App-trained health workers take on high blood pressure in rural guatemala
NCT ID NCT06444308
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether community health workers (CHWs) using a mobile app can manage high blood pressure as effectively as doctors. 460 adults with hypertension in rural Guatemala will be randomly assigned to either CHW-led care with app support and remote doctor supervision, or standard physician care. The main goal is to see if blood pressure improvements are similar between the two groups over 12-24 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- mobile clinical decision support application
- What this could lead to
- If successful, this could show that trained community health workers with app support can effectively manage hypertension, expanding access to care in underserved areas.
- What could go wrong
- This is a single trial in rural Guatemala, so results may not apply elsewhere. The approach may not be as effective as physician care, and app or connectivity issues could affect outcomes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 460 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2024
- Expected to finish
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Sep 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults age 18 or greater with diagnosis of hypertension AND blood pressure (BP) greater than or equal to 140/90 OR currently taking antihypertensive medication. * Ability to provide informed consent Exclusion Criteria: * Pregnancy * Severe comorbid condition(s) with life expectancy less than 1 year
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Community
RECRUITINGSan Lucas Tolimán, Guatemala
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