Remote Monitoring and Social Support for Hypertension Management (SupportBP)

University of Pennsylvania

Status: Completed

Conditions: Hypertension

Treatments: Behavioral: Remote Monitoring; Behavioral: Remote Monitoring + Social Support

Study type: Interventional

Funder types: Other

Identifiers

NCT03416283

828417

Details and patient eligibility

About

A 3-arm randomized pilot trial aimed at comparing the effectiveness of different remote approaches to improving blood pressure (BP) control.

Full description

The investigators plan to leverage the Way to Health (WTH) platform to develop and evaluate a new HTN service-delivery model that is integrated with routine clinical care at Penn Family Care (PFC), an academic family medicine practice in West Philadelphia. Among patients with poorly controlled HTN:

1. The investigators will assess the effects of monitoring blood pressure and medication adherence with feedback to the patient and to the clinical practice, as needed if out of control.
2. The investigators will also compare the impact of providing feedback to a social support partner with facilitated cheerleading.

Enrollment: 250 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Between 18 and 75 years old with HTN (ICD-10 code I10)
• Has had at least two office visits at Penn Family Care (PFC) within the past 12 months (at time of chart review), with at least two of the visits with BP readings exceeding HTN guidelines, including the last visit (150/90 or 140/90 if ages 21-59 yrs with CKD or diabetes)
• Must have a cellular phone with texting capabilities
• Must be prescribed at least one medication for hypertension

Exclusion criteria

• Has metastatic (Stage IV) blood or solid tumor cancer
• Has end stage renal disease
• Has congestive heart failure
• Has dementia
• Has liver cirrhosis

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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250 participants in 3 patient groups

Remote Monitoring (RM)

Experimental group

Description:

Remote Monitoring subjects will receive a blood pressure cuff and bidirectional text messaging regarding blood pressure and medication adherence.

Treatment:

Behavioral: Remote Monitoring

Remote Monitoring + Social Support (RM+SS)

Experimental group

Description:

Remote Monitoring + Social Support subjects will receive a blood pressure cuff and bidirectional text messaging regarding blood pressure and medication adherence, as well as a social support partner to provide additional feedback to the participant on their monitoring and adherence practices.

Treatment:

Behavioral: Remote Monitoring + Social Support

Usual Care

No Intervention group

Description:

Usual care subjects will not receive a blood pressure cuff or bidirectional text messaging. They will be asked to take their medication and monitor BP as usual with no additional contact from study staff until the 4 month study follow-up.