NCT06986590NARecruiting

Addressing Hypertension Care in Africa Program

Johns Hopkins University

Start Date

1/9/2026

Completion Date

9/1/2028

Summary

The ADHINCRA Program is a bundle of multilevel evidence-based interventions that address multiple predictors of controlled hypertension, including patient-, provider-, and health system-level factors. The successful implementation of the ADHINCRA program will provide a rigorous and scalable model for improving hypertension control in Africa, which would ultimately reduce the risk of cardiovascular disease, stroke and kidney disease.

Eligibility Criteria

Age Range: 18 years to 70 years

Inclusion Criteria: * Aged 18 -70 years. * Diagnosis of hypertension and elevated systolic blood pressure measure (≥140 mmHg) on the most recent clinic visit without a diabetes diagnosis. * Hypertension treatment naive or on monotherapy. * Receives primary care at one of the participating sites. * Willing and able to provide informed consent in English, Twi, Dagbani, Ewe, Hausa, or Yoruba. * Owns a smartphone (Android or iOS). Exclusion Criteria: * Age \<18 years or \>70 years. * Severely elevated BP (≥180/110mmHg). * Diagnosis of stroke, coronary artery disease, or kidney disease. * Diagnosis of end-stage renal disease (ESRD) treated with dialysis. * Serious medical condition which either limits life expectancy or requires active management (e.g., cancer). * Cognitive impairment or other conditions preventing study participation * Pregnant or currently nursing a child * Unwilling to provide informed consent

Interventions

BEHAVIORAL

ADHINCRA Program

Owo General Hospital

Owo, Ondo State

Nigeria