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
Article first published online: 28 JUN 2011
© 2011 Wiley Periodicals, Inc.
The Journal of Clinical Hypertension
Volume 13, Issue 8, pages 563–570, August 2011
How to Cite
Johnson, W., Shaya, F. T., Khanna, N., Warrington, V. O., Rose, V. A., Yan, X., Bailey-Weaver, B., Mullins, C. D. and Saunders, E. (2011), 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. The Journal of Clinical Hypertension, 13: 563–570. doi: 10.1111/j.1751-7176.2011.00477.x
- Issue published online: 1 AUG 2011
- Article first published online: 28 JUN 2011
- Manuscript received December 13, 2010; Revised: March 24, 2011; Accepted: April 4, 2011
J Clin Hypertens (Greenwich). 2011;13:563–570. ©2011 Wiley Periodicals, Inc.
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.