Improving Albuminuria Screening Compliance Using a Smartphone Urinalysis Kit

Geisinger Clinic999 enrolled

Overview

This study will test the effectiveness of mailed, smartphone urinalysis kits to improve albuminuria screening compliance and detection of albuminuria.

This proposal will examine the effect of mailed, smartphone urinalysis kits to improve albuminuria screening compliance and detection of albuminuria. The investigators will randomize 1,000 non-diabetic MyGeisinger portal users with hypertension and last clinic blood pressure \>= 130/80 mmHg who have not received albuminuria screening to either: 1) control - usual care or 2) intervention - mailed urinalysis smartphone kit. All patients will first receive a reminder letter to have albuminuria screening completed at their clinic in coordination with the Geisinger Care Gap Team. Patients randomized to the intervention arm who do not complete this initial screening test will then be offered a mailed, smartphone urinalysis testing kit. Patients with 1+ or greater detected urine protein will be recommended to have urine albumin/creatinine ratio (ACR) testing to confirm albuminuria. Patients with ACR \>= 30 mg/g will be referred to pharmacists for optimal treatment of albuminuria (ACE or ARB, statin, BP goal \<130/90 mmHg).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SCREENING

Masking

SINGLE

Enrollment

999

Conditions

Albuminuria Chronic Kidney Diseases Cardiovascular Diseases Hypertension

Interventions

Mailed Urinalysis Smartphone KitOTHER

Patients who fail to complete albuminuria screening after the initial reminder to do so, will be contacted by phone and offered a mailed smartphone urinalysis kit. Agreeable patients will then receive the mailed kit and instructions to use their smartphone camera to analyze a urine dipstick.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 18 and older * Hypertension * Last outpatient BP ≥ 130/80 mmHg * Active MyGeisinger users with a listed mobile phone number * Has a Geisinger PCP and followed by the Care Gaps team * No prior urine albuminuria test (urine dipstick, albumin/creatinine ratio, protein/creatinine ratio) Exclusion Criteria: * History of diabetes * Receiving dialysis * History of kidney transplant * eGFR \< 15 ml/min/1.73m2 * Principal investigator or PCP discretion (i.e. concerns about safety, compliance)

Locations (1)

Geisinger Health System

Danville, Pennsylvania, United States

Outcomes

Primary Outcomes

Completion of albuminuria screening

Includes completion of mailed smartphone urinalysis and clinical labs (urinalysis, albumin/creatinine ratio, or protein/creatinine ratio)

Time frame: Baseline to 3 months of enrollment date

Total number of detected albuminuria cases

confirmed by urine albumin/creatinine ratio \>= 30 mg/g

Time frame: Baseline to 3 months of enrollment date

Data from ClinicalTrials.gov

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