REACH OUT: to Reduce High Blood Pressure in the Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 104
- 试验地点
- 1
- 主要终点
- Proportion of people who respond to text messages and are persistently hypertensive
研究概览
简要总结
One of the most powerful predictors of stroke is hypertension, with estimates of approximately 33% of adults in the United States experiencing this condition.
Hypertension is very prevalent in the emergency department (ED), but significantly undertreated. The overall goal of this project is to develop a text messaging intervention to improve hypertension care in the ED. This will first be done by testing the feasibility of identifying hypertensive patients in the ED, and the response rate to text messages.
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 (≥18 y/o)
- •At least one BP of systolic blood pressure (SBP) ≥160 or a diastolic blood pressure (DBP) ≥100 or only BP performed prior to enrollment is SBP ≥160 or a DBP ≥100 (If the patient has repeated measurements after achieving Criteria 1, but prior to being enrolled, at least one of the repeat BP remains SBP ≥140 or a DBP ≥90)
- •Must have mobile phones with text-messaging capability
- •Likely to be discharged from the ED
排除标准
- •Adult who is in an urgent condition
- •Unable to read
- •Non-English speaking
- •Incarcerated/ institutionalized resident
- •Pregnant, or has a pre-existing condition that makes follow-up for 4 months unlikely.
研究组 & 干预措施
Control, Not hypertensive
Participants who after 3 weeks do not have high blood pressure or are not responsive to text messages.
Text messages, hypertensive
Participants who after 3 weeks have high blood pressure and are responsive to text messages, who are then randomized to receive text messages.
干预措施: Text messaging (Behavioral)
No text messages, hypertensive
Participants who after 3 weeks have high blood pressure and are responsive to text messages, who are then randomized to not receive text messages.
结局指标
主要结局
Proportion of people who respond to text messages and are persistently hypertensive
时间窗: 3 weeks
次要结局
- Change in systolic and diastolic blood pressure(4 months)
- Feasibility of a screening algorithm(4 months)
- Feasibility of subject follow-up mechanism(4 months)
- Mean group differences and standard deviations for systolic blood pressure(4 months)
研究者
Lesli E. Skolarus, MD
Assistant Professor
University of Michigan