← Eichor
Study identifier: NCT05321368 Synced from ClinicalTrials.gov · July 28, 2026
● Recruiting

A Cardiometabolic Health Program Linked With Clinical-Community Support and Mobile Health Telemonitoring to Reduce Health Disparities

Condition: Hypertension · High Blood Pressure · Diabetes  ·  Sponsor: Johns Hopkins University

PhaseNA
Planned participants425
Who can joinAll sexes, 18 Years to no upper limit
Healthy volunteersNo

About this study

The LINKED- HEARTS Program is a multi-level project that intervenes at the practice level by linking home blood pressure monitoring (HBPM) with a telemonitoring platform (Sphygmo). The program incorporates team-based care by including community health workers (CHWs) and pharmacists to improve the outcomes of multiple chronic conditions (reduced blood pressure (BP), lower blood sugar, and improved kidney function). The LINKED-HEARTS Program will recruit a total of 600 adults with uncontrolled hypertension (BP ≥ 140/90 mm Hg) AND either type 2 diabetes or chronic kidney disease (CKD) across 16 community health centers or primary care practices serving high-risk adults. This cluster-randomized trial consists of two arms: (1) enhanced "usual care arm," wherein patients will be provided with Omron 10 series home BP monitors and will be managed by the patients' primary care clinicians as usual; and (2) the "intervention arm" which will integrate HBPM telemonitoring, a CHW intervention and provider-level interventions into the usual clinical care to improve BP control and provide support for self-management of chronic conditions. The study pharmacist will conduct telehealth, use the Sphygmo app and the Pharmacist Patient Care Process to collaborate with other providers to optimize pharmacologic therapy to improve hypertension outcomes and with payors to ensure consistent access to drug therapy.

This description comes directly from the study's public registry record.

Talk to the study team

Yvonne Commodore-Mensah, PhD, MSH  ·  443-614-1519  ·  ycommod1@jhu.edu

Always discuss trial participation with your own doctor first.

Locations (3)

Unity Health CareWashington D.C., District of Columbia, United StatesRecruiting
Johns Hopkins Community PhysiciansBaltimore, Maryland, United StatesRecruiting
Choptank Community Health SystemsDenton, Maryland, United StatesActive Not Recruiting

Follow this study

Get one email when the public record changes — results posted, or the study's status changes. Nothing else, ever.

We email about this public record only. Unsubscribe anytime with one click. Never medical advice.

Is this your study? This page was generated automatically from the public registry record. Sponsors can claim it — free — to add branding and verified contact routing. Claim this page →

This page is independently generated by Eichor from the public ClinicalTrials.gov record and re-synced daily. It is not the sponsor's official website unless claimed. Nothing here is medical advice; eligibility is always determined by the study team — talk to your own doctor first.

Source record: clinicaltrials.gov/study/NCT05321368