An interventional study of Core Strategies and Enhanced Strategies in Hypertension (HTN), Telehealth and Community Health Workers, sponsored by University of California, San Francisco. Not yet recruiting at 1 site in Kenya. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2026-11-09.
Sponsored by University of California, San Francisco · Not applicable, Interventional, and Health services research
This study will compare two strategies involving community health workers and telehealth to help control high blood pressure among rural residents in Kenya: basic steps including training, developing protocols, and engaging leaders for supervision, compared to these steps plus additional support from healthcare worker champions and support from an outside facilitator. The program will be tested in 16 health centers and their surrounding catchment areas in Kenya to determine which approach works best.
The study's goal is to examine the implementation and effectiveness of two strategies for integrating a community health worker (CHW)-facilitated hypertension telehealth intervention into routine care at primary health centers operated by Kenya's Ministry of Health (MoH). Investigators will conduct a type 2 hybrid implementation-effectiveness cluster randomized trial across 16 MoH primary health centers and surrounding communities in Homa Bay County to compare the impact of core and enhanced strategies on uptake of CHW telehealth and population-level hypertension control at 18 months. A waiver of consent will be obtained for the collection of data for the primary outcomes. CHWs, clinicians, implementation champions, practice facilitators, clinic directors, CHW supervisors and MOH leadership will take part in the implementation, in-depth interviews and surveys.
6,114 studies on the registry are indexed under Hypertension; 912 are open to participants now.
This study's planned enrollment of 3,200 is above the median of 100 across 4,575 interventional studies indexed under Hypertension.
Browse Hypertension studies →University of California, San Francisco is the lead sponsor of 2,169 studies on the registry; 372 are open to participants now.
Of its 267 completed or terminated interventional studies of FDA-regulated products, 202 (76%) have results posted.
Counted across the registry records on this site, refreshed daily.
Patient-Level Inclusion Criteria for Primary Outcome Ascertainment (waiver of consent)
Exclusion Criteria:
Other: Core Strategies
Other: Enhanced Strategies
CHWs and clinicians receive case-based training, MoH leadership supervision, implementation blueprints with medication supply strengthening at participating health facilities
Core Strategies components plus CHW and clinician champions coaching and motivation with support from practice facilitators
Implementation: Penetration
Proportion of adults 40 years and older with hypertension who receive at least 1 telehealth hypertension visit
Time frame: Months 0-18
Effectiveness: Population-level hypertension control
Proportion of adults 40 years and older with hypertension who have controlled blood pressure (\<140/90 mmHg) at last measure during months 12-18
Time frame: Months 12-18
Plan to share: No
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.
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