A practice-based randomized controlled trial to improve medication adherence among Latinos with XXXX : study protocol for a randomized controlled trial.

@entity1 @entity551 @entity101
BACKGROUND: Latinos experience disproportionately higher rates of uncontrolled @entity101 as compared to Blacks and Whites. While poor adherence is a major contributor to disparities in blood pressure control, data in Latino @entity1 are scant. More importantly, translation of interventions to improve medication adherence in community-based primary care practices, where the majority of Latino @entity1 receive their care is non-existent. METHODS: Using a randomized controlled design, this study evaluates the effectiveness of a culturally tailored, practice-based intervention compared to usual care on medication adherence, among 148 Latino @entity1 with uncontrolled @entity101 who are non-adherent to their antihypertensive medications. Bilingual medical assistants trained as Health Coaches deliver the intervention using an electronic medical record system-embedded adherence script. @entity1 randomized to the intervention group receive @entity1 -centered counseling with a Health Coach to develop individualized self-monitoring strategies to overcome barriers and improve adherence behaviors. Health Coach sessions are held biweekly for the first 3 months (6 sessions total) and then monthly for the remaining 3 months (3 sessions total). @entity1 randomized to the usual care group receive standard @entity101 treatment recommendations as determined by their primary care providers. The primary outcome is the rate of medication adherence at 6 months. The secondary outcome is @entity551 at 6 months. DISCUSSION: If successful, findings from this study will provide salient information on the translation of culturallytailored, evidence-based interventions targeted at medication adherence and blood pressure control into practice-based settings for this high-risk population. TRIAL REGISTRATION: NCT01643473 on 16 July 2012.
