Managing high blood pressure in homeless individuals using text messaging
MHealth to Address Uncontrolled Hypertension Among Hypertensive Homeless Adults
PHASE3 · George Washington University · NCT05187013
This study is testing if sending text messages about managing high blood pressure can help homeless people in New York City improve their health.
Quick facts
| Phase | PHASE3 |
|---|---|
| Study type | Interventional |
| Enrollment | 120 (estimated) |
| Ages | 21 Years and up |
| Sex | All |
| Sponsor | George Washington University (other) |
| Locations | 1 site (Washington, District of Columbia) |
| Trial ID | NCT05187013 on ClinicalTrials.gov |
What this trial studies
This study evaluates the effectiveness of a mobile health (mHealth) strategy that utilizes text messaging to manage hypertension among homeless individuals in New York City. Participants aged 21 and older with uncontrolled blood pressure will be randomly assigned to either an intervention group receiving targeted hypertension management texts or a control group receiving standard health messages. The study will assess changes in blood pressure, adherence to clinic visits, and medication adherence over a 6-month period, alongside qualitative interviews with both patients and healthcare providers. The research aims to enhance health outcomes for a vulnerable population through innovative communication methods.
Who should consider this trial
Good fit: Ideal candidates are homeless individuals aged 21 and older with a diagnosis of hypertension and uncontrolled blood pressure.
Not a fit: Patients who are currently experiencing a hypertensive emergency or have severe comorbid conditions may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly improve blood pressure control and overall health outcomes for homeless individuals with hypertension.
How similar studies have performed: Other studies have shown promise in using mobile health interventions for chronic disease management, suggesting potential success for this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Currently experiencing homelessness * Current diagnosis of hypertension * SBP above 140mmHg or DBP above 90mmHg at most recent clinic visit * English or Spanish speaking * Currently presenting to Project Renewal shelter-clinics for medical care * Connected to multidisciplinary social and health services at Project Renewal Exclusion Criteria: * Pregnant or within 3 months post-partum * Heart attack or stroke within previous 6 months * History of aortic aneurysm * Diagnosis of end-stage renal disease or currently on dialysis * Inability to read or respond to SMS texts * Any condition preventing participants from providing informed consent * SBP \>175mmHg or DBP \>105mmHg unless medical provider determines patient has no symptoms suggesting a hypertensive emergency or urgency
Where this trial is running
Washington, District of Columbia
- George Washington University — Washington, District of Columbia, United States (RECRUITING)
Study contacts
- Principal investigator: Ramin Asgary, MD, MPH — George Washington University
- Study coordinator: Ramin Asgary, MD, MPH
- Email: raminasgary1@gwu.edu
- Phone: 202-994-6803
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Hypertension, Homeless Persons, mHealth, Short message service, texting, blood pressure, medication adherence