OPTIMA-BP: Empowering PaTients in MAnaging Blood Pressure

NHS Trust

Status: Enrolling

Conditions: Hypertension

Treatments: Other: Kvatchii Portal

Study type: Interventional

Funder types: Other

Identifiers

NCT05575453

INGN21CA393

Details and patient eligibility

About

Hypertension is the leading modifiable risk factor for cardiovascular disease and is implicated in half of all strokes and myocardial infarctions. One-third of adults in Scotland have hypertension yet only one-quarter of these have their blood pressure (BP) controlled to target (<140/90 mmHg). Reasons for the low rate of control are varied but include individuals lack of confidence, knowledge and understanding of the condition and treatment strategy, non-adherence to medication and infrequent BP monitoring. These issues have been compounded by the ongoing COVID-19 pandemic which has brought changes in routine BP screening, access to medical care and chronic disease management in primary and secondary care, shielding of the highest risk groups and a change in health and research focus. Shared decision making and issues around health literacy were highlighted by the Scottish Government Cross Party Group on Heart Disease and Stroke: High Blood Pressure Task Force in 2019. Empowering patients to have a better understanding of their condition and becoming actively involved in the monitoring and management of hypertension may lead to improved patient satisfaction, improved BP control and health outcomes and reduction in the use of primary/secondary care hypertension clinics.

Enrollment: 200 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age ≥18
• Current attendance at the GBPC

Exclusion criteria

• Inability to give informed consent
• Non-English speakers
• No internet access
• Clinic or ambulatory blood pressure ≥180/120 mmHg
• Arm circumference >42cm
• Inability to perform HBPM
• Inability to use Kvatchii portal
• Pregnancy
• Persistent atrial fibrillation
• Acute cardiovascular event requiring hospitalisation in the previous 3 months
• CKD stage ≥4 or renal dialysis
• Severe or terminal illness limiting study participation

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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200 participants in 2 patient groups

Kvatchii Portal

Active Comparator group

Description:

The intervention group will be given access to the Kvatchii portal and home blood pressure monitor

Treatment:

Other: Kvatchii Portal

Usual Care

No Intervention group

Description:

The control group will not have access to the portal but will be provided with home blood pressure monitor