Home Blood Pressure Monitoring Project (HBPM)

Kaiser Permanente

Status

Completed

Conditions

Hypertension

Treatments

Behavioral: Home Blood Pressure Monitoring

Study type

Interventional

Funder types

Other

Identifiers

NCT01162759

CO-08DMagi-01

Details and patient eligibility

About

The goal of this project is to improve hypertension control at Kaiser Permanente Colorado (KPCO) by implementing a population-based multi-factorial intervention that uses home BP monitors that can download BP readings to KPCO's health records via internet, interactive voice response (IVR) technology, and multidisciplinary care team. Participants will be randomized to either the home blood pressure monitoring group receiving the multi-factorial intervention or the usual care group who will be receiving Kaiser standard of care. We will determine the proportion of patients in each group who achieve their target BP goals at 6 months, according to national clinical practice guidelines. The study hypothesis is that a higher proportion of patients with uncontrolled hypertension in the home blood pressure monitoring (HBPM) group will achieve their target blood pressure compared to those in the usual care (UC) group.

Full description

STUDY OBJECTIVES:

Primary:

• To determine the proportion of patients in each group who achieve their target BP goals at 6 months, according to national clinical practice guidelines

Secondary:

The following parameters will be evaluated between groups:

Change in BP measures between baseline and at 6 months
Proportion of patients who are receiving antihypertensive treatments in accordance to national clinical practice guidelines
Adherence to hypertensive medication regimen during the 6-month follow-up period
Patient satisfaction with the care model.

Enrollment

348 patients

Sex

All

Ages

18 to 85 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Age 18 to 85 years At least 1 diagnosis for hypertension,
- Receive primary care from one of the participating clinics,
- The two most recent BPs documented within that last 24 months are elevated (SBP>140 and/or DBP>90)
- Receiving < 3 antihypertensive medications, and
- Have access to a computer with a USB port.

Exclusion criteria

Pregnant, or breast-feeding,
Patients on dialysis or being followed by nephrology,
Patients with coronary artery disease, given these patients are already followed by the Clinical Pharmacy Cardiac Risk Service (CPCRS),
On KPCO "Do Not Call" or deceased list,
PCP does not give permission to include patient in the study,
BP is at or below target at the baseline study visit,
Not English-speaking.