Lowering blood pressure after stroke with home monitoring and virtual group visits
Official title: A Hybrid Type 1 Randomized Trial for Improved Post-Stroke Hypertension: This Study Aims to Examine the Impact of Group Medical Visits and Home Blood Pressure Monitoring Versus Home Blood Pressure Monitoring Alone on the the Impact of Hypertension in Those With Recent Stroke.
Run by Massachusetts General Hospital · NCT07091851 · Data updated 2026-11-12
This will see if adding virtual group visits to home blood pressure checks helps lower blood pressure in people who had a recent mild-to-moderate stroke.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 35 Years and up |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Massachusetts General Hospital Academic / other |
| Locations | 1 site (Boston, Massachusetts) |
| Status | Recruiting |
| Started | September 22, 2025 |
| Main results expected | January 30, 2028 |
| Study ends | April 30, 2028 |
| Registry record updated | September 25, 2025 |
| Trial ID | NCT07091851 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults with a recent mild-to-moderate ischemic or hemorrhagic stroke, a diagnosis of hypertension, English literacy, internet access, and an established primary care physician at MGH.
✕Probably not a fit
Patients with severe stroke, dementia, discharge to inpatient rehab or a skilled nursing facility, or those with moderate-to-severe aphasia without a caregiver to consent are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, hybrid Type 1 trial adapts two evidence-based approaches—home blood pressure monitoring (HBPM) and virtual group visits (VGVs)—for people recovering from stroke. Participants with mild-to-moderate ischemic or hemorrhagic stroke and hypertension will be randomly assigned to HBPM alone or HBPM combined with VGVs delivered via video. The team will use implementation-science methods (including the CFIR framework) to tailor the interventions and measure both blood pressure outcomes and pragmatic implementation measures. The goal is to determine whether the combined VGV-HBPM approach produces better blood pressure control and is feasible for stroke survivors.
Why it matters
Potential benefit: If successful, the combined approach could improve blood pressure control after stroke and lower the risk of having another stroke.
How similar studies have gone: HBPM and virtual group visit models have shown effectiveness in non-stroke populations, but their combined use has not been fully tested in stroke survivors.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Incident, mild to moderate, ischemic or hemorrhagic stroke (NIHSS≤15, ICH score≤3) * history or new diagnosis of hypertension * ability to read and speak English * internet access * established primary care physician at MGH Exclusion Criteria: * severe stroke (NIHSS\>15, ICH score\>3) * discharge location to inpatient rehabilitation or skilled nursing facility * dementia * subjects with moderate to severe aphasia without a caregiver to consent on their behalf
Where it's running
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Massachusetts General Hospital
Boston, Massachusetts, United States Recruiting
Study contacts
- Study coordinator: Nirupama Yechoor, MD, MSc
- Email: nyechoor@mgh.harvard.edu
- Phone: 857-282-5184
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.