Systolic Hypertension
Conditions
Keywords
Hypertension, Systolic, Uncontrolled
Brief summary
Patients who receive smartphone-assisted health coaching will have a significantly lower 24 hour ambulatory blood pressure mean than patients who receive just health coaching
Detailed description
Primary Outcome Measure: Mean 24 hour ambulatory blood pressure Secondary Outcome Measures: Profile of Mood States-SF Vigor Scale; Satisfaction with Life Scale; Positive and Negative Affect Schedule; Hospital Anxiety and Depression Scale; SF - 12
Interventions
smartphone with software provides self monitoring of exercise, diet and stress reduction; provision of timely reminders; photo-journaling of meals; secure text messaging
Lifestyle counseling
Sponsors
Study design
Eligibility
Inclusion criteria
* 25 - 70 years old; * mean daytime systolic BP\> 130 mm. Hg.
Exclusion criteria
* Severe or end-stage organ disease (liver, kidney, heart, lung) or history of diabetic ketoacidosis, or any other illness with expected survival less than 1 year; * severe cognitive impairment; * diagnosed psychiatric illness or disability; * clinical significant cardiac arrhythmia; * symptomatic orthostatic hypertension; * pregnancy; * not fluent in english.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 24 hour ambulatory blood pressure mean | 6 months follow up from baseline | 24 hour ambulatory blood pressure assessed at baseline and 6 months follow up in experimental and control groups |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life self report measures | Baseline and 6 months followup | Profile of Mood States - SF Vigor Scale Satisfaction with Life Scale Positive and Negative Affect Schedule Hospital Anxiety and Depression Scale; SF 12 |
Countries
Canada