2024-04-12, sponsorCollaboratorsModule leadSponsor name: University of California, Los Angeles, class: OTHER, collaborators name: National Heart, Lung, and Blood Institute (NHLBI), descriptionModule briefSummary: The goal of the study is to promote equitable hypertension (HTN) management across the diverse patient population found in Los Angeles County Department of Health Services (LAC DHS) clinics.To achieve this goal, the study team will conduct provider- and patient-focused outreach strategies to understand how to best support adoption of blood pressure management practices already available within LAC DHS.LAC DHS clinics will be randomly assigned to one of three study conditions: 1) provider-focused outreach, 2) patient-focused outreach, and 3) usual outreach. The study will occur across 3 years with patient- and provider-focused outreach occurring in Year 1 and 2. In Year 3, study initiated patient- and provider-focused outreach will stop, and clinic use of patient- and provider-focused outreach practices will be observed by the study team.Provider-focused outreach includes increasing cultural awareness of factors that hinder and support blood pressure control, increasing access to blood pressure medications, and providing blood pressure management education. Patient-focused outreach includes using culturally sensitive educational materials and reminders to improve patient understanding of blood pressure, education on how to manage the condition, and increasing awareness of available blood pressure management resources. Clinics assigned to the usual outreach condition will operate as per usual in Year 1 but will receive patient- and provider-focused outreach in Year 2., conditionsModule conditions: Hypertension, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: CROSSOVER, interventionModelDescription: Three-armed crossover trial design to test effectiveness and sustainment of our implementation strategies across LAC DHS clinics and the communities they serve., primaryPurpose: HEALTH_SERVICES_RESEARCH, maskingInfo masking: SINGLE, whoMasked: OUTCOMES_ASSESSOR, enrollmentInfo count: 540, type: ESTIMATED, armsInterventionsModule interventions name: Patient-focused strategies, interventions name: Provider-focused strategies, interventions name: Patient- and provider-focused strategies, outcomesModule primaryOutcomes measure: Overall provider adoption of evidence based practices, secondaryOutcomes measure: Provider/Care Team EBP Acceptability, Appropriateness, Feasibility, secondaryOutcomes measure: Blood Pressure (BP) Control, eligibilityModule sex: ALL, minimumAge: 18 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Olive View-UCLA Medical Center, city: Sylmar, state: California, zip: 91342, country: United States, contacts name: Soma Wali, MD, role: CONTACT, phone: 747-210-3205, email: swali@dhs.lacounty.gov, geoPoint lat: 34.30778, lon: -118.44925, hasResults: False