NCT06002165Enrolling by invitation
Testing Implementation Strategies to Support Clinic Fidelity to an Outpatient Hypertension Bundle
Testing Implementation Strategies to Support Clinic Fidelity to an Outpatient Hypertension Bundle: ACHIEVE (Advancing Community and Clinical Care for Childbirth-related Hypertension Through Implementation, Engagement, and Valuing Equity)
Source: ClinicalTrials.gov · Last updated 12 Nov 2025
Brief summary (registry, in English)
The goal of this clinical trial is to test an approach to improve care for pregnant and post-partum patients with high blood pressure. The study participants are providers and staff in prenatal care clinics, and the condition of interest is severe hypertension. The research questions are: 1. Does the ACHIEVE intervention increase the quality and accuracy of measuring patient blood pressure? 2. Does the ACHIEVE intervention increase the documentation of delivery of patient education on hypertension? 3. Does the ACHIEVE intervention result in better recognition and treatment of severe hypertension during practice sessions (simulations)? 4. Does the ACHIEVE intervention result in better recognition and treatment of severe hypertension for patients who come to the clinic? Participants from outpatient prenatal care clinics in North Carolina will work with an ACHIEVE Nurse Coordinator who will deliver training, coaching, simulations, and educational materials. Three groups of clinics will be phased into Active Implementation every six months. The study team will examine data collected before, during, and after the intervention to see if the results show improvement.
- Status (registry)
- Enrolling by invitation
- Study type
- Interventional
- Enrollment
- 4000 (estimated)
- First submitted
- 15 Aug 2023
- Start date
- 4 Oct 2023
- Primary completion date
- Jun 2027
- Lead sponsor
- University of North Carolina, Chapel Hill
- Diseases
- High blood pressure
- NCT number
- NCT06002165
What you commit to
- Study type: Interventional
- Planned participants: 4000
- From 4 Oct 2023 to the primary completion date, Jun 2027
- 1 site in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Other illness
- Sites/Facilities Enrolling Participants
- Clinics that were part of the Pilot Phase of this study b. Clinics that had recently completed a similar quality improvement project focused on severe hypertension
Other
- Implementation Team
- Provider cannot be a Medical Resident
- Care Team
- Provider cannot be a Medical Resident
- Medical Support Personnel
- None
- Patients (Patient Education Cohort)
- None
- Patients (Timely Delivery of Care Cohort) a. None
Who the study is looking for
- Sites/Facilities Enrolling Participants
- The prenatal care clinics being recruited must meet all of the following inclusion criteria:
- Physical location of the clinic is in Orange, Alamance, Durham, or Wake County b. The clinic patient population includes ≥ 50 births per year c. The clinic uses an electronic health record system
- Additionally, the clinic's patient population must meet one or more of the following inclusion criteria:
- ≥ 50% uninsured or insured by Medicaid b. ≥ 20% Black / African American c. ≥ 20% rural residents
- Clinic Participants
- Participants will include volunteers within the following categories:
- Implementation Team
- Care Team
- Medical Support Personnel
- Patients (Patient Education Cohort)
- Gave birth up to six months prior to the data collection timepoint
- Received at least two or more prenatal care visits from the participating clinic
- At least one of the two prenatal care visits must occur between 20- and 34-weeks gestation
- Patients: (Timely Delivery of Care Cohort)
- Pregnant or up to six weeks post-partum in the 12 months prior to the data collection timepoint.
- Had at least one documented episode of severe hypertension (systolic blood pressure of 160 mmHg or higher, or diastolic blood pressure of 110 mmHg or higher) during a visit encounter with a participating clinic
- Individual pregnant or postpartum people should have all episodes included if they present with severe range blood pressures more than once on different days
Age in the registry: 0 years to 99 years · Sex: All · Does not accept healthy volunteers
Sites (1)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| The University of North Carolina at Chapel Hill Coordinator of this site? Confirm its status | Chapel Hill | United States | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.