Comparing Hypertension Remote Monitoring Evaluation Redesign
Overview
- Phase
- Not Applicable
- Intervention
- Standard and One-time Training
- Conditions
- Hypertension
- Sponsor
- University of California, San Francisco
- Enrollment
- 2500
- Locations
- 1
- Primary Endpoint
- Change in systolic BP (clinic)
- Status
- Enrolling By Invitation
- Last Updated
- 3 months ago
Overview
Brief Summary
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).
Investigators
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •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
Arms & Interventions
Standard and One-time Training
Patient level: Standard, automatic reminders Clinic level: One-time training
Intervention: Standard and One-time Training
Standard and Practice Facilitation
Patient level: Standard, automatic reminders Clinic level: Regular, ongoing coaching
Intervention: Standard and Practice Facilitation
High-intensity and One-time Training
Patient level: Personalized feedback Clinic level: One-time training
Intervention: High-intensity and One-time Training
High-intensity and Practice Facilitation
Patient level: Personalized feedback Clinic level: Regular, ongoing coaching
Intervention: High-intensity and Practice Facilitation
Outcomes
Primary Outcomes
Change in systolic BP (clinic)
Time Frame: Baseline, 6 months
Clinic-based BP readings in EHR
Secondary Outcomes
- 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)