Team-based home monitoring for high blood pressure
Identifying Successful Strategies for Implementing Team-Based Home Blood Pressure Monitoring in Primary Care
NA · University of Rochester · NCT05488795
This study is testing whether having patients share their home blood pressure readings with their healthcare teams, along with group education and community support, can help people better manage their high blood pressure and reduce care gaps among different racial groups.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 5760 (estimated) |
| Ages | 18 Years to 85 Years |
| Sex | All |
| Sponsor | University of Rochester (other) |
| Locations | 1 site (Rochester, New York) |
| Trial ID | NCT05488795 on ClinicalTrials.gov |
What this trial studies
This study aims to evaluate strategies for implementing team-based home blood pressure monitoring (TB-HBPM) in primary care settings. The intervention involves patients transmitting their home blood pressure readings to their clinical teams, supported by group education on hypertension management and community resource referrals. The study employs a type-2 hybrid stepped-wedge randomized cluster trial design to assess the effectiveness of these implementation strategies. The goal is to improve hypertension control rates, particularly addressing racial disparities in care.
Who should consider this trial
Good fit: Ideal candidates include current patients aged 18-85 with a diagnosis of hypertension who have had at least one health visit at the participating practice.
Not a fit: Patients who are not current patients of the participating practices, those with dementia, end-stage renal disease, or who are pregnant may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly improve blood pressure control among patients with hypertension.
How similar studies have performed: Previous studies have shown that similar team-based home monitoring approaches can improve blood pressure control, indicating potential success for this intervention.
Eligibility criteria
Show full inclusion / exclusion criteria
ELIGIBILITY CRITERIA Clinicians and Staff Eligibility Criteria Practice employees (practice leaders, administrators, clinicians, or staff) that work with hypertensive patients during the study period (scheduling appointments, coordinating care, measuring blood pressure, responding to questions, and/or treating their blood pressure) Patient Inclusion Criteria * Current HFM patient 18-85 years of age with hypertension diagnosis * Diagnosis of hypertension based on ICD-10 codes of I10-I14 * at least one HFM health visit and hypertension diagnosis beginning no later than 7/1/2021. Patient Exclusion Criteria * Not current patient in the participating practices * Diagnosis of dementia, end-stage renal disease, and/or in hospice * Currently pregnant
Where this trial is running
Rochester, New York
- Highland Family Medicine — Rochester, New York, United States (RECRUITING)
Study contacts
- Principal investigator: Kevin Fiscella, MD, MPH — URMC
- Study coordinator: Kevin Fiscella
- Email: Kevin_Fiscella@urmc.rochester.edu
- Phone: 585-324-4563
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: High Blood Pressure, Hypertension, Home blood pressure monitoring, Hypertension control, Primary Care Teams, Implementation Research, Health Equity, Clinical Trial