Patient-Portal vs Text-based Hypertension Monitoring Among Black Medicaid/Medicare Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Number of BP measurements reported
研究概览
简要总结
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).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
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
- •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
排除标准
- •Does not speak English
- •Already owns a BP cuff
- •Does not have internet access or a phone 15 with texting capabilities
研究组 & 干预措施
Text-based monitoring
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.
干预措施: Texting (Behavioral)
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.
干预措施: Online patient portal (Behavioral)
结局指标
主要结局
Number of BP measurements reported
时间窗: 14 days
Number of BP results reported over the study period
Proportion of patients submitting 1 or more BP measurement
时间窗: 14 days
Proportion of patients per study arm reporting at least one BP measurement
次要结局
- Patient satisfaction(Within 2 weeks of end of study period)
研究者
Jennifer Lewey, MD, MPH
Assistant Professor of Medicine
University of Pennsylvania