Intracerebral Hemorrhage, Hypertension
Conditions
Brief summary
This randomized controlled trial investigates the efficacy and safety of mobile health intervention in managing hypertension after Intracerebral Hemorrhage (ICH).
Detailed description
140 ICH survivors will be randomized into mobile health intervention (MOBILE) and the usual care group for hypertension management. All subjects will be educated on the importance of hypertension control after ICH and given lifestyle advice, including the DASH diet. Subjects in the MOBILE group will enter their home blood pressure (BP) measurements into a mobile stroke App (WeRISE) daily, and the study team will regularly review the BP measurements through a backend system. A protocol-based intervention via phone calls, which includes anti-hypertensive drug adjustment and reinforcement of lifestyle modification, will be implemented. Subjects in the usual care group will have their hypertension managed by their respective treating physicians. All subjects will be followed up for 26 weeks. The primary and secondary endpoints include the rate of controlled hypertension at 12 and 26 weeks.
Interventions
A protocol-based intervention via phone calls, which includes anti-hypertensive drug adjustment and reinforcement of lifestyle modification, will be implemented.
Sponsors
The University of Hong Kong
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Primary ICH Diagnosis * Age ≥ 18 years * Discharge Modified Rankin Scale of ≤4
Exclusion criteria
* Expected life expectancy of \<1 year * Patient or caregiver does not have access to WeRISE App. * Patient or caregiver does not know how to use WeRISE App . * Inability to perform home BP monitoring * Inability to participate in follow-up activity * Contraindication for intensive and rapid lowering of blood pressure (Known \>70% cerebral vascular stenosis; History of fall, dizziness or syncope due to hypotension; Any other medical condition that is deemed contraindicated for low blood pressure * Bleeding tendency (Platelet count \< 75 x 10\^9/L; Known coagulation disorder) * Severe renal impairment (Estimated glomerular filtration rate using CKD-EPI formula \<30 ml/min/1.73m2) * Severe liver impairment (Child-Pugh C cirrhosis) * Known contraindication or allergy to two or more anti-hypertensive classes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of controlled hypertension 12 weeks after ICH | 12 weeks | Office systolic BP \<130 mmHg |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change of BP from recruitment to 12 weeks | 12 weeks | The difference between BP measurement on recruitment and at 12 weeks |
| Rate of controlled hypertension 26 weeks after ICH | 26 weeks | Office systolic BP \<130 mmHg |
| Life Simple 7 Score at 12 and 26 weeks | 12 and 26 weeks | Score ranging from 0-14 points, with the higher scores indicating better lifestyle health |
Countries
Hong Kong
Contacts
Primary ContactKay Cheong Teo, MBBS
Outcome results
None listed