Hypertension,Essential
Conditions
Keywords
Hypertension, Home blood pressure, Primary Care, Clinical decision support system
Brief summary
This study is testing a new app called ENHANCe, which is designed to help family doctors manage patients with high blood pressure using readings taken at home.
Detailed description
The researchers want to find out if the app is easy to use in everyday clinic settings, whether doctors find it helpful and are willing to use it, and if it helps improve care. The study will involve 16 doctors and 100 patients with high blood pressure, split into two groups at two clinics. One group will use the ENHANCe app, which can read blood pressure data from different sources-including handwritten notes-and give doctors advice based on that information. The other group will receive regular care without the app. Over six months, researchers will collect feedback from doctors through surveys and group discussions at the end of the study. They'll also track how many people complete the study, how long clinic visits take, whether doctors follow the app's advice, and how well patients' blood pressure is controlled. The goal is to see if the app can help doctors make faster, better decisions and improve health outcomes for people managing their blood pressure at home.
Interventions
DEVICEENHANCe app
ENHANCe app is a prototype; it is a smartphone based clinical decision support (CDS) tool to manage patients with hypertension using their home blood pressure. The app will scan patients' home BP records from paper or mobile phone, and provide a recommendation to the doctor on how to manage their blood pressure. The patient will not need to use the device during the study period. However, the recommendation from the ENHANCe app will be available to the doctor to manage your blood pressure during the study period if the patient is in the intervention group.
OTHERTeaching and training
All patients will have access to online educational resources throughout the study. After recruitment, they will receive a nurse-led education on HBP monitoring. The research team will train all primary care physicians (PCPs) on managing patients with hypertension using HBP records.
OTHERUsual care
Physicians manage patients using HBP records at their discretion
Sponsors
SingHealth Polyclinics
Nanyang Polytechnic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Subject)
Masking description
Patient Participants will be blinded to the group they are allocated to
Intervention model description
Parallel Cluster RCT
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
For primary care physicians: * PCPs aged 21 years and above. * Involved in the clinical management of patients with hypertension in the past six months. For patients: * Patients aged 21 years and above * Documentation of hypertension diagnosis in EMR * Owns an HBP monitoring device
Exclusion criteria
for patients: * Documentation of dementia diagnosis in EMR * Audio or visual impairments * Hypertensive urgency or emergency
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Response rate of participants | 6 months | Participants agreeable to participate in the study |
| Agreement with the CDSS recommendation among PCPs | 6 months | Proportion of PCPs who agree with the CDSS recommendation in the two groups |
| Withdrawal rate | 6 months | Proportion of participants who withdrew |
| Study completion rate | 6 months | Proportion of participants who completed the intervention |
| Adverse event rates | 6 months | Proportion of adverse events reported in the two groups |
| Consult duration | 6 months | Consult time in the groups |
| Ease of home blood pressure record assessment among PCPS | 6 months | Ease of home blood pressure record assessment among PCPS in the two arms |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of CDSS recommendation followed by the PCPS | 6 months | Proportion of ENHANCe recommendations followed by the PCPs among the two groups |
| Blood pressure control status | 6 months | Blood pressure control status among patients in the two groups |
Countries
Singapore
Outcome results
None listed