Telehealth for Emergency-Community Continuity of Care Connectivity Via Home Telemonitoring for Blood Pressure Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 408
- 主要终点
- Systolic blood pressure controlled
研究概览
简要总结
The goal of this clinical trial is to evaluate the effect of home blood pressure telemonitoring (HBPT) and case management (CM), relative to usual care, for improving blood pressure (BP) control among patients with high blood pressure discharged from the emergency department (ED).
The main question it aims to answer is: Does telemonitoring with case management improve BP control, relative to usual care, for people with high blood pressure discharged from the ED?
Secondary research questions will address:
- How do these interventions (telemonitoring and case management) improve medication adherence?
- Do these interventions reduce physician and ED visits?
- Are these interventions safe?
- How do these interventions influence patient experience?
Participants in the intervention group will receive training and use of a home BP telemonitor with tele-transmission function for 12-months plus pharmacist case management to provide behavioral counseling, facilitate medication adherence, review telemonitored BP data, and adjust medications. The control group will receive usual care from their primary care physician and will receive the same home BP monitor and hypertension education.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients aged ≥ 18 years of age
- •Elevated triage BP AND increased average BP in three subsequent repeated measurements that are spaced at least 30 minutes after triage (systolic BP ≥ 160 mm Hg or diastolic BP ≥ 100 mm Hg)
- •Own a smart phone
- •Willing to measure and tele-transmit home BP readings
排除标准
- •Hypertensive emergencies with evidence of end-organ damage, stroke, or acute coronary syndrome
- •Pregnant women
- •Acute intoxication
- •Acute surgical or trauma patients
- •Psychiatrically unstable patients
- •Advanced cognitive impairment
- •Patient requiring admission to hospital
- •Inability to use or care for home BP monitor correctly
- •From nursing home
- •Unstable housing
- •Non-English speaking or no family members who can help translate
结局指标
主要结局
Systolic blood pressure controlled
时间窗: 12-months
Comparison of proportion of participants in intervention group versus control group achieving 24h daytime SBP control (\< 135 mm Hg or \< 130 mm Hg if diabetic)
次要结局
- Impact of intervention on other blood pressure measures(6-months and 12-months)
研究者
Karen Tran
Principal Investigator
University of British Columbia