Tailoring a Telemedicine Hypertension Management Intervention for Black Patients
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Proportion of patients who are eligible
研究概览
简要总结
Current clinic-based hypertension (HTN) management models have several limitations, resulting in episodic care that does not adequately support patients' self-care skills, and fails to achieve blood pressure (BP) control.
详细描述
Telemedicine management of HTN (TM-HTN) can augment and overcome challenges by allowing more support for patients' HTN self-care skills, providing multiple home Blood Pressure values and overcoming failure to appropriately intensify treatment. TM-HTN consists of 1) home BP monitoring, 2) home BP based pharmacotherapy, and 3) telemedicine-based self-management support.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 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
- •Subjects must be African American or Black
- •experiencing socially disadvantage
- •Patients with systolic Blood Pressure ≥140 mmHg on their last two clinic visits and baseline systolic BP >130 mmHg using the mean of two research BP values measured by trained staff
- •Subjects must be on stable Blood Pressure medications for the preceding 6 weeks
排除标准
- •Unable to read or speak English
- •diminished ability to measure home Blood Pressure
- •chronic kidney disease ≥stage 4
- •persistent/chronic atrial fibrillation
- •severe hypertension >180/110 mmHg
- •acute health changes in past 3 months increasing chance of Blood Pressure instability
- •terminal illness
研究组 & 干预措施
Telemedicine management of Hypertension intervention group
BP monitor and telehealth application Home BP monitoring Pharmacotherapy Telemedicine-based self-management support Additional support in-person training
干预措施: Telemedicine management of Hypertension (Behavioral)
control group
This includes usual clinic based Hypertension care using routinely available clinic resources (e.g., community health worker, social worker). Clinicians can offer self-management support (e.g., dietician referral) or recommend a home BP monitor. These activities mirror current primary care practice.
干预措施: Usual Care (Behavioral)
结局指标
主要结局
Proportion of patients who are eligible
时间窗: Month 6
Proportion of patients who are eligible
Number of staff needed and time spent for intervention
时间窗: Month 6
staff training, technical support, troubleshooting
Proportion of completed self-measurement of Blood Pressure at home
时间窗: Month 6
Proportion of completed self-measurement of BP at home
Proportion of completed self-management contacts.
时间窗: Month 6
Proportion of completed self-management contacts.
Proportion of patients who are screened
时间窗: Month 6
Proportion of patients who are screened
Proportion of patients who agree to participate
时间窗: Month 6
Proportion of patients who agree to participate
Proportion of patients who decline
时间窗: Month 6
Proportion of patients who decline
次要结局
- Change in Blood Pressure(Month 6)
- Medication adherence(Month 6)
- Feasibility of Intervention Measure [FIM](Month 6)
- Acceptability of Intervention Measure [AIM](Month 6)
- Intervention Appropriateness Measure [IAM](Month 6)
- Patient Assessment of Chronic Illness Care [PACIC](Month 6)
- Organizational Readiness for Implementing Change [ORIC](Month 6)