Hypertension
Conditions
Brief summary
A 3-arm randomized pilot trial aimed at comparing the effectiveness of different remote approaches to improving blood pressure (BP) control.
Detailed description
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.
Interventions
BEHAVIORALRemote Monitoring
Remote BP monitoring and medication adherence
BEHAVIORALRemote Monitoring + Social Support
Remote BP monitoring and medication adherence with enhanced support from a support partner (facilitated cheerleading)
Sponsors
University of Pennsylvania
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Investigator)
Masking description
Single (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Systolic blood pressure | 4 months | Systolic blood pressure during the 4-month study visit, adjusted for initial systolic blood pressure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percent of patients that are normotensive | 4 months | The percent of patients with final blood pressure within the normal range. |
| Medication adherence | 4 months | Medication adherence as measured by the text message response |
| Diastolic blood pressure | 4 months | Adjusted for initial diastolic blood pressure |
Countries
United States
Outcome results
None listed