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NCT03577990

Technology Coaching Intervention for Black Women With Hypertension

Completed NA Results posted Last updated 17 May 2023
What this trial tests

NA trial testing Interactive Technology Enhanced Coaching (ITEC) in Uncontrolled Hypertension in 90 participants. Completed in 16 April 2021.

Timeline
28 January 2019
Primary endpoint
16 April 2021
16 April 2021

Quick facts

Lead sponsorUniversity of North Carolina, Charlotte
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment90
Start date28 January 2019
Primary completion16 April 2021
Estimated completion16 April 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of North Carolina, Charlotte

Who can join

Adults 18 to 70, female only, with Uncontrolled Hypertension. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in Systolic and Diastolic Blood Pressure (BP) Primary · Baseline to 3 months, 6 months, and 9 months.

To show the change (decrease) in systolic blood pressure (SBP) and diastolic blood pressure (DBP) over 9 months.

Baseline Systolic BP
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)140.07± 1.5781
Interactive Technology-No Coaching (IT)139.03± 1.6841
Month 3 Systolic BP
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)124.18± 1.9429
Interactive Technology-No Coaching (IT)128.31± 1.9737
Month 6 Systolic BP
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)125.80± 1.9606
Interactive Technology-No Coaching (IT)126.13± 2.0827
Month 9 Systolic BP
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)125.04± 1.7349
Interactive Technology-No Coaching (IT)125.67± 1.8618
Baseline Diastolic BP
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)83.8578± 1.2306
Interactive Technology-No Coaching (IT)84.3161± 1.3132
Month 3 Diastolic BP
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)82.8319± 1.4629
Interactive Technology-No Coaching (IT)79.9767± 1.4749
Month 6 Diastolic BP
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)83.2099± 1.3628
Interactive Technology-No Coaching (IT)82.3126± 1.4482
Month 9 Diastolic BP
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)82.5838± 1.4368
Interactive Technology-No Coaching (IT)81.6017± 1.5639
Medication Adherence by Proportion of Days Covered Secondary · Month 1 to Month 3, Month 6, and Month 9.

To show the proportion of days covered in the period of interest (Month 1, Month 3, Month 6, and Month 9). (Sum of days covered that participant reported medication adherence in the period of interest) ÷ (the number of days in the period of interest) x 100.

Month 1 Med Adherence
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)0.7404± 0.06353
Month 3 Med Adherence
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)0.6507± 0.06353
Month 6 Med Adherence
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)0.5575± 0.06353
Interactive Technology-No Coaching (IT)0.5357± 0.06779
Month 9 Med Adherence
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)0.6507± 0.06353
Interactive Technology-No Coaching (IT)0.5595± 0.06779
Physical Activity (Change in Daily Steps) Secondary · Month 1 to Month 3, Month 6, and Month 9.

To show the change (increase) in daily steps over 9 months.

Month 1 Steps
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)5778.58± 555.38
Month 3 Steps
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)5384.34± 593.17
Month 6 Steps
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)4720.90± 611.08
Interactive Technology-No Coaching (IT)6413.73± 663.43
Month 9 Steps
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)4743.20± 770.29
Interactive Technology-No Coaching (IT)5092.30± 798.81
Change in Dietary Intake (Calories) Secondary · Month 1 to Month 3, Month 6, and Month 9.

To show the change (decrease) in dietary intake (calories) over 9 months.

Month 1 Calories
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)1204.75± 81.7083
Month 3 Calories
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)1133.66± 92.0513
Month 6 Calories
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)801.42± 96.8770
Interactive Technology-No Coaching (IT)803.38± 122.88
Month 9 Calories
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)1247.33± 146.01
Interactive Technology-No Coaching (IT)1029.74± 165.78
Change in Weight Secondary · Baseline to 3 months, 6 months, and 9 months.

To show the change (decrease) in weight over 9 months.

Baseline Weight
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)213.54± 7.6390
Interactive Technology-No Coaching (IT)214.31± 8.1523
Month 3 Weight
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)205.23± 7.6767
Interactive Technology-No Coaching (IT)212.20± 8.1523
Month 6 Weight
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)203.71± 7.7075
Interactive Technology-No Coaching (IT)203.71± 8.2126
Month 9 Weight
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)202.36± 7.8919
Interactive Technology-No Coaching (IT)205.40± 8.4171
Change in Dietary Intake (Sodium) Secondary · Month 1 to Month 3, Month 6, and Month 9.

To show the change (decrease) in dietary intake (sodium) over 9 months.

Month 1 Sodium
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)1363.65± 116.66
Month 3 Sodium
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)1386.61± 134.26
Month 6 Sodium
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)775.66± 141.33
Interactive Technology-No Coaching (IT)928.30± 181.33
Month 9 Sodium
GroupValue95% CI
Interactive Technology Enhanced Coaching (ITEC)1226.89± 179.26
Interactive Technology-No Coaching (IT)1512.05± 241.61

Adverse events — posted to ClinicalTrials.gov

Time frame: 42 weeks. Includes 6-week Chronic Disease Self-Management Program and 36 weeks of data collection.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Interactive Technology Enhanced Coaching (ITEC)
Serious: 9/42 (21%)
Deaths: 0/42
Interactive Technology-No Coaching (IT)
Serious: 3/41 (7%)
Deaths: 0/41

Serious adverse events (12 terms)

ReactionSystemInteractive Technology Enh…Interactive Technology-No …
StrokeVascular disorders
Elevated diastolic blood pressure >110Vascular disorders
Dislodged patellaMusculoskeletal and connective tissue disorders
Twisted ankleMusculoskeletal and connective tissue disorders
Bunion surgerySurgical and medical procedures
Total knee replacementSurgical and medical procedures
Shoulder replacementSurgical and medical procedures
CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
GlaucomaSurgical and medical procedures
Abdominal pain and bleedingGastrointestinal disorders
Stomach virusGastrointestinal disorders
PneumoniaRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Stroke, Elevated diastolic blood pressure >110, Dislodged patella, Twisted ankle, Bunion surgery, Total knee replacement, Shoulder replacement, Cancer.

Data from ClinicalTrials.gov NCT03577990 adverse events section.

Sponsor's own description

Hypertension (HTN) is a global problem affecting 972 million adults and an important public health burden since it is the main cause of cardiovascular disease and death, and the second leading cause of disability. Disproportionately affected, Black women have the highest prevalence of HTN in the United States. This research will evaluate potential interventions for possible community-based strategies for controlling HTN using interactive self-care strategies with coaching and technology. We hypothesize that participants who receive the Chronic Disease Self-Management Program (CDSMP) workshop and Interactive Technology Enhanced Coaching (ITEC) will have lower systolic/diastolic blood pressure (BP) and better adherence to antihypertensive medication(s) and lifestyle recommendations (physical activity, diet, and weight management) post intervention compared to participants receiving self-care management alone.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Correction to "Use of Coaching and Technology to Improve Blood Pressure Control in Black Women With Hypertension: Pilot Randomized Controlled Trial Study".
    · 2025 · PMID 41117738 · DOI 10.1111/jch.70085

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Other recruiting trials for Uncontrolled Hypertension

Currently open trials in the same condition.

Other University of North Carolina, Charlotte trials

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