Patient-Portal vs Text-based Hypertension Monitoring Among Black Medicaid/Medicare Patients

Not Applicable

Completed

• Conditions: Cardiovascular Diseases; Hypertension
• Interventions: Behavioral: Texting; Behavioral: Online patient portal

• Registration Number: NCT05186831
• Lead Sponsor: University of Pennsylvania

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).

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2020-10-19
• Primary Completion: 2020-12-29
• Study Completion: 2021-01-14
• Status Verified: 2021-12
• Study First Submitted: 2021-12-21
• Study First Submitted QC: 2022-01-10
• Last Update Submitted: 2022-01-10
• Study First Posted: 2022-01-11
• Last Update Posted: 2022-01-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 20

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

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Exclusion Criteria

• Does not speak English
• Already owns a BP cuff
• Does not have internet access or a phone 15 with texting capabilities

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Text-based monitoring	Texting	Patients will be asked to take their BP two times daily and text their BP to the study phone number twice a day for 14 days.
Online patient portal	Online patient portal	Patients will be asked to take their BP two times daily. They will be given instructions on how to upload BP readings to the online patient portal and will be asked to upload all BP readings. This represents enhanced standard of care.

Primary Outcome Measures

Name	Time	Method
Number of BP measurements reported	14 days	Number of BP results reported over the study period
Proportion of patients submitting 1 or more BP measurement	14 days	Proportion of patients per study arm reporting at least one BP measurement

Secondary Outcome Measures

Name	Time	Method
Patient satisfaction	Within 2 weeks of end of study period	Patients will be asked to complete a survey about ease of use and likelihood of recommending the intervention

Trial Locations

Locations (1)

University of Pennsylvania; 🇺🇸 Philadelphia, Pennsylvania, United States