Home Monitoring for High Blood Pressure

LG
Overseen ByLama Ghazi, MD, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Alabama at Birmingham
Approved in 4 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines whether tracking blood pressure at home and having regular consultations with a pharmacist can help manage high blood pressure. Participants will either monitor their blood pressure from home using Remote Blood Pressure Monitoring and have weekly phone meetings with a pharmacist or continue with their regular doctor visits. The program lasts three months to assess the effectiveness and practicality of home monitoring. Individuals who visit the Emergency Department Post-Discharge Clinic, have high blood pressure, and own a smartphone may be suitable candidates. As an unphased trial, this study offers a unique opportunity to contribute to innovative research in blood pressure management.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It seems likely that you can continue your current medications, as the study involves monitoring blood pressure and possibly adjusting medications if needed.

What prior data suggests that remote blood pressure monitoring is safe?

Research has shown that checking blood pressure at home is generally safe. Many studies indicate that this method helps manage high blood pressure. It involves measuring blood pressure at home and sending the results to a doctor.

One study found that this method can detect sudden changes in blood pressure, potentially preventing heart problems. Another study examined its safety and effectiveness, finding that people generally handle it well, with no major negative effects reported.

Overall, extensive research has established remote blood pressure monitoring as a safe way to track high blood pressure at home.12345

Why are researchers excited about this trial?

Researchers are excited about remote blood pressure monitoring because it offers a new way to manage high blood pressure without frequent in-person visits to a healthcare provider. This method allows patients to regularly check their blood pressure from home and receive immediate feedback and guidance through telehealth consultations with pharmacists. Unlike traditional care, which relies on periodic office visits, this approach could lead to more consistent blood pressure control and quicker adjustments in treatment plans, potentially improving overall health outcomes.

What evidence suggests that remote blood pressure monitoring is effective for managing high blood pressure?

Research shows that checking blood pressure from home can greatly aid in keeping it under control. One study found that participants who used this method saw their top blood pressure number drop by an average of 14.1 points. This top number measures the pressure in blood vessels when the heart beats. Home monitoring also helps detect quick changes in blood pressure that might signal heart issues. In this trial, participants in the "Remote Blood Pressure Monitoring + Telehealth" arm will undergo remote monitoring combined with pharmacist-led telehealth intervention, which studies suggest enhances the effectiveness of home monitoring. Overall, monitoring blood pressure from home with expert assistance has proven effective in managing high blood pressure.12356

Who Is on the Research Team?

LG

Lama Ghazi, MD, PhD

Principal Investigator

University of Alabama at Birmingham

Are You a Good Fit for This Trial?

This trial is for individuals with high blood pressure. It's designed to see if monitoring their own blood pressure at home and having weekly phone consultations with pharmacists can help manage their condition better than the usual care.

Inclusion Criteria

Patients seen at the Emergency Department Post-Discharge Clinic
English speakers
Have a smartphone
See 1 more

Exclusion Criteria

Patients with blood pressure equal to or greater than 160 mmHg

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants measure blood pressure at home and have weekly telehealth consultations with a pharmacist for 3 months

3 months
Weekly phone consultations

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks
1 visit (in-person) at 3 months

What Are the Treatments Tested in This Trial?

Interventions

  • Remote Blood Pressure Monitoring
Trial Overview The study is testing a new approach where half of the participants will monitor their blood pressure at home and have weekly telehealth sessions with pharmacists, while the other half receives standard medical care without these additions.
How Is the Trial Designed?
2Treatment groups
Active Control
Placebo Group
Group I: Remote Blood Pressure Monitoring + TelehealthActive Control1 Intervention
Group II: Usual CarePlacebo Group1 Intervention

Remote Blood Pressure Monitoring is already approved in United States, European Union, Canada, China for the following indications:

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Approved in United States as Home Blood Pressure Monitoring for:
🇪🇺
Approved in European Union as Self-Measured Blood Pressure Monitoring for:
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Approved in Canada as Telemonitoring of Blood Pressure for:
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Approved in China as Home Blood Pressure Monitoring for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Alabama at Birmingham

Lead Sponsor

Trials
1,677
Recruited
2,458,000+

National Institute on Minority Health and Health Disparities (NIMHD)

Collaborator

Trials
473
Recruited
1,374,000+

Published Research Related to This Trial

Home blood pressure monitoring is an effective method for diagnosing and managing hypertension, providing better predictions of cardiovascular events and mortality compared to clinic measurements.
Regular self-monitoring encourages patient engagement in their health management, leading to improved adherence to treatment and lower blood pressure levels.
Home monitoring of blood pressure.McGrath, BP.[2020]
The study will evaluate the effectiveness of self-measured blood pressure monitoring (SMBP) using cellular-enabled devices in safety-net clinics, targeting patients with hypertension and aiming to improve blood pressure management without needing Wi-Fi or Bluetooth.
It will compare three levels of implementation support for SMBP, including minimal support, protocol-based reminders, and pharmacist-led coaching, to determine which approach best helps patients achieve better blood pressure control and overall health outcomes.
Randomized trial protocol for remote monitoring for equity in advancing the control of hypertension in safety net systems (REACH-SNS) study.Fontil, V., Khoong, EC., Green, BB., et al.[2023]
The Hyperlink trial demonstrated that a 12-month intervention combining home blood pressure telemonitoring with pharmacist case management significantly improved blood pressure control in adults with uncontrolled hypertension, achieving 71% control at 12 months compared to 53% in usual care.
Key factors contributing to the success of the intervention included strong patient-pharmacist relationships, individualized treatment plans, and frequent communication, which facilitated timely adjustments to antihypertensive medications and led to rapid blood pressure reductions within just 3 months.
Key components of success in a randomized trial of blood pressure telemonitoring with medication therapy management pharmacists.Beran, M., Asche, SE., Bergdall, AR., et al.[2020]

Citations

Is remote blood pressure monitoring and management a ...In addition, remote blood pressure monitoring can also help better control blood pressure in rural and low‐income population. Remote blood‐ ...
Remote Blood Pressure Monitoring: A Comprehensive ReviewThis technology at home allows for the detection of instantaneous fluctuations in BP that could be predictive of cardiovascular disease events.
Home Blood Pressure Telemonitoring With Remote ...In the current study, >85% of enrolled participants completed the 6-month protocol with a 14.1 mm Hg mean reduction in systolic BP. Over 900 BP ...
Efficiency of remote monitoring and guidance in blood ...Conclusions. Remote monitoring and guidance enhanced the efficiency of BP management, whereas self-monitoring alone proved to be ineffective.
Lessons From a Remote Blood Pressure Monitoring TrialSelf-measured blood pressure monitoring at home: a joint policy statement from the American Heart Association and American Medical Association.
Home Blood Pressure Telemonitoring with Remote ...This study aimed to evaluate the feasibility, safety, and effectiveness of home BP telemonitoring with remote hypertension management among a predominately ...
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