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Implementation Strategies for Self-Measured Blood Pressure Monitoring in Racially and Ethnically Diverse Populations

Enrolling By InvitationNA

Sponsor: University of California, San Francisco

Conditions: Blood Pressure Monitoring, Home, Hypertension

Interventions: BP monitor use training and app training, Online patient portal enrollment and training, SMS reminders to take blood pressure, Education about self-management of hypertension, Educational text messages that encourage seeking support from a support person

Countries: United States

This clinical trial aims to assess the impact of patient-focused and clinical-focused implementation strategies on blood pressure control. The investigators will assess the costs of these strategies and how effective they were at safely and equitably increasing home blood pressure monitoring.

Eligibility overview

Sex: ALL

Age: 18 Years to —

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* 18 years old/order
* Any sex or gender
* Any race or ethnicity
* Must be receiving primary care at any of the six enrolled clinics
* Have uncontrolled hypertension (two clinic BP readings ≥140/90 mmHg within the previous 18 months)
* Can read and write English, Spanish, or Cantonese
* Be able to provide consent
* Must own a cell phone that receives SMS or text messages

Exclusion Criteria:

* Those with conditions that might complicate remote BP monitoring:

  * Pregnancy (and 12 months postpartum)
  * Acute myocardial infarction or stroke in the last 12 months
  * End-stage renal disease on dialysis
  * Stage D heart failure
  * Active treatment for cancer (except for nonmelanoma skin cancers)
  * Pacemaker use
* Those with dementia, in hospice care, or with serious behavioral health conditions impeding participation

Locations (1)

San Francisco, California, United States