Participant Inclusion/ Exclusion Criteria Sample Clauses

Participant Inclusion/ Exclusion Criteria. Inclusion and exclusion criteria are shown in Table 10. Concordant with the pragmatic trial context, inclusion and especially exclusion criteria are kept to a minimum to maximize generalizability. In order to minimize regression to the mean and to select patients at highest risk, an important goal for our partnering practices, we will select individuals with uncontrolled hypertension, defined as a mean systolic BP over the previous year at least 140 mm Hg plus an enrollment day BP >140/90 mm Hg as assessed by the research assistant. Because the control of BP in people with advanced chronic kidney disease (CKD) is more difficult and requires special approaches, we focus this study on more average patients with estimated glomerular filtration rates (eGFR) greater than 45 ml/min/1.73 m2. We use 45 as a cut point to maximize reach • African American adults aged 19-85 years • Uncontrolled HTN, defined as >140 mean systolic BP over the past year AND BP>140/90 mm Hg at the time of study enrollment • Black Belt resident • English speaking • Telephone available • Plans to move out of the area within the next two years • Advanced illness with limited life expectancy • Chronic kidney disease with eGFR < 45 ml/min/1.73 m2 • Unwillingness to work with a peer coach • Unwillingness to sign informed consent • No telephone available without selecting a population that requires management that is too different than that for more average patients. We considered 60 mL/min/1.73 m2, which is the threshold for Stage 2 CKD, but this threshold may exclude too many individuals in this pragmatic setting. In the national REasons for Geographic And Racial Differences in Stroke cohort study comprised of over 30,000 African American and white community dwellers aged 45 and over at baseline, 4.2% of African Americans had eGFR mL/min/1.73 m2. However, another 7.1% of African Americans had eGFR between 45 and 60 mL/min/1.73 m2, which would exclude one in 10 prospective participants. Based on input from Xx. Xxxxxx, a well-respected expert in the field of HTN, the threshold of 45 mL/min/1.73 m2 is a reasonable threshold for the study, balancing inclusivity with the need for simplicity in the treatment algorithm, which was updated to reflect the new HTN guidelines.
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