Remote Monitoring and Social Support for Hypertension Management

University of Pennsylvania250 enrolled

Overview

A 3-arm randomized pilot trial aimed at comparing the effectiveness of different remote approaches to improving blood pressure (BP) control.

The investigators plan to leverage the Way to Health (WTH) platform to develop and evaluate a new HTN service-delivery model that is integrated with routine clinical care at Penn Family Care (PFC), an academic family medicine practice in West Philadelphia. Among patients with poorly controlled HTN: 1. The investigators will assess the effects of monitoring blood pressure and medication adherence with feedback to the patient and to the clinical practice, as needed if out of control. 2. The investigators will also compare the impact of providing feedback to a social support partner with facilitated cheerleading.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

250

Conditions

Hypertension

Interventions

Remote MonitoringBEHAVIORAL

Remote BP monitoring and medication adherence

Remote Monitoring + Social SupportBEHAVIORAL

Remote BP monitoring and medication adherence with enhanced support from a support partner ("facilitated cheerleading")

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Between 18 and 75 years old with HTN (ICD-10 code I10) * Has had at least two office visits at Penn Family Care (PFC) within the past 12 months (at time of chart review), with at least two of the visits with BP readings exceeding HTN guidelines, including the last visit (150/90 or 140/90 if ages 21-59 yrs with CKD or diabetes) * Must have a cellular phone with texting capabilities * Must be prescribed at least one medication for hypertension Exclusion Criteria: * Has metastatic (Stage IV) blood or solid tumor cancer * Has end stage renal disease * Has congestive heart failure * Has dementia * Has liver cirrhosis

Locations (1)

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Outcomes

Primary Outcomes

Systolic blood pressure

Systolic blood pressure during the 4-month study visit, adjusted for initial systolic blood pressure

Time frame: 4 months

Secondary Outcomes

Percent of patients that are normotensive

The percent of patients with final blood pressure within the normal range.

Time frame: 4 months

Medication adherence

Medication adherence as measured by the text message response

Time frame: 4 months

Diastolic blood pressure

Adjusted for initial diastolic blood pressure

Time frame: 4 months

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.