hypertension
Can CHW telehealth beat clinic HTN visits?
Open access · cc by · source: Europe PMC
In a 200-person pilot RCT in rural Kenya/Uganda, home CHW-facilitated clinician telehealth achieved 77% vs 51% BP control at 24 weeks (RD 26%).
How this study connects
Role on claims
Each row is a claim on a concept or method page where this paper supports, challenges, or qualifies the statement. Roles are hand-checked — not a model guess.
CHW-facilitated telehealth can beat usual clinic BP control in moderate–severe hypertension.
A Kenyan pilot found week-24 hypertension control 77% with CHW-facilitated telehealth versus 51% clinic (RD 26%, 95% CI 14–38%); week-48 gaps widened further.
Evidence for the claim as stated.
Acute virtual COVID pathways and chronic hypertension telehealth pilots answer different delivery questions; success in one setting is not automatic proof for the other.
Evidence for the claim as stated.
Open questions
Tensions this paper is part of
From concept pages' “where studies disagree.” Disagreement means the same question; scope means different assays, populations, or outcomes.
Acute virtual COVID pathways and chronic hypertension telehealth pilots answer different delivery questions; success in one setting is not automatic proof for the other.
History
When this study was placed
Dated entries from the concept change log — when this paper was added or removed as support, challenge, or qualifier on a claim.
Placed as supporting evidence on Telemedicine
A Kenyan pilot found week-24 hypertension control 77% with CHW-facilitated telehealth versus 51% clinic (RD 26%, 95% CI 14–38%); week-48 gaps widened further.
Placed as supporting evidence on Telemedicine
Acute virtual COVID pathways and chronic hypertension telehealth pilots answer different delivery questions; success in one setting is not automatic proof for the other.
Study at a glance
- Design
- RCT — CHW-facilitated telehealth vs clinic follow-up for moderate–severe hypertension in Kenya and Uganda
- N
- N=200 · 98 telehealth and 102 clinic; adults ≥40 with BP ≥160/100 at CHW screen
- Population
- Community-screened adults with moderate-to-severe hypertension in Kenya and Uganda
- Outcome
- Week-24 hypertension control after telehealth versus clinic follow-up
Structured fields used in claim comparison tables when every cited study has a complete layer.
Inspect source passages
Can CHW telehealth beat clinic HTN visits?
These passages occur verbatim in the stored paper text. They support the points listed below; they do not verify every statement in the explanation.
200 enrolled (98 telehealth, 102 clinic).
enrolling 200 (98 telehealth arms, 102 clinic arms)
24-week control 77% vs 51% (RD 26%, 95% CI 14–38%).
week 24 hypertension control was 77% in telehealth and 51% in clinic arms (risk difference (RD) 26%, 95% confidence interval (CI) [14%, 38%], p < 0.001)
Key findings
Week-24 control was 77% telehealth vs 51% clinic (RD 26%, 95% CI 14–38%, p<0.001); week-48 was 86% vs 44% (RD 42%). Cohort was 67% women, median age 62, 14% living with HIV. Three deaths occurred (unrelated to the intervention).
Methodology
Screened community adults ≥40 with BP ≥160/100 via CHWs, randomized 200 to clinician-driven telehealth facilitated at home by CHWs versus usual clinic-based hypertension care, and compared BP control at 24 and 48 weeks by ITT.
Limitations
Small pilot limits scale-up inference; unblinded assignment and implementation costs/generalizability need larger trials.
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