This project is part of the ACHIEVE GREATER (Addressing Cardiometabolic Health Inequities by Early PreVEntion in the GREAT LakEs Region) Center (IRB 100221MP2A), the purpose of which is to reduce cardiometabolic health disparities and downstream Black-White lifespan inequality in two cities: Detroit, Michigan, and Cleveland, Ohio. The ACHIEVE GREATER Center will involve three separate but related projects that aim to mitigate health disparities in risk factor control for three chronic conditions, hypertension (HTN, Project 1), heart failure (HF, Project 2) and coronary heart disease (CHD, Project 3), which drive downstream lifespan inequality. All three projects will involve the use of Community Health Workers (CHWs) to deliver an evidence-based practice intervention program called PAL2. All three projects will also utilize the PAL2 Implementation Intervention (PAL2-II), which is a set of structured training and evaluation strategies designed to optimize CHW competence and adherence (i.e., fidelity) to the PAL2 intervention program. The present study is Project 1 of the ACHIEVE GREATER Center
Who can participate
Age range18 Years – 95 Years
SexALL
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Inclusion criteria
✓. Self-identified Black/African Americans
✓. Detroit-area residents (defined as those who attend attended a Detroit-area community event)
✓. \> 18 years of age
✓. Screening systolic BP 130-139 and diastolic BP \< 90 mm Hg
✓. Not currently taking medications for HTN (Untreated)
✓. 10-year cardiovascular risk \< 10% per ASCVD calculator (as such nearly all patients will be \<50-55 years of age)
✓. Baseline home systolic BP 120-159 mm Hg and diastolic BP \< 100 mm Hg
Exclusion criteria
✕. History of clinical cardiovascular disease (CVD)
✕. History of kidney disease or eGFR \<60 mL/min from screening labs
✕. Self-reported pregnancy (or planning to be pregnant in the next year)