COMPLETED

Uncontrolled Hypertension Among the Homeless

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This study is designed to assess the effect of implementing a mobile health (mHealth) strategy using text messaging for hypertension (HTN) management among hypertensive homeless persons with uncontrolled blood pressure age 21 or older in shelter-clinics in New York City (NYC). The study uses a randomized clinical trial design (homeless, n=120) and semi-structured interviews (homeless, n=30; providers, n=20). The control group will receive text messages for usual standard care/healthy lifestyle during a 6-month follow-up period. The intervention group will receive text messages geared towards both standard care/healthy lifestyle and blood pressure control. At the end of study period, the investigators will assess changes in blood pressure (BP) measurements, adherence to clinic visits, and adherence to medication, and the investigators will compare them between the two groups. Qualitative interviews with both patients and providers who provide services to the homeless in shelter settings will develop a better understand barriers and opportunities regarding BP control. The investigators hypothesize that those individuals randomized to the intervention will experience a reduction in blood pressure (8mmHg systolic BP or diastolic BP) and will exhibit better adherence to blood pressure medications and appointments compared to the control group.

Official Title

mHealth to Address Uncontrolled Hypertension Among Hypertensive Homeless Adults

Quick Facts

Study Start:2022-09-12
Study Completion:2025-09-30
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:COMPLETED

Study ID

NCT05187013

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:21 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Currently experiencing homelessness
  2. * Current diagnosis of hypertension
  3. * SBP above 140mmHg or DBP above 90mmHg at most recent clinic visit
  4. * English or Spanish speaking
  5. * Currently presenting to Project Renewal shelter-clinics for medical care
  6. * Connected to multidisciplinary social and health services at Project Renewal
  1. * Pregnant or within 3 months post-partum
  2. * Heart attack or stroke within previous 6 months
  3. * History of aortic aneurysm
  4. * Diagnosis of end-stage renal disease or currently on dialysis
  5. * Inability to read or respond to SMS texts
  6. * Any condition preventing participants from providing informed consent
  7. * SBP \>175mmHg or DBP \>105mmHg unless medical provider determines patient has no symptoms suggesting a hypertensive emergency or urgency

Contacts and Locations

Principal Investigator

Ramin Asgary, MD, MPH
PRINCIPAL_INVESTIGATOR
George Washington University

Study Locations (Sites)

George Washington University
Washington D.C., District of Columbia, 20052
United States

Collaborators and Investigators

Sponsor: George Washington University

  • Ramin Asgary, MD, MPH, PRINCIPAL_INVESTIGATOR, George Washington University

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2022-09-12
Study Completion Date2025-09-30

Study Record Updates

Study Start Date2022-09-12
Study Completion Date2025-09-30

Terms related to this study

Keywords Provided by Researchers

  • Hypertension
  • Homeless Persons
  • mHealth
  • Short message service
  • texting
  • blood pressure
  • medication adherence

Additional Relevant MeSH Terms

  • Hypertension