The Louisiana Community Engagement Alliance (LA-CEAL) is a National Institutes of Health-funded initiative awarded to the Tulane School of Medicine that aims to "...promote health, improve health outcomes, and strengthen community partnerships through community-engaged research to address differences in access to health care," (NIH CEAL, 2025). The LA-CEAL team is one of many CEAL regional teams across 21 states, the District of Columbia, and Puerto Rico.
This is study focuses on testing the efficacy of the Supporting Tailored Adaptive Change and Reinforcement for Medication Adherence Program (STAR-MAP), a health coaching approach that aims to improve antihypertensive medication adherence, blood pressure control, and quality of life. Participants (n=402) >=50 years old with a diagnosis of hypertension, uncontrolled blood pressure, and low antihypertensive medication adherence will be recruited through a statewide health insurer, Blue Cross Blue Shield of Louisiana, and randomized to receive either interactive health coaching sessions with medication reminder tools (intervention) or medication reminder tools only (control) over one year. Data will be collected from participants at baseline, 6 months, 12 months, and 24 months using questionnaires, physical measurement (height, weight, blood pressure), a computer-based single-category implicit association test, and laboratory analysis of antihypertensive medication urinary metabolites.
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