# Native-Controlling Hypertension And Risk through Technology (Native-CHART)

> **NIH NIH U54** · WASHINGTON STATE UNIVERSITY · 2021 · $618,864

## Abstract

Abstract
Among the 6 racial and ethnic categories recognized by the US Census Bureau, 3 stand out for their similarity
in history, demographics, visibility, and health: American Indians (AIs), Alaska Natives (ANs), and Native
Hawaiians and Pacific Islanders (NHPIs). NHPIs and AI and ANs (the latter 2 are typically combined) are the
smallest and second-smallest US racial groups, with populations of 1.2 and 5.2 million, respectively. These
groups experience harsh disparities in health and mortality compared to US Whites. Concerning are their
population prevalences of hypertension, cardiovascular disease (CVD), and stroke, which are as high as, and
usually higher than, US Whites. Despite these serious public health inequities, both groups have been largely
neglected by health research. A literature search for interventions targeting blood pressure (BP) control as a
contributor to CVD and stroke in AIs, ANs, and NHPIs returned no results. No interventions – and thus no
multilevel intervention studies – have ever focused on BP control in these groups. Accordingly, the overarching
objective of Native-Controlling Hypertension And Risks through Technology (Native-CHART) is to improve
control of BP and associated CVD and stroke risk factors among these populations. Our research agenda
articulates a practical model of health and health disparities grounded in lived experience as well as in theory.
Our community-based participatory approach increases the likelihood that findings will confer sustainable
benefits within AI, AN, and NHPI communities, which range from large urban areas to frontier villages in Alaska.
Our approach harnesses technologies available in the settings where participants live, work, and obtain
healthcare – including electronic health records, text messaging, online grocery shopping apps, wearable
physical activity monitors, and home BP monitors. Our 3 Research Projects feature interventions at the
individual, family, community, and policy levels. Our Specific Aims are to: 1) expand and establish new
collaborations with research partners across private, tribal, and public constituencies that address BP control
within a multilevel intervention framework; 2) develop a multilevel, multisector infrastructure that ensures
inclusion of local, regional, and national views on research priorities and approaches to controlling BP; 3)
promote a scientifically rigorous, culturally informed program of inquiry that acquires new knowledge to
implement innovative approaches to increase hypertension knowledge and awareness, activate patients,
increase medication adherence, and improve BP control among AIs, ANs, and NHPIs. Our goal is to move
research on BP control and CVD and stroke risk factors in these communities beyond its current, largely
descriptive state, and translate that knowledge into meaningful action.

## Key facts

- **NIH application ID:** 10108950
- **Project number:** 5U54MD011240-06
- **Recipient organization:** WASHINGTON STATE UNIVERSITY
- **Principal Investigator:** Denise A Dillard
- **Activity code:** U54 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $618,864
- **Award type:** 5
- **Project period:** 2016-08-01 → 2025-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10108950

## Citation

> US National Institutes of Health, RePORTER application 10108950, Native-Controlling Hypertension And Risk through Technology (Native-CHART) (5U54MD011240-06). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10108950. Licensed CC0.

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