RECRUITING

Collaboration Oriented Approach to Controlling High Blood Pressure

Description

Hypertension is a significant contributor to poor cardiovascular outcomes. Self-management support tools can increase patient behaviors to improve blood pressure. The investigators created a clinical decision support app, called COACH, to integrate home blood pressure data and goals into EHR reporting and workflow with communications informed by behavioral economics principles to support shared decision-making. The study aims to measure the effectiveness of the COACH intervention in a pragmatic multi-site randomized trial in a primary care setting.

Study Overview

Study Details

Study overview

Hypertension is a significant contributor to poor cardiovascular outcomes. Self-management support tools can increase patient behaviors to improve blood pressure. The investigators created a clinical decision support app, called COACH, to integrate home blood pressure data and goals into EHR reporting and workflow with communications informed by behavioral economics principles to support shared decision-making. The study aims to measure the effectiveness of the COACH intervention in a pragmatic multi-site randomized trial in a primary care setting.

Collaboration Oriented Approach to Controlling High Blood Pressure

Collaboration Oriented Approach to Controlling High Blood Pressure

Condition
Hypertension
Intervention / Treatment

-

Contacts and Locations

Columbia

University of Missouri-Columbia, Columbia, Missouri, United States, 65211

Portland

Oregon Health & Science University, Portland, Oregon, United States, 97239

Nashville

Vanderbilt University Medical Center, Nashville, Tennessee, United States, 37232

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.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Adult patients aged 18-100 years old
  • * Patient receives care at a participating primary care clinic and has been seen in the last year
  • * Patient has high BP, defined as an average of 4 BPs \> 140 systolic or \> 90 diastolic (clinic) or \> 135 OR \> 85 (home)
  • * Patient is enrolled in online health portal
  • * Patient can communicate in English
  • * Patient has been recommended by their physician who thinks the patient would benefit from a home blood pressure monitoring program.
  • * Patient is pregnant at the time of consent
  • * Patient who, in the opinion of the primary care clinician, has severe cognitive impairment
  • * Patient is on hospice care and/or has a life expectancy of less than 2 years
  • * Patient has end stage renal disease
  • * Patient for whom tight blood pressure control presents a greater risk, such as those with a history of adverse events from hypertension treatment (falls, dizziness, electrolyte disturbances, hypotension, active heart failure)
  • * Patient has any other disease or disorder that in the opinion of the investigator or the patient's primary care clinician, could put participants at risk and affect trial results, or hinder participation will exclude them from participating

Ages Eligible for Study

18 Years to 100 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Oregon Health and Science University,

David Dorr, MD, MS, FACMI, FAMIA, PRINCIPAL_INVESTIGATOR, Oregon Health and Science University

Richelle Koopman, MD, PRINCIPAL_INVESTIGATOR, University of Missouri-Columbia

Study Record Dates

2026-06-30