Black Americans have high prevalence of hypertension (HTN), and many have suboptimal blood pressure (BP) control. Black American residents of the rural Southeast face particularly steep challenges to achieving BP control, including historical oppression leading to rampant poverty and poor access to medical care and medications. Peer coaching (PC) can improve self-care for chronic diseases such as diabetes but has not been tested in Black American residents with HTN of the rural southeastern United States. Primary care practices serving residents of this area are often resource constrained and have little training in quality improvement (QI) or population health management. Practice facilitation (PF) is a promising approach to assisting medical practices with population health management and QI but has not been tested in the rural South for HTN control exclusively among Black Americans.
