Mobile Health Program for Rural Hypertension

Description

Hypertension (HTN) is the leading modifiable cause of cardiovascular disease. Rural individuals experience challenges of the rural health divide: geographic distance from providers, social isolation, limited social resources, and high rates of low health literacy. This study evaluates a home-based blood pressure monitoring (HBPM) program that provides longitudinal health education, empathic guidance, monitoring, and adaptable patient-centered coaching to rural individuals. Participants in this study will be randomized to receive (1) HBPM with the intervention; or (2) the control, consisting of HBPM and a smartphone with a general health application (WebMD).

Conditions

Hypertension,Essential, Adherence, Medication, Quality of Life

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Study Overview

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Study Details

Study overview

Hypertension (HTN) is the leading modifiable cause of cardiovascular disease. Rural individuals experience challenges of the rural health divide: geographic distance from providers, social isolation, limited social resources, and high rates of low health literacy. This study evaluates a home-based blood pressure monitoring (HBPM) program that provides longitudinal health education, empathic guidance, monitoring, and adaptable patient-centered coaching to rural individuals. Participants in this study will be randomized to receive (1) HBPM with the intervention; or (2) the control, consisting of HBPM and a smartphone with a general health application (WebMD).

Multilevel Mobile Health Program to Improve Rural Hypertension

Mobile Health Program for Rural Hypertension

Condition
Hypertension,Essential
Intervention / Treatment

-

Contacts and Locations

Pittsburgh

University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States, 15213

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

  • 1. History of uncontrolled hypertension, identified from the electronic health record problem list and an average systolic BP 140-199 or diastolic BP 90-119 mm Hg at 2 ambulatory visits, one of which is within 6 months of study entry
  • 2. Residence in one of 48 counties categorized as rural by the Center for Rural Pennsylvania;
  • 3. English-speaking at level appropriate for informed consent and study participation;
  • 4. No plans to relocate from the area within 12 months of enrollment.
  • 1. Heart failure necessitating hospital admission ≤3 months prior to study inclusion;
  • 2. Acute coronary syndrome (defined as at least 2 of the following: chest pain, ischemic electrocardiographic changes, or troponin ≥0.1 ng/mL) ≤3 months prior to study inclusion;
  • 3. Planned major surgery, cardiovascular or non-cardiovascular;
  • 4. Pregnancy or planned pregnancy within 12 months;
  • 5. Presence of non-cardiovascular conditions likely to be fatal within 12 months (e.g., cancer);
  • 6. Inability to comprehend the study protocol, defined by failing 3 times to answer correctly a set of questions during consent;
  • 7. Institutionalized status (e.g., nursing home, incarceration);
  • 8. Inability to operate a smartphone or HBPM device due to sensory or neurocognitive deficit.

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Pittsburgh,

Study Record Dates

2027-06