Implementation Strategies for Self-Measured Blood Pressure Monitoring in Racially and Ethnically Diverse Populations

Part of paid clinical trials in San Francisco, California.

Sponsor
University of California, San Francisco
Study ID
NCT06871462
Status
Enrolling By Invitation

Conditions

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • BP monitor use training and app training — BEHAVIORAL
    Patients will be taught how to use a BP monitor, along with the accompanying mobile app to view their readings.
  • Online patient portal enrollment and training — BEHAVIORAL
    Patients will receive training on how to use an online patient portal. If they are not yet enrolled in an online patient portal and would like to be, they will also be enrolled into one.
  • SMS reminders to take blood pressure — BEHAVIORAL
    Patients will receive reminders via SMS to take their blood pressure.
  • Education about self-management of hypertension — BEHAVIORAL
    One-time training with action planning, access to website with language concordant patient education, and educational text messages
  • Educational text messages that encourage seeking support from a support person — BEHAVIORAL
    Educational text messages about behavioral changes that explicitly encourage seeking support from a support person
  • Involvement of caregiver or support person — BEHAVIORAL
    Patients will be asked to involve a caregiver or support person for all activities above, including patient portal proxy access.
  • Group classes — BEHAVIORAL
    Patients will be asked to attend in-person or online group education classes on hypertension management

Study Details

This clinical trial aims to assess the impact of patient-focused and clinical-focused implementation strategies on blood pressure control. The investigators will assess the costs of these strategies and how effective they were at safely and equitably increasing home blood pressure monitoring.

Key Dates

Start date
May 1, 2025
Status verified
Feb 2026
Primary completion
Nov 1, 2027
Completion
May 1, 2028

Study Design

Enrollment
330 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Active Comparator: Low-Intensity (Usual Care)
    Patient level: training on how to use a blood pressure (BP) monitor and online patient portal (ex. MyChart), receive reminders to take their BP at home, receive educational messages, and access to language-concordant educational materials. Clinic level: training on standardized workflows and EHR tools, audit and feedback
  • Experimental: High-Intensity
    Patient level: In addition to the Low-Intensity Arm strategies, patients will be asked to attend four educational group sessions with other trial patients. Patients will also be asked to involve support persons in their hypertension management. The educational messages that patients receive will also explicitly encourage involvement of a support person. Clinic level: training on standardized workflows and EHR tools, audit and feedback

Primary Outcome Measure

Change in clinic systolic BP [ Time Frame: Baseline, 12 months, 18 months ]

Locations (1)

FacilityCityStateZIPSite coordinators
Zuckerberg San Francisco General HospitalSan FranciscoCalifornia94110-

Find similar trials in San Francisco, CA

By condition
Hypertension (high blood pressure)
By specialty
CardiologyHeart disease
By research site
Zuckerberg San Francisco General Hospital· San Francisco, CA

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