Summary

Eligibility
for people ages 18-85 (full criteria)
Location
at San Francisco, California
Dates
study started
estimated completion
Principal Investigator
by Courtney Lyles, PhD
Headshot of Courtney Lyles
Courtney Lyles

Description

Summary

The goal of this study is to support patients with hypertension self-management using both home blood pressure monitors and digital messaging programs. The investigators will first engage patients with technology training to use home monitors, online portal websites to view their medical record information online, and texting and mobile phone applications. Then investigators will assess the effectiveness of home blood pressure monitors and enhanced patient-clinician digital communication on blood pressure control during a 12-month intervention.

Official Title

Remote Monitoring for Equity in Advancing Control of Hypertension (REACH)

Details

This study aims to launch an effectiveness-implementation hybrid randomized trial to adapt a multi-faceted hypertension (HTN) management program shown to work in integrated healthcare delivery systems to a safety net healthcare system, San Francisco Health Network (SFHN). In Aim 1 of this study, investigators will offer patients brief in-person training to support their use of the online patient portal and basics about text messaging. Investigators will examine pre-post training changes in technology use overall as well as by specific patient subgroups with known differences in technology uptake. In Aim 2 investigators will conduct a two-arm randomized clinical trial to assess the effectiveness of enhanced digital communication via portal messaging and texting vs. usual care on primary outcomes of blood pressure (BP) control and BP medication adherence at 12 months. In Aim 3 investigators will use a mixed methods approach to evaluate key implementation outcomes, guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, of adapting an existing, evidence-based home BP monitoring program.

Keywords

Hypertension Blood pressure Telehealth Telemedicine Patient generated health data Remote patient monitoring Cellular Home blood pressure (BP) monitoring

Eligibility

You can join if…

Open to people ages 18-85

  • English-and Spanish-speaking patients
  • Patient within the San Francisco Health Network (SFHN)
  • Has seen primary care provide within the past 2 years
  • Uncontrolled hypertension (HTN) in the HTN registry
  • Complete Aim 1 training, in addition to patients who have not completed Aim 1 training
  • Over the age of 18

You CAN'T join if...

  • Under the age of 18
  • Controlled HTN

Location

  • Zuckerberg San Francisco General Hospital/University of California, San Francisco accepting new patients
    San Francisco California 94110 United States

Lead Scientist at UCSF

  • Courtney Lyles, PhD
    Courtney Lyles, PhD, is an Associate Professor in the UCSF Division of General Internal Medicine at Zuckerberg San Francisco General Hospital, the UCSF Center for Vulnerable Populations, and the UCSF Department of Epidemiology and Biostatistics.

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
University of California, San Francisco
ID
NCT05481892
Study Type
Interventional
Participants
Expecting 540 study participants
Last Updated