Tests peer medication delivery and phone tools for high blood pressure in Kenya
Tests peer-delivered medicines with health technology in adults with uncontrolled high blood pressure.
Plain-language title generated from the registry record
Registry title: Peers and Technology for Adherence, Access, Accountability, and Analytics (PT4A)
Key facts
- Where
- Eldoret, Kitale, and Webuye, KenyaSee the 3 sites
Where in Kenya
- EldoretEldoret, KenyaTaking people
- KitaleKitale, KenyaTaking people
- WebuyeWebuye, KenyaTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- NYU Langone Health
- Trial code
- NCT06485700
- Record updated
- 27 February 2026
- Original description
Peer-based medication delivery decreases the cost of transportation and the opportunity cost of travel while HIT can support peer activities by facilitating targeted adherence counseling, teleconsultation, synchronization of clinical care, and pharmacy activities. The investigators have implemented a pilot program of door-to-door peer-based medication delivery and HIT in western Kenya, and preliminary data indicate improved adherence and blood pressure. However, the effectiveness of this implementation strategy is not fully established. Therefore, the objective of the study is to use the PRECEDE-PROCEED framework to conduct transdisciplinary implementation research to test the hypothesis that integrating peer delivery of medications with HIT (PT4A) improves medication adherence and reduces blood pressure among patients with uncontrolled hypertension in western Kenya.Read full original descriptionShow less
Peers and Technology for Adherence, Access, Accountability, and Analytics (PT4A)
Peer-based medication delivery decreases the cost of transportation and the opportunity cost of travel while HIT can support peer activities by facilitating targeted adherence counseling, teleconsultation, synchronization of clinical care, and pharmacy activities. The investigators have implemented a pilot program of door-to-door peer-based medication delivery and HIT in western Kenya, and preliminary data indicate improved adherence and blood pressure. However, the effectiveness of this implementation strategy is not fully established. Therefore, the objective of the study is to use the PRECEDE-PROCEED framework to conduct transdisciplinary implementation research to test the hypothesis that integrating peer delivery of medications with HIT (PT4A) improves medication adherence and reduces blood pressure among patients with uncontrolled hypertension in western Kenya.
Inclusion: Adult participants enrolled in AMPATH's CDM Program with uncontrolled hypertension (SBP ≥ 140 or diastolic BP (DBP) ≥ 90).
Exclusion: terminal illness, and; hypertensive emergency requiring immediate medical attention,; inability to provide informed consent.