Why the study?
The comparative effectiveness of practice facilitation versus self-directed care for integrating the Task-Strengthening Strategy for Hypertension control into HIV chronic care platforms was unestablished.
Does practice facilitation added to a task-strengthening strategy improve systolic blood pressure reduction and BP control in people living with HIV with uncontrolled hypertension?
RCT (n=954)
stepped-wedge cluster
Yes
Does practice facilitation added to a task-strengthening strategy improve systolic blood pressure reduction and BP control in people living with HIV with uncontrolled hypertension?
Mean Difference: -2.7 (95% CI -4.53–-0.85)
p-value: p=0.004
Using practice facilitation as an implementation strategy to integrate hypertension management into HIV care significantly reduced systolic blood pressure compared to self-directed care.
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Ojji et al. (2026) conducted an RCT in Uncontrolled hypertension in people living with HIV (n=954). Task-Strengthening Strategy for Hypertension control (TASSH) plus practice facilitation (PF) vs. Self-directed care (TASSH alone) was evaluated on Systolic blood pressure (SBP) reduction (MD -2.7 mmHg, 95% CI -4.53 to -0.85, p=0.004).
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