The goal of this pilot project is to assess adherence with home blood pressure monitoring in hypertensive patients with a history of cerebral infarction and to determine if a social incentive improves adherence with monitoring. Enrolled subjects will all have a history of cerebral infarction and uncontrolled blood pressure, defined by SBP\>140 or DBP\>90 mm Hg at the time of enrollment. To be eligible subjects will also be required to own a smart phone (iOS or Android operating system). After enrollment, patients will be given a home blood pressure cuff with instructions to monitor their BP twice daily for 90 days. Subjects will be randomly assigned to a social incentive program, in which a social supporter receives updates via email and/or text message on the subject's adherence with BP monitoring and their average blood pressure. This study will provide important pilot data which will inform the design of future studies utilizing connected health and automated systems to improve home blood pressure monitoring and blood pressure control in patients with a history of stroke.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
33
Quantify adherence to 90 days of home blood pressure monitoring and to determine if a social incentive improves adherence
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, United States
Adherence With Home Blood Pressure Monitoring, Defined by the Proportion of Home Blood Pressure Recordings Successfully Completed
Percentage of requested blood pressure measurements completed. Note that subjects were enrolled for 90 +/- 7 days, and so this calculation was completed at day 83, rather than day 90.
Time frame: 90 Days
Change in Systolic Blood Pressure Over Study Period
Difference in systolic blood pressure from the first 7 days of measurement to the last 7 days of measurement for each subject
Time frame: 90 days
Number of Physician Visits
Time frame: 90 days
Number of Emergency Department Visits
Time frame: 90 days
Number of Changes in Antihypertensive Medications (Dose Adjustment or Addition of a New Agent)
Time frame: 90 days
Number of Participates That Perceived the Blood Pressure Monitoring Device to be Easy to Use
Number of patients who felt that device was easy or very easy to use
Time frame: 90 days
Number of Patients That Perceived Blood Pressure Monitoring to be Useful
Number of participants who felt that BP monitoring was useful or very useful
Time frame: 90 days
Number of Patients Who Felt They Had Well-controlled Blood Pressure
Patients perception of whether or not BP was well controlled
Time frame: 90 days
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