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).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
20
Patients will be asked to text their BP. They will receive an automated response to their texts.
Patients will be asked to upload their BP to the online patient portal. They will receive information on how to sign up and use the patient portal. Patients can upload their BP readings daily or at the end of the study period.
University of Pennsylvania
Philadelphia, Pennsylvania, United States
Number of BP measurements reported
Number of BP results reported over the study period
Time frame: 14 days
Proportion of patients submitting 1 or more BP measurement
Proportion of patients per study arm reporting at least one BP measurement
Time frame: 14 days
Patient satisfaction
Patients will be asked to complete a survey about ease of use and likelihood of recommending the intervention
Time frame: Within 2 weeks of end of study period
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