Hypertension
Conditions
Keywords
high blood pressure, Lifestyle medicine shared medical appointments (LMSMAs)
Brief summary
The purpose of this study is to learn whether virtual Lifestyle medicine shared medical appointments (LMSMAs) can help people better manage their blood pressure and improve their overall health.
Interventions
BEHAVIORALLifestyle Medicine Virtual group
Participants will be given a home BP monitor upon enrollment and the group will engage in twice monthly virtual shared medical appointments (vSMAs) for 4 visits. Prior to each visit, participants will be asked to complete home BP monitoring (twice in the morning and twice in the evening for 3 days before visit), with readings reviewed during visits and medications adjusted as clinically indicated. Participants will complete four sessions over an 8-week period, with one session type offered in each 2 week block.
BEHAVIORALUsual Care Group
Participants will be given a home BP monitor upon enrollment and will be instructed by phone and with an electronic health record (EHR) portal message on proper technique for home BP readings. Participants will continue to have follow-up visits with their PCP as clinically indicated.
Sponsors
The University of Texas Health Science Center, Houston
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Current diagnosis of hypertension (ICD codes I10.0-I14.0 billed within the last 5 years Essential HTN, Essential HTN, Primary HTN) * Currently receives care at a UTPhysicians; Last seen by a PCP at Victory location within the last 1 year. * Able to participate in a virtual format * Willingness to participate and engage in home blood pressure monitoring
Exclusion criteria
* Unstable cardiovascular disease (recent Myocardial Infarction (MI), unstable angina, decompensated HF) * Advanced Chronic kidney disease (CKD) (eGFR \< 30) without nephrology co-management * Active cancer treatment * Severe cognitive impairment (unable to engage) * Uncontrolled psychiatric illness (e.g., active psychosis) * Resistant hypertension (requiring\> 3 medications at maximum doses) * Unable to participate in English class format * Unstable internet or lack of smartphone
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in diastolic blood pressure readings | 2-4 weeks after randomization,6 months after randomization |
| Change in systolic blood pressure readings | 2-4 weeks after randomization,6 months after randomization |
Secondary
| Measure | Time frame |
|---|---|
| Percentage of eligible participants who agree to participate | end of study (6 months after randomization) |
| Number of primary care physicians (PCPs) whose patients are included in the program | end of study (6 months after randomization) |
| Median number of sessions attended by each participant | end of study (6 months after randomization) |
| Adherence as assessed by the number of of blood pressure (BP) readings submitted between each session | end of study (6 months after randomization) |
| Adherence to home BP monitoring as assessed by the number of of home BP sessions submitted between each session | end of study (6 months after randomization) |
Countries
United States
Contacts
CONTACTPuja B Gandhi, MD, MPH, DipABLM
CONTACTNatalia Williams
PRINCIPAL_INVESTIGATORPuja B Gandhi, MD, MPH, DipABLM
The University of Texas Health Science Center, Houston
Outcome results
None listed