Equitable Care for Hypertension: Blood Pressure and Patient-Reported Outcomes of the RICH LIFE Cluster Randomized Trial
Key Findings
RICH LIFE study compared two interventions for hypertension control: standard of care plus (SCP) and collaborative care/stepped care (CC/SC). Both groups achieved significant blood pressure control rates at 12 months, with no significant differences between racial and ethnic groups. Patients with coronary heart disease and those in rural areas showed greater improvement in BP control with CC/SC. Both interventions led to significant reductions in mean systolic and diastolic blood pressure over time, with CC/SC showing a statistically significant difference in diastolic blood pressure reduction compared to SCP. Patient activation did not differ between arms, but CC/SC showed greater improvements in patient ratings of chronic illness care over 12 months.
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