Patient-Portal vs Text-based Hypertension Monitoring Among Black Medicaid/Medicare Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hypertension
- Sponsor
- University of Pennsylvania
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Number of BP measurements reported
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The coronavirus disease 2019 (COVID-19) pandemic has uprooted conventional health care delivery for routine ambulatory care, requiring health systems to rapidly adopt telemedicine capabilities. The digital divide, has been well documented with lower rates of technology and broadband adoption among racial/ethnic minorities. Additionally, Black patients suffer a disproportionate burden of hypertension and cardiovascular disease. This study will implement a text-based home hypertension monitoring program among Black Medicaid patients with hypertension and cardiovascular disease (CVD) and compare its uptake to the currently available blood pressure monitoring program using the patient portal that is integrated into the electronic health record (EHR).
Investigators
Jennifer Lewey, MD, MPH
Assistant Professor of Medicine
University of Pennsylvania
Eligibility Criteria
Inclusion Criteria
- •Self-identified Black race
- •Medicaid or Medicare insurance
- •Hypertension
- •Cardiovascular disease or presence of at least 1 cardiovascular risk factor
- •Seen for in-person consultation at the Heart and Vascular clinic at the Hospital of the University of Pennsylvania
Exclusion Criteria
- •Does not speak English
- •Already owns a BP cuff
- •Does not have internet access or a phone 15 with texting capabilities
Outcomes
Primary Outcomes
Number of BP measurements reported
Time Frame: 14 days
Number of BP results reported over the study period
Proportion of patients submitting 1 or more BP measurement
Time Frame: 14 days
Proportion of patients per study arm reporting at least one BP measurement
Secondary Outcomes
- Patient satisfaction(Within 2 weeks of end of study period)