Digital care pathway with asynchronous nurse messaging for hypertension

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study will assess the effectiveness and cost-effectiveness of a digital care pathway (DCP) combined with asynchronous messaging to support hypertension management in primary care. It is a prospective, cluster-randomized trial across six primary care centers in Pirkanmaa, Finland, comparing usual care, usual care plus DCP, and usual care plus DCP with asynchronous nurse messaging. Participants will be followed for six months, with home blood pressure monitoring and periodic clinic assessments to gauge blood pressure control and resource use. Randomization occurs at the center level, and blinding is not feasible due to the nature of the intervention. A training induction will prepare clinicians to implement the digital pathway and communication tools.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* a diagnosis of hypertension for at least 3 months
* an office blood pressure of ≥140/90 mmHg at baseline
* access to a smartphone and the ability to use strong electronic identification for application login
* ability to measure home blood pressure
* ability to take care of the personal medication

Exclusion Criteria:

* unwillingness to participate in the study
* secondary hypertension or hypertensive crisis (office blood pressure \>200/130 mmHg)
* atrial fibrillation
* stage 4 or 5 chronic kidney disease (eGFR \<30 mL/min/1.73 m²)
* a life expectancy of less than 1 year
* pregnancy or breastfeeding
* a clearly impaired ability to use the study interventions or participate in the study, as determined by a healthcare professional (e.g., insufficient Finnish language proficiency, dementia, psychiatric illness, or sensory impairments)

Where it's running

• Akaa health and social services centre, The Wellbeing Services County of Pirkanmaa
  Akaa, Pirkanmaa, Finland Recruiting
• Sastamala health and social services centre, The Wellbeing Services County of Pirkanmaa
  Sastamala, Pirkanmaa, Finland Recruiting
• Hatanpää health and social services centre, The Wellbeing Services County of Pirkanmaa
  Tampere, Pirkanmaa, Finland Recruiting
• Hervanta health and social services centre, The Wellbeing Services County of Pirkanmaa
  Tampere, Pirkanmaa, Finland Recruiting
• Linnainmaa health and social services centre, The Wellbeing Services County of Pirkanmaa
  Tampere, Pirkanmaa, Finland Recruiting
• Valkeakoski health and social services centre, The Wellbeing Services County of Pirkanmaa
  Valkeakoski, Pirkanmaa, Finland Recruiting

Study contacts

• Principal investigator: Tuomas Koskela, Professor, Chief Physician — Faculty of Medicine and Health Technology, Tampere University, Finland. The Wellbeing Services County of Pirkanmaa, Finland
• Study coordinator: Teemu Ekola, MD
• Email: teemu.ekola@tuni.fi
• Phone: +358444863415

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.