A Study to Evaluate the Best Ways to Implement a Community Health Worker-supported Telehealth Program for Managing High Blood Pressure in Kenya
Hypertension (HTN) · Telehealth · Community Health Workers
What this study involves
The registry does not currently label this study as recruiting. Ask about its status before planning a screening visit.
- Study type
- Interventional
- Phase
- Not applicable
- Age range
- 40 years - Not specified
- Sex eligible
- All sexes
- Healthy volunteers
- Not accepted
- Participants
- 3200 Estimated
These are starting points, not an eligibility decision. The research team must review the full requirements.
About the 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.
Read the full description
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.
Who may be able to participate?
The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.
Patient-Level Inclusion Criteria for Primary Outcome Ascertainment (waiver of consent)
- Adults ≥40 years of age
- Residing within the "Community Unit" served by one of the 16 MoH primary care clinics included in the study
- Hypertension diagnosis (BP ≥140/90 mmHg on average of 2nd and 3rd measures on two separate occasions OR ≥160/100 mmHg on average of 2nd and 3rd measures on a single occasion OR currently on antihypertensive therapy)
Exclusion Criteria:
- None
Treatment, groups and participation
The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.
- Assignment
- Random assignment
- Masking
- No masking
Core Strategies
Not reported in this registry record.
Other: Core Strategies
Enhanced Strategies
Not reported in this registry record.
Other: Enhanced Strategies
Core Strategies OTHER
CHWs and clinicians receive case-based training, MoH leadership supervision, implementation blueprints with medication supply strengthening at participating health facilities
Enhanced Strategies OTHER
Core Strategies components plus CHW and clinician champions coaching and motivation with support from practice facilitators
What researchers are measuring
Outcome measures describe what is being studied. They are not proof that a treatment works.
Primary measures
Implementation: Penetration
Time frame: Months 0-18
Proportion of adults 40 years and older with hypertension who receive at least 1 telehealth hypertension visit
Effectiveness: Population-level hypertension control
Time frame: Months 12-18
Proportion of adults 40 years and older with hypertension who have controlled blood pressure (\<140/90 mmHg) at last measure during months 12-18
Review the complete result tables and limitations in the official record.
Open official results ↗Research locations (1)
The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.
1 locations
GPRTMbita, KenyaStatus unknown
Study team and timeline
- Lead sponsor
- University of California, San Francisco
- Study start
- Jun 1, 2027 Estimated
- Primary completion
- Jun 1, 2029 Estimated
- Study completion
- Jun 1, 2029 Estimated
- First posted
- Nov 9, 2026 Actual
- Last updated
- Nov 9, 2026 Actual
Official study contacts
Official study title
Community-based Implementation of Hypertension Screening and Telehealth Systems in Kenya
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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.
Retrieved: Nov 12, 2026 · Last registry update: Nov 9, 2026