Home blood pressure monitoring with pharmacist support for older adults with multiple chronic conditions

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 pragmatic, cluster-randomized trial compares self-measured blood pressure (SMBP) with conventional clinical support versus SMBP with clinical pharmacist support across primary care clinics. Clinics are randomized and eligible older adults (≥65) with sustained elevated systolic BP are enrolled and followed for 12 months, with the primary outcome being change in systolic blood pressure. The design uses broad inclusion criteria, EHR data collection, and minimal exclusions to maximize real-world generalizability. Secondary outcomes include self-reported treatment burden and planned subgroup analyses in rural and Black/African American older patients.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* The patient is at least 65 years of age
* Patient is seen at least once in clinic or healthcare system in the previous 12 months
* Patient has a six-month average (non-acute/maintenance) systolic blood pressure (SBP) \>= 145 mmHg, documented in the electronic medical record in last six months
* Patient has a baseline in-clinic visit systolic blood pressure (SBP) \>= 140 mmHg
* Patient plants to receive care from participating healthcare system for the next 24 months

Exclusion Criteria:

* The patient is enrolled in hospice or has an active referral to hospice care
* The patient resides in a nursing home, in skilled nursing, rehabilitation facility, or memory care
* The patient is not capable of providing informed consent
* The patient is unable to communicate in English or Spanish
* The patient is in active chemotherapy or radiation treatment for cancer
* The patient is pregnant or has plans to become pregnant
* The patient is currently participating in another study focused on blood pressure
* The patient does not have a telephone

Where it's running

• University of Iowa Health Care
  Iowa City, Iowa, United States Recruiting
• University of Iowa
  Iowa City, Iowa, United States Not yet recruiting

Study contacts

• Study coordinator: Korey Kennelty, PharmD, PhD
• Email: korey-kennelty@uiowa.edu
• Phone: 319-335-8862

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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.