Mobile health intervention for managing high blood pressure in emergency departments
Reach Out 2: Randomized Clinical Trial of Emergency Department-Initiated Hypertension Mobile Health Intervention Connecting Multiple Health Systems
This study is testing a mobile health program to see if it can help people with high blood pressure who visit the emergency room manage their condition better than regular care.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 500 (estimated) |
| Ages | 18 Years to 99 Years |
| Sex | All |
| Sponsor | Northwestern University Academic / other |
| Locations | 1 site (Flint, Michigan) |
| Trial ID | NCT06391073 on ClinicalTrials.gov |
What this trial studies
This study aims to evaluate the effectiveness of a mobile health intervention designed to reduce blood pressure among individuals identified with hypertension during emergency department visits. By leveraging safety-net healthcare systems, the intervention will connect patients with necessary resources, including self-measured blood pressure monitoring and assistance with scheduling physician appointments. The study will compare the outcomes of this intervention against usual care to determine its impact on blood pressure reduction and potential long-term health benefits. The ultimate goal is to address health disparities in hypertension management, particularly among underserved populations.
Who should consider this trial
Good fit: Ideal candidates for this study are adults aged 18 and older who present with high blood pressure during an emergency department visit.
Not a fit: Patients who are critically ill, pregnant, or have conditions that would make follow-up unlikely will not benefit from this study.
Why it matters
Potential benefit: If successful, this intervention could significantly lower blood pressure and reduce the risk of heart attacks, strokes, and dementia in underserved populations.
How similar studies have performed: Previous studies, including Reach Out 1, have shown promising results in reducing blood pressure among similar populations, indicating potential for success in this follow-up intervention.
Eligibility criteria
Show full inclusion / exclusion criteria
While in the ED, the patient must meet all of the following: * Adult (≥18 y/o) * At least one BP with Systolic BP ≥160 or a Diastolic BP ≥100 (criteria 1) * If the patient has repeated measurements after achieving Criteria 1, at least one of the repeat BP remains systolic BP ≥140 or a diastolic BP ≥90 * Must have cell phones with text-messaging capability * Likely to be discharged from the ED Exclusion Criteria for Main Trial Participants: * Critical illness * Unable to read English (\<1% at study site) * Incarcerated * Pregnant * Pre-existing condition making 6-month follow-up unlikely
Where this trial is running
Flint, Michigan
- Hurley Medical Center — Flint, Michigan, United States (Recruiting)
Study contacts
- Study coordinator: Lesli Skolarus, MD, MS
- Email: lesli.skolarus@northwestern.edu
- Phone: 312-503-0644
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.