Comparing Hypertension Remote Monitoring Evaluation Redesign

Conditions

• Hypertension

Eligibility Criteria

Sex

ALL

Age

18 Years - N/A

Healthy Volunteers

Accepted

Interventions

• Standard and One-time Training — BEHAVIORAL
  Patient-level intervention: Patients in the standard group will receive automated reminder SMS text messages and remote BP monitoring. Clinic-level intervention: Clinics in the one-time training group will receive one-time training on standard work and algorithms, audit and feedback, and panel-based outreach.
• Standard and Practice Facilitation — BEHAVIORAL
  Patient-level intervention: Patients in the standard group will receive automated reminder SMS text messages and remote BP monitoring. Clinic-level intervention: Clinics in the practice facilitation group will receive regular/ongoing training on standard work and algorithms, audit and feedback, and panel-based outreach.
• High-intensity and One-time Training — BEHAVIORAL
  Patient-level intervention: Patients in the high-intensity group will receive personalized feedback SMS text messages and remote BP monitoring. Clinic-level intervention: Clinics in the one-time training group will receive one-time training on standard work and algorithms, audit and feedback, and panel-based outreach.
• High-intensity and Practice Facilitation — BEHAVIORAL
  Patient-level intervention: Patients in the high-intensity group will receive personalized feedback SMS text messages and remote BP monitoring. Clinic-level intervention: Clinics in the practice facilitation group will receive regular/ongoing training on standard work and algorithms, audit and feedback, and panel-based outreach.

Study Details

The goal of this clinical trial is to compare the effectiveness of evidence-based, adapted, and tailored, patient-focused and clinic-focused strategies to improve blood pressure (BP) control in English- and Spanish-speaking patients with hypertension (HTN).

Key Dates

Start date

Oct 21, 2024

Status verified

Jan 2026

Primary completion

Apr 30, 2028

Completion

Jul 31, 2028

Study Design

Enrollment

2,500 participants (estimated)

Allocation

RANDOMIZED

Intervention model

FACTORIAL

Primary purpose

TREATMENT

Arms

• Active Comparator: Standard and One-time Training
  Patient level: Standard, automatic reminders Clinic level: One-time training
• Experimental: Standard and Practice Facilitation
  Patient level: Standard, automatic reminders Clinic level: Regular, ongoing coaching
• Experimental: High-intensity and One-time Training
  Patient level: Personalized feedback Clinic level: One-time training
• Experimental: High-intensity and Practice Facilitation
  Patient level: Personalized feedback Clinic level: Regular, ongoing coaching

Primary Outcome Measure

Change in systolic BP (clinic) [ Time Frame: Baseline, 6 months ]

Locations (1)

Find similar trials in San Francisco, CA

Related Studies

• Effect of Electro-Acupuncture on Blood Pressure
  Recruiting · University of California, Irvine · Irvine, California
• A Study Evaluating the Long-Term Efficacy and Safety of Ralinepag in Subjects With PAH Via an Open-Label Extension
  PHASE3 · Enrolling By Invitation · United Therapeutics · Phoenix, Arizona
• Pharmacokinetics, Pharmacodynamics, and Safety Profile of Understudied Drugs Administered to Children Per Standard of Care (POPS)
  Recruiting · Duke University · Phoenix, Arizona
• Secondhand Tobacco Smoke and Cardiovascular Disease
  PHASE4 · Recruiting · University of California, San Francisco · San Francisco, California