Comparing Hypertension Remote Monitoring Evaluation Redesign
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 2,500
- 试验地点
- 1
- 主要终点
- Change in systolic BP (clinic)
研究概览
简要总结
The goal of this clinical trial is to compare the effectiveness of evidence-based, adapted, and tailored, patient-focused and clinic-focused strategies to improve blood pressure (BP) control in English- and Spanish-speaking patients with hypertension (HTN).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Treatment
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •18 years or older
- •Any sex/gender
- •Any race or ethnicity
- •Have hypertension or high blood pressure (BP) (BP >=140/90 mmHg at least twice in the previous 18 months)
- •Can read and write English or Spanish
- •Be able to provide consent
排除标准
- •We will exclude individuals with conditions that might have severe self-management limitations due to a disability or medical condition or might complicate remote BP monitoring, such as self-reported:
- •Pregnancy
- •Lactating/nursing
研究组 & 干预措施
Standard and One-time Training
Patient level: Standard, automatic reminders Clinic level: One-time training
干预措施: Standard and One-time Training (Behavioral)
Standard and Practice Facilitation
Patient level: Standard, automatic reminders Clinic level: Regular, ongoing coaching
干预措施: Standard and Practice Facilitation (Behavioral)
High-intensity and One-time Training
Patient level: Personalized feedback Clinic level: One-time training
干预措施: High-intensity and One-time Training (Behavioral)
High-intensity and Practice Facilitation
Patient level: Personalized feedback Clinic level: Regular, ongoing coaching
干预措施: High-intensity and Practice Facilitation (Behavioral)
结局指标
主要结局
Change in systolic BP (clinic)
时间窗: Baseline, 6 months
Clinic-based BP readings in EHR
次要结局
- Change in systolic BP (home)(Baseline, 6 months)
- Patient activation and satisfaction(Baseline, 6 months)
- Number of participants with BP control(Baseline, 6 months)
- Medication intensification when BP is uncontrolled(Baseline, 6 months)
- Patient-reported medication adherence(Baseline, 6 months)