Mi Propio Camino Intervention RCT for Blood Pressure Medication Adherence
Mi Propio Camino Intervention RCT for Blood Pressure Medication Adherence
The purpose of this study is to compare the effect of two educational interventions on
 adherence to blood pressure medications among adults with uncontrolled hypertension.
The study is a randomized controlled trial (RCT) consisting of a 4-session educational
 intervention (completed over the course of 4-8 weeks) and a 6-month follow-up period for
 adherence monitoring. Participants will be allocated to one of two educational intervention
 groups following a block randomization schedule, stratified on the hypothesized mediator
 variable of medication-related beliefs (high versus low scores on the BMQ Necessity-Concerns
 subscore) to ensure the groups are balanced on this variable. Primary endpoint is medication
 adherence at 6 month follow-up, defined as the proportion of days that the prescribed number
 of doses was taken by the patient during a 30-day period, measured by a pill bottle cap
 monitor (medication events monitoring device [MEMS]).
Inclusion criteria are: (1) age 18 years or greater, (2) uncontrolled hypertension (BP
 above 140/90 mmHg), (3) Hispanic ethnicity, (4) Spanish or English-speaking, (5) at least
 one office visit at the study clinic in prior 12 months.

 Exclusion criteria: Persons with stage 4 or 5 chronic kidney disease (CKD) will be
 excluded.