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



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)


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 three-arm randomized controlled trial to compare varying levels of implementation support: 1) cellular-enabled blood pressure (BP) monitors (with minimal implementation support), 2) cellular-enabled BP monitors with protocol-based implementation support (text reminders for patients; aggregated BP summaries sent to primary care providers), and 3) cellular-enabled BP monitors and pharmacist-led support (pharmacist coaching and independent medication adjustments). 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.


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


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


  • Zuckerberg San Francisco General Hospital/UCSF
    San Francisco California 94110 United States

Lead Scientist at UCSF

  • Courtney Lyles, PhD
    Courtney Lyles, PhD, is an affiliate Professor in the UCSF Division of General Internal Medicine at Zuckerberg San Francisco General Hospital and the UCSF Center for Vulnerable Populations. She is also a Professor and Director of the Center for Healthcare Research and Policy at the UC Davis School of Medicine.


accepting new patients by invitation only
Start Date
Completion Date
University of California, San Francisco
Study Type
Expecting 540 study participants
Last Updated