N/A
N=600
Continuing the Conversation: Using Narrative Communication to Support Hypertension Self-management in African American Veterans
Hypertension
Bottom Line
View on ClinicalTrials.gov: NCT03970590 ↗Enrolled (actual)
600
Serious AEs
0.0%
Results posted
Apr 2025
Primary outcome: Primary: BP Measurement Change at Follow-up — 132; 133; 80; 78 mmHg
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- CTC Intervention (Behavioral); Control (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- May 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY BP Measurement Change at Follow-up |
132; 133; 80; 78 | — |
Summary
In this study the investigators will conduct a randomized controlled trial aimed at improving hypertension self-management and lowering blood pressure (BP) in African-American Veterans. In this study, the investigators 'begin the conversation' by showing previously created videos to Veteran participants, inviting them to select the peer narrative that is most compelling. The investigators then 'continue the conversation', offering longitudinal support via 6 months of narrative-aligned text messages. Texts will cover key subject areas, providing education, reminders and periodic assessments, and include quotations derived from and aligned with transcripts from the chosen narrative. The investigators will measure the intervention's impact on BP, self-efficacy and self-management behaviors, and conduct a cost analysis.
Eligibility Criteria
Inclusion Criteria
- Veterans who have been receiving care at the recruiting VA site for 1 year prior to recruitment
- With 2 or more visits documented over the past year
- Veterans who have documented HTN (ICD10 diagnosis codes: I10-essential HTN) during this 1-year period
- Patients who self-identify as African American or Black
- Participants must be on at least one medication for BP
- Need to have access to their own or a family member's cell phone or smart phone for participation
- Must be willing to use this phone for receipt of text messages over a 6-month period
Exclusion Criteria
- Veterans who participated in our previous VA Stories study
- Veteran who fail the memory and concentration questions asked in the screening survey
- Pregnant Veterans (verified by self-report)
Data sourced from ClinicalTrials.gov (NCT03970590). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.