Adult Hypertension Poor controlled hypertension Hypertensive crisis Telehealth Telemedicine Hypertension Hypertensive crisis Home Blood Pressure Monitoring (HBPM) Hypertension Nurse Manager
Conditions
Interventions
patient record HBPM every day at 12 wks visit doctor by telehealth not go to hospital ,24 wks follow up at hospital,The control group receives standard care with home blood pressure monitoring (HBPM)
Experimental Other,No Intervention No treatment
telehealth plus,control group
Sponsors
This study was granted by Faculty of Medicine, Khon Kaen University
Eligibility
Sex/Gender
All
Age
40 Years to 79 Years
Inclusion criteria
Inclusion criteria: aged 40 to 79 year-old in the HTC clinic (history of hypertensive urgency at least one time) who took less than 3 antihypertensive medications and did not change antihypertensive drugs for at least 3 months, blood pressure is less than 160/100 mmHg with serum creatinine less than 1.1 mg/dL, HbA1c less than 7.0, and can use mobile application.
Exclusion criteria
Exclusion criteria: participants who have any visual and hearing problems. For withdrawal criteria, participants who develop signs and symptoms of acute myocardial infarction or acute stroke during study period.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| percentage of participants achieving a reduction in blood pressure weeks 24 count number of participant who BP is decreased at weeks 24 | — |
Secondary
| Measure | Time frame |
|---|---|
| the trend of blood pressure reduction every 4 weeks weeks 4, 8, 12, 16, 20, 24 mean of average 7-day HBPM,appointment attendance rates weeks 12, 24 number of participant who see a doctor in time (Telehealth app and OPD),medication adherence rates weeks 24 count number of left medication(s) that patient took | — |
Countries
Thailand
Contacts
Public ContactSupap Imoun
Faculty of Medicine, Khon Kaen University
Outcome results
None listed